Laparoscopic Endometrial Ablation: A Case Report
A 14 year-old girl was operated on via laparoscopy because of a right adnexal mass. During the operation a noncommunicating right uterine horn was found with a massive right hematosalpinx. The right horn was attached to the left one with a narrow band. The right uterine horn was opened and the endometrial lining was ablated with unipolar cutting current. The layer was then deeply coagulated with a laparoscopic probe. The hematosalpinx was excised and the accumulated blood emptied. Adhesions around the right tube were separated. Operation time was 35 minutes. One year later the patient had a repeat laparoscopy which showed neither adhesion formation nor hematosalpinx. Now, two years after the original operation, the patient is in excellent condition.
Behjatnia
Y
Dept. of Ob/Gyn - Tehran University of Medical Sciences, Endoscopy and Fertility Research Center, Mirza Kouchek Khan Hospital, P.O. Box 14155-1689, Tehran, Iran.
Tabrizi
NM
Dabirashrafi
H
Azmoudeh
O