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Endometrial ablation

Endometrial ablation

Endometrial ablation live operation  (RealVideo)

If you have RealVideo installed on your computer you can view a live endometrial ablation procedure here. The video is 2:12 min. long. Note that due to the size of the video it may take a while for it to load for streaming on slower connections.

Abnormal uterine bleeding is a widespread problem. WHO statistics show that one in five women suffer from heavy or long periods of menstruation. Drug treatment alone rarely achieves the desired result. A hysterectomy is often considered in such cases. However, for just this constellation there is an extremely effective, organ-preserving method of treatment qualifying as minimally-invasive therapy. Bleeding problems start with the endometrium. This is the membrane that lines the uterine cavity and bleeds outwards at menstruation. The method we favour entails obliteration of the endometrial cavity. Thus no hysterectomy is required. The technical term for these two methods of uterine lining removal is called “endometrial ablation” (from the Italian ablatio, or surgical removal).
Instead of a loop electrode, the uterine lining can also be ablated with a rollerball systematically rolled across the lining. This is seen as being much less invasive and is performed under general anaesthesia. To improve the outcome of treatment the endometrium must be thinned via hormonal suppression for a period of 4 weeks prior to the operation. This can be accomplished using anti-oestrogens.