title: [Endometrial ablation with thermal balloon, experience in a private hospital].
abstract: BACKGROUND
  Traditionally, the treatment for menorrhagia includes pharmacological therapies (hormones and uterotonics) or surgical (dilatation/curettage and hysterectomy). Recently the FDA approved a non-invasive therapeutic option, known as endometrial ablation. Which it consists in a thermal balloon delivers (ThermaChoice y Thermablate EAS) which energy destroys the uterine lining, thus reducing the bleeding and even producing amenorrhea. And could offer other benefits such as reduction of the surgical time, and therefore: anesthesia time, postoperative complications and costs. Highlighting a greater patient satisfaction.
  
  
  OBJECTIVE
  Describe the demographic characteristics, outcomes and patient satisfaction, which were treated with endometrial ablation for menorrhagia.
  
  
  METHODS
  A descriptive, observational and retrospective study. During a period of 11 years (March 2012 to December 2013), in a private hospital, that includes 124 patients with menorrhagia, which were treated with endometrial ablation: 53 (43%) ThermaChoice y 71 (57%) Thermablate EAS. We used T Student and Fisher method to study the results.
  
  
  RESULTS
  The 124 patients (100%) achieve all the criteria's of endometrial ablation according ACOG (American College of Obstetricians and Gynecologists) were candidates for. The mean age of our patients were 38 years old, who didn't respond to pharmacologic treatment had a definitive contraception. Among these women, 119 (96%) had a reduction in bleeding en the first 12 months, 25 (31%) presented with amenorrhea and 1 (<1%) required a surgical approach. Overall, 119 patients (96%) were satisfied with their results.
  
  
  CONCLUSIONS
  Endometrial ablation is an approved FDA treatment for menorrhagia, which is safe, accessible and effective. With an easy implementation and low rate of complications.
authors.forename: C
authors.initials: C
authors.lastname: Quesnel-García-Benítez
authors.forename: A
authors.initials: A
authors.lastname: Sánchez-Aranda
authors.forename: M J
authors.initials: MJ
authors.lastname: López-Rioja
mesh_terms: D000328:Adult; D055356:Endometrial Ablation Techniques / Q000295:instrumentation*; D005260:Female; D016304:Hospitals, Private; D006801:Humans; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies