title: Efficacy and safety of global endometrial ablation after cesarean delivery: a cohort study.
abstract: OBJECTIVE
  The objective of the study was to evaluate the efficacy and safety of global endometrial ablation in women with a history of cesarean delivery.
  
  
  METHODS
  We performed a historical cohort study of patients who underwent endometrial ablation for menorrhagia between 1998 and 2005. Outcome measures included amenorrhea, treatment failure, and operative complications. Time to treatment failure was compared using Kaplan-Meier analysis. Risk adjustments were performed using Cox and logistic regression models.
  
  
  RESULTS
  Of 704 patients meeting inclusion criteria, 162 (23%) had a history of 1 or more cesarean deliveries. Women with and without a history of cesarean delivery had comparable rates for 5 year cumulative endometrial ablation failure, amenorrhea, treatment failure, and operative complications. The type of ablation device and number of previous cesarean deliveries did not affect any outcomes.
  
  
  CONCLUSIONS
  The efficacy and safety of endometrial ablation are comparable in women with or without a history of cesarean delivery.
authors: Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.
authors: Zaraq
authors: Z
authors: Khan
authors: Sherif A
authors: SA
authors: El-Nashar
authors: Matthew R
authors: MR
authors: Hopkins
authors: Abimbola O
authors: AO
authors: Famuyide
mesh_terms: D000328:Adult; D002585:Cesarean Section; D055356:Endometrial Ablation Techniques / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome