Fresno-Alba S, DeLlera-Duarte Á, Vidal-Roncero H, Usandizaga R, DeSantiago-García J, Zapardiel I

Language: Spanish
References: 9
Page: 175-179
PDF size: 199.91 Kb.

ABSTRACT

Background: Many women experience menorrhagia episodes resistant to medical treatment requiring definitive surgical treatment.
Objective: To analyze the effectiveness of hysteroscopic endometrial resection versus Novasure system.
Material and methods: A descriptive and retrospective study comparing 20 patients who underwent endometrial ablation with Novasure vs 20 patients who underwent hysteroscopic endometrial resection. We analyzed the indication, age, time of surgery, the incidence of complications, satisfaction at 3, 6 and 12 months and technical failure.
Results: No significant differences were found in terms of failure to complete the technique, and satisfaction at 3, 6 and 12 months. But significant differences regarding the mean operation time, which was reduced to 15 minutes among Novasure system patients. This could influence the total costs of the procedure.
Conclusion: There were no significant differences between the two methods in terms of efficacy and safety; however, the final costs seem to be higher for the Novasure system.

REFERENCES

1. National Collaborating Centre for Women’s and Children’s Health. Heavy menstrual bleeding. London (UK): Royal Collage of Obstetricians and Gyneacologists (RCOG), 2007;164.

2. Cote I, Jacobs P, Cumming DC. Use of health services associated with increased menstrual loss in the United States. Am J Obstet Gynecol 2003;188:343-348.

3. Marjoribanks J, Lethaby A, Farquhar C. Surgery versus medical therapy for heavy menstrual bleeding. Cochrane Database Syst Rev 2006: CD003855.

4. Dicker RC, Grenspan JR, Strauss LT, Coward MR, et al. Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States. The Collaborative Review of Sterilization. Am J Obstet Gynecol 1982;144:841-848.

5. Mc Pherson K, Metcalfe MA, Herbert A, Maresh M, et al. Severe complications of histerectomy: the VALUE study. BJOG 2004;111:688-694.

6. Harris WJ. Complications of histerectomy. Clin Obstet Gynecol 1997;40:928-38.

7. Lethaby A, Shepperd S, Cooke I, Farquhar C. Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding. Cochrane Data Base Syst Rev 2000:CD000329.

8. Middleton LJ, Champanería R, Daniels JP, Bhatta-charya S, et al. Hysterectomy, endometrial destruction, and levonorgestrel releasing intrauterine system (Mirena) for heavy menstrual bleeding: systematic review and metanalysis of data from individual patients. BMJ; 341: c 3929.

9. Lethaby A, Hickey M, Garry R, Penninx J. Endometrial resection/ ablation techniques for heavy menstrual bleeding. Cochrane Database Syst Rev 2009:CD001501.