Microwave endometrial ablation as an alternative to hysterectomy for the emergent control of uterine bleeding in patients who are poor surgical candidates.
BACKGROUND
Microwave endometrial ablation is a new, minimally invasive treatment option for menorrhagia. Its popularity in many countries is increasing due to its safety and simplicity.


METHODS
We treated menorrhagia due to submucosal myomas in two patients with a modified microwave endometrial ablation device. Surgery was contraindicated in the first patient secondary to medical co-morbidities and in the second patient because of acute hemorrhagic shock. In both cases, the operation was highly effective and each patient was satisfied with her treatment outcome.


CONCLUSIONS
Given its safety, simplicity, and effectiveness, microwave endometrial ablation may be widely adopted for the emergent control of uterine bleeding in patients with poor surgical candidates.
Yeasmin
Shamima
S
Department of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Shimane, Japan.
Nakayama
Kentaro
K
Ishibashi
Masako
M
Katagiri
Atsuko
A
Iida
Kouji
K
Nakayama
Naomi
N
Aoki
Showa
S
Kanaoka
Yasushi
Y
Miyazaki
Kohji
K
D000328:Adult; D000075202:Contraindications; D055356:Endometrial Ablation Techniques; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000150:complications; D008595:Menorrhagia / Q000209:etiology / Q000628:therapy*; D008872:Microwaves / Q000627:therapeutic use*; D008875:Middle Aged; D014594:Uterine Neoplasms / Q000150:complications