Microwave endometrial ablation as an alternative to hysterectomy for the emergent control of uterine bleeding in patients with acute hemorrhagic shock

DOI 4 References
  • Nakayama Kentaro
    Department of Obstetrics and Gynecology, Shimane University School of Medicine
  • Aoki Showa
    Department of Obstetrics and Gynecology, Shimane University School of Medicine
  • Kanaoka Yasushi
    Department of Gynecology, Iseikai Hospital
  • Miyazaki Kohji
    Department of Obstetrics and Gynecology, Shimane University School of Medicine

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  • 過多月経による出血性ショックに対する緊急マイクロ波子宮内膜アブレーションの使用経験

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Background: Microwave endometrial ablation is a new, minimally invasive treatment option for menorrhagia. Its popularity in many countries is increasing due to its safety and simplicity.<br>Cases: We treated menorrhagia due to submucosal myomas in patient with a modified microwave endometrial ablation device. Conventional surgery (total abdominal hysterectomy) was contraindicated in this patient because of acute hemorrhagic shock. In this case, microwave endometrial ablation was highly effective and patient was satisfied with her treatment outcome.<br>Conclusion: Given its safety, simplicity, and effectiveness, microwave endometrial ablation may be widely adopted for the emergent control of uterine bleeding in patients with acute hemorrhagic shock.

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