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Arch Gynecol Obstet. 2003 Nov;269(1):30-2. Epub 2003 Mar 20.

Microwave endometrial ablation for an enlarged uterus.

Author information

1
Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, 4-3, Asahimachi-1, 545-8585 Abeno-ku, Osaka, Japan. kanaokamd@med.osaka-cu.ac.jp

Abstract

INTRODUCTION:

An enlarged uterus of more than 12 cm in cavum length with a distorted cavity is a contra-indication for conventional ablative techniques. It is difficult to perform satisfactory endometrial ablation in a large uterus with submucosal myomas using straight instruments. A new curved microwave applicator 4 mm in diameter was developed for microwave endometrial ablation (MEA) for uteri with an enlarged distorted uterine cavity.

METHOD:

For three patients of menorrhagia due to submucosal myomas with cavum lengths 13 to 15 cm, MEA was performed using the curved applicator.

RESULTS:

Menorrhagia was improved in each case. No complications were encountered.

CONCLUSION:

A large number of hysterectomies could be avoided using the new curved microwave applicator.

PMID:
14605820
DOI:
10.1007/s00404-003-0480-2
[Indexed for MEDLINE]
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