Intraoperative and postoperative lower genital tract changes after global endometrial ablation using the Hydro ThermAblator device

Fertility and Sterility
Martin Farrugia, Sarah Y Hussain

Abstract

To identify any heat transfer areas in the lower genital tract during a Hydro ThermAblator (HTA) (BEI Medical Systems) procedure and to characterize the changes in the cervix that occur in the immediate weeks after an HTA treatment. A prospective cohort study (Canadian Task Force classification II-3). A university hospital in the United Kingdom. Twenty-five patients with menorrhagia. All patients underwent global endometrial ablation using the HTA device. Infrared thermal camera imaging of the lower genital tract was performed per-operatively, and colposcopic examinations of the cervix were performed at 2 and 4 weeks after the operation. The surface temperature rise of the cervix and vagina during a procedure. Thermal temperature measurements of the lower genital tract in five patients and colposcopic examination at 2 and 4 weeks after the procedure. The maximum temperatures recorded during a procedure were those of the cervix, reaching 36.5 degrees C. Colposcopic images at 2 weeks showed that 15% of patients had a whitish discoloration of the cervix. At 4 weeks, the appearance of the cervix was normal. This study shows that during an HTA treatment cycle using a bivalve speculum to visualize the cervix, no area of the lower gen...Continue Reading

References

Jan 24, 2004·The Journal of the American Association of Gynecologic Laparoscopists·Milton H Goldrath

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Citations

May 29, 2007·Best Practice & Research. Clinical Obstetrics & Gynaecology·Stephen L Corson

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