title: Ultrasound-guided reoperative hysteroscopy for managing global endometrial ablation failures.
abstract: OBJECTIVE
  To determine whether ultrasound-guided reoperative hysteroscopy can reduce the need for hysterectomy in women experiencing delayed complications after global endometrial ablation (GEA) procedures.
  
  
  METHODS
  Retrospective review (Canadian Task Force classification III).
  
  
  METHODS
  Private physician's office.
  
  
  METHODS
  Fifty women who had experienced a delayed complication after a GEA procedure were referred to the author's private practice.
  
  
  METHODS
  All 50 women underwent ultrasound-guided reoperative hysteroscopy in which the uterine cavity was fully explored and areas of endometrial growth and other disease were identified and excised.
  
  
  RESULTS
  Intraoperative complications, patient satisfaction, and avoidance of hysterectomy were determined. There were no intraoperative or postoperative complications. The mean duration of follow-up was 18.1 months (95% confidence interval, 13.8-22.4). Forty-four of 49 patients (88.9%) were satisfied with the outcome, and further surgery was not necessary during the study period.
  
  
  CONCLUSIONS
  Ultrasound-guided reoperative hysteroscopy is a safe and effective minimally invasive treatment for management of delayed complications after GEA procedures.
authors.affiliation: Center for Menstrual Disorders, University of Rochester Medical Center, Rochester, New York. Electronic address: moe2020@cmdrc.com.
authors.forename: Morris
authors.initials: M
authors.lastname: Wortman
authors.affiliation: Center for Menstrual Disorders, University of Rochester Medical Center, Rochester, New York.
authors.forename: Amy
authors.initials: A
authors.lastname: Daggett
authors.affiliation: Center for Menstrual Disorders, University of Rochester Medical Center, Rochester, New York.
authors.forename: Allison
authors.initials: A
authors.lastname: Deckman
mesh_terms: D000328:Adult; D055356:Endometrial Ablation Techniques / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008875:Middle Aged; D009518:New York; D012086:Reoperation; D012189:Retrospective Studies; D017211:Treatment Failure; D018084:Ultrasonography, Interventional / Q000379:methods; D014592:Uterine Hemorrhage / Q000601:surgery*
keywords: Abnormal uterine bleeding; Endometrial regrowth; Endomyometrial resection; Global ablation; Hematometra; Hysterectomy; Pelvic pain; Reoperative hysteroscopy