Publication:
Hysteroscopic endometrial ablation: from indications to instrumentation and techniques—a call to action

dc.contributor.coauthorVitale, Salvatore Giovanni
dc.contributor.coauthorDella Corte, Luigi
dc.contributor.coauthorCiebiera, Michał
dc.contributor.coauthorCarugno, Josè
dc.contributor.coauthorRiemma, Gaetano
dc.contributor.coauthorLasmar, Ricardo Bassil
dc.contributor.coauthorLasmar, Bernardo Portugal
dc.contributor.coauthorKahramanoğlu, İlker
dc.contributor.coauthorMikuš, Mislav
dc.contributor.coauthorDe Angelis, Carlo
dc.contributor.coauthorTörök, Péter
dc.contributor.coauthorAngioni, Stefano
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorUrman, Cumhur Bülent
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T23:43:27Z
dc.date.issued2023
dc.description.abstractThe development of minimally invasive techniques has led to the creation of innovative alternatives in cases where traditional methods are not applicable. In modern gynecology, hysteroscopy has become the gold standard for the evaluation and treatment of intrauterine pathology. Endometrial ablation (EA) is a procedure that uses different types of energy to destroy the endometrium and is currently used as an alternative technique in cases of heavy menstrual bleeding when medical treatment has failed and uterine preservation is desired. The aim of this review was to evaluate the feasibility, safety, and clinical outcomes of hysteroscopic EA as an alternative in patients with abnormal uterine bleeding. A detailed computerized search of the literature was performed in the main electronic databases (MEDLINE, EMBASE, Web of Science, PubMed, and Cochrane Library), from 1994 to June 2022, to evaluate the outcomes in patients with abnormal uterine bleeding (AUB) undergoing EA using hysteroscopic and non-hysteroscopic techniques. Only scientific publications in English were included. Twelve articles on the current use of endometrial ablation were included. Data on patient symptoms, tools used for EA, primary outcomes, and adverse events were recorded. EA should be considered an effective and safe approach in the management of patients with abnormal uterine bleeding caused by benign pathology, in whom medical treatment has failed or is contraindicated. Due to the lack of evidence, it would be interesting to determine whether EA would also have a role in the treatment of women with premalignant lesions, avoiding invasive surgical procedures or medical treatment in those patients for whom hysterectomy or the use of hormonal treatment is contraindicated.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue3
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume13
dc.identifier.doi10.3390/diagnostics13030339
dc.identifier.issn2075-4418
dc.identifier.scopus2-s2.0-85147813463
dc.identifier.urihttps://doi.org/10.3390/diagnostics13030339
dc.identifier.urihttps://hdl.handle.net/20.500.14288/13473
dc.identifier.wos929385200001
dc.keywordsAblation
dc.keywordsAbnormal uterine bleeding
dc.keywordsEndometrial ablation
dc.keywordsEndometrium
dc.keywordsHeavy menstrual bleeding
dc.keywordsHysterectomy
dc.keywordsHysteroscopy
dc.keywordsMyoma
dc.keywordsPolyp
dc.keywordsResectoscope cardiovascular disease
dc.keywordsClinical outcome
dc.keywordsDysmenorrhea
dc.keywordsEndometrium ablation
dc.keywordsFemale
dc.keywordsHuman
dc.keywordsHysteroscopy
dc.keywordsIntestine injury
dc.keywordsLung complication
dc.keywordsMenorrhagia
dc.keywordsPrecancer
dc.keywordsQuality of life
dc.keywordsRandomized controlled trial (topic)
dc.keywordsReview
dc.keywordsSystematic review
dc.keywordsTreatment contraindication
dc.keywordsTreatment indication
dc.keywordsUrinary tract injury
dc.keywordsUterus bleeding
dc.language.isoeng
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)
dc.relation.ispartofDiagnostics
dc.subjectMedicine
dc.titleHysteroscopic endometrial ablation: from indications to instrumentation and techniques—a call to action
dc.typeReview
dspace.entity.typePublication
local.contributor.kuauthorUrman, Cumhur Bülent
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
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relation.isOrgUnitOfPublication.latestForDiscoveryd02929e1-2a70-44f0-ae17-7819f587bedd
relation.isParentOrgUnitOfPublication17f2dc8e-6e54-4fa8-b5e0-d6415123a93e
relation.isParentOrgUnitOfPublication.latestForDiscovery17f2dc8e-6e54-4fa8-b5e0-d6415123a93e

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