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Does postoperative pain predict the outcome of endometrial ablation?
Author(s) -
Yuan Xi,
Richmond Michael N.,
Leng Yan,
Li TinChiu
Publication year - 2013
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12064
Subject(s) - medicine , endometrial ablation , outcome (game theory) , ablation , mathematics , mathematical economics
Aim In this article, we hypothesized that significant pain in the immediate postoperative period is due to a deeper degree of thermal ablation, down to the myometrial layer, and consequently an increased likelihood of successful outcome. Material and Methods We retrospectively reviewed the medical records of 87 subjects who underwent thermal balloon endometrial ablation as the sole procedure under general anesthesia, administered by the same anesthetist using a standard protocol over a 10‐year period from 2000 to 2010 at T hornbury H ospital, S heffield, UK . All the cases were performed by the same surgeon in one hospital. Results Twenty‐eight (32.2%) subjects experienced severe or intractable pain within 1 h after the thermal balloon endometrial ablation procedure, while 26 (29.9%) subjects required morphine injection in the postoperative period. Overall, more than 70% of women experienced significant reduction in their menstrual flow. There was no difference in the clinical outcome between those who did or did not experience severe pain or between those who did or did not require morphine injection in the postoperative period. Conclusion The amount of postoperative pain did not predict the outcome of thermal balloon endometrial ablation.