Microwave endometrial ablation is a highly efficacious way to emergently control life-threatening uterine hemorrhage.
OBJECTIVE
To asses the effectiveness of microwave endometrial ablation (MEA) using a new curved applicator for the emergent control of uterine hemorrhage.


METHODS
Seven patients received emergency MEA. Three out of seven patients were treated with MEA as their primary procedure, and four out of seven patients were treated for an intraoperative hemorrhage.


RESULTS
In all three patients treated preoperatively, MEA was highly effective and successfully controlled acute uterine hemorrhage. Four out of seven patients were treated with MEA for a hemorrhage following resection of a submucosal myoma or polyp. MEA successfully controlled bleeding in all four patients, thereby preventing them from undergoing hysterectomy.


CONCLUSIONS
Our results suggest that emergency MEA is a promising way to control a life-threatening uterine hemorrhage.
Nakayama
Kentaro
K
Department of Obstetrics and Gynecology, Shimane University School of Medicine, Enyacho 89-1, Izumo, Shimane 6938501, Japan. kn88@med.shimane-u.ac.jp
Rahman
Mohammed Tanjimur
MT
Rahman
Munmun
M
Ishikawa
Masako
M
Yeasmin
Shamima
S
Katagiri
Atsuko
A
Iida
Kouji
K
Nakayama
Naomi
N
Aoki
Showa
S
Miyazaki
Kohji
K
D000328:Adult; D004632:Emergency Medical Services; D055356:Endometrial Ablation Techniques; D005260:Female; D006801:Humans; D008595:Menorrhagia / Q000628:therapy; D008872:Microwaves / Q000627:therapeutic use*; D008875:Middle Aged; D014592:Uterine Hemorrhage / Q000628:therapy*