title: Microwave endometrial ablation as an alternative to hysterectomy for the emergent control of uterine bleeding in patients who are poor surgical candidates.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Shimane, Japan.
authors.forename: Shamima
authors.initials: S
authors.lastname: Yeasmin
authors.forename: Kentaro
authors.initials: K
authors.lastname: Nakayama
authors.forename: Masako
authors.initials: M
authors.lastname: Ishibashi
authors.forename: Atsuko
authors.initials: A
authors.lastname: Katagiri
authors.forename: Kouji
authors.initials: K
authors.lastname: Iida
authors.forename: Naomi
authors.initials: N
authors.lastname: Nakayama
authors.forename: Showa
authors.initials: S
authors.lastname: Aoki
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Kanaoka
authors.forename: Kohji
authors.initials: K
authors.lastname: Miyazaki
mesh_terms: 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