Endometrial thermal balloon ablation in women with previous cesarean delivery: pilot study.
OBJECTIVE
To evaluate the safety and efficacy of thermal balloon ablation in the management of menorrhagia in women with history of cesarean delivery.


METHODS
Descriptive study (Canadian Task Force classification II-2).


METHODS
Tertiary care university hospital.


METHODS
One hundred sixteen premenopausal women with dysfunctional uterine bleeding were offered endometrial thermal balloon ablation. This group included 26 women who had previously delivered via cesarean section (CS): 11 women with 1 CS, 8 women with 2 CS, 4 women with 3 CS, 2 women with 4 CS, and 1 woman with 5 CS.


METHODS
Endometrial thermal balloon ablation.


RESULTS
One hundred thirteen procedures were completed successfully; in 3 women, the procedure could not be completed. There were no major immediate operative complications. Sixteen patients (13.8%) required further gynecologic interventions after ablation: hysterectomy in 15, and dilation and curettage in 1. This included 13 women (14.4%) in the group with no previous CS and 3 women (11.5%) in the group with previous CS.


CONCLUSIONS
Within the limitations of this preliminary study, endometrial thermal balloon ablation seems to be a possible therapeutic option for treatment of dysfunctional uterine bleeding in women with previous cesarean delivery.
Gangadharan
Aparna
A
Department of Obstetrics and Gynecology, Hadassah University Hospital, Jerusalem, Israel.
Revel
Ariel
A
Shushan
Asher
A
D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects / Q000379:methods; D002585:Cesarean Section; D055356:Endometrial Ablation Techniques / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D017060:Patient Satisfaction; D010865:Pilot Projects; D016896:Treatment Outcome