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Proceedings Paper • Open Access

Using endometrial ablation as a treatment for abnormal bleeding: energy source comparisons and clinical results
Author(s): Thomas P. Ryan

Paper Abstract

A great number of women suffer from abnormal uterine bleeding. Most do not want to undergo a hysterectomy and have searched for an alternative treatment. Ablation of the endometrium has become a viable alternative. Initially, surgical applications utilized thermal ablation by passing a rolling electrode, energized by monopolar radiofrequency (RF) energy, to ablate the inner uterine lining. This procedure was done under visual guidance and required practiced surgical skills to perform the ablation. It was not possible to assess subsurface damage. More recently, various energy systems have been applied to the endometrium such as lasers, microwaves, monopolar and bipolar RF, hot fluid balloons, and cryotherapy. They are being used in computer controlled treatments that obviate the user’s skill, and utilize a self-positioning device paired with a temperature monitored, thermal treatment. Finite element models have also been created to predict heating profiles with devices that either rely on conductive heating or that deposit power in tissue. This is a very active field in terms of innovation with creative solutions using contemporary technology to reduce or halt the bleeding. Devices and minimally invasive treatments will offer choices to women and will be able to replace a surgical procedure with an office-based procedure. They are very promising and are discussed at length herein.

Paper Details

Date Published: 24 January 2000
PDF: 32 pages
Proc. SPIE 10297, Matching the Energy Source to the Clinical Need: A Critical Review, 102970F (24 January 2000); doi: 10.1117/12.375216
Show Author Affiliations
Thomas P. Ryan, Ethicon, Inc. (United States)

Published in SPIE Proceedings Vol. 10297:
Matching the Energy Source to the Clinical Need: A Critical Review
Thomas P. Ryan, Editor(s)

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