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Hysteroscopic endometrial ablation with the neodymium‐YAG laser
Author(s) -
DAVIS JONATHAN A.
Publication year - 1989
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1989.tb03347.x
Subject(s) - medicine , hysterectomy , ablation , endometrial ablation , neodymium , laser , surgery , general surgery , physics , optics
Summary. Over the past 3 years a series of patients referred to the gynaecological department at Stobhill Hospital with menorrhagia have been treated, as an alternative to hysterectomy, by endometrial ablation with the neodymium‐YAG laser. The results in the first 25 patients with a follow‐up of over 6 months are presented. The overall success rate was only 52%, but by increasing the power output of the laser energy used to 80 W the rate of success increased to 83%. Of the 25 patients 13 were selected for laser treatment because hysterectomy was considered unsuitable on account of obesity or medical and surgical conditions; the other 12 wanted to avoid a hysterectomy. The technique and its problems are discussed.