The anaesthetist will also meet you and assess you on the day. You will see your gynaecologist again in the hospital prior to your surgery. A medication to help soften the cervix, allowing gentler and safer entry of the hysteroscopic instruments, may also be given. Upon admission to the hospital, a urine pregnancy test is performed to rule out pregnancy prior to the surgery. You should generally have nothing to eat or drink for 6 hours before the operation. They will confirm your admission time and location. The hospital you are booked in to have the operation will usually contact you 1-2 days prior to your surgery. It is usually performed under general anaesthetic (fully asleep) in a hospital as a day case where you go home the same day as your procedure. Before Your ProcedureĮndometrial ablation is a non-invasive procedure, involving no incisions (cuts to your body). Let the experts in Dr Kent Kuswanto’s team relieve your worries with some key pointers on how to prepare for your procedure. While the procedure is non-invasive, quick to perform and has a short recovery period, it is understandable that you may be nervous about your endometrial ablation. Up to 50% of women have no periods at all after an endometrial ablation. Endometrial ablation is highly effective in significantly reducing heavy blood loss during menstruation, with some studies showing 90% of women returning to normal or light periods after the procedure. The ablation procedure is then performed. It is fitted with a light source and video camera to allow the surgeon to examine the internal lining of the uterus through a video monitor. A thin telescope (hysteroscope) is passed through the cervix and into the uterus. This process is carried out by a certified specialist gynaecologist through a hysteroscope. See below.Endometrial ablation is a non-invasive surgical procedure involving the delivery of high-dose radio, thermal, or microwave energy inside the uterus to destroy (ablate) the internal lining (endometrium) of the uterus. How well do these procedures work? Overall success rates are about 68%. Recovery before returning to work is usually a week or less. The procedure usually requires general anesthesia and can be performed as outpatient surgery. While many methods are available to perform ablation, the most common use either electro-surgical devices or thermal devices like the Gynecare Thermachoice Balloon or Versapoint System.Įndometrial Ablation with Electro-Surgery The procedure usually requires placement of a hysteroscope by a vaginal approach to allow the endometrium to be seen. While some patients will cease to have menstrual periods others may continue to have periods albeit of lighter flow. Recovery before returning to work is usually 7-10 days.Įndometrial Ablation is a procedure where all or part of the lining of the uterus (endometrium) is removed or destroyed in an effort to improve vaginal bleeding (endometrium highlighted in picture). The procedure requires general anesthesia, and a hospital stay of one to two days. Smaller incisions are then made in the lower abdomen, to allow for passage of additional instruments.ĭuring the TLH, the surgeon separates the uterus (highlighted in picture) from its ligaments and blood vessels, then detaches it with an incision at the top of the vagina.Īfter the uterus is removed, the vaginal incision is closed, preserving vaginal depth. Like other minimally invasive surgeries, this procedure is designed to cause less pain than abdominal hysterectomy with the added benefit of a shorter recovery period.įirst, the scope is introduced through a small incision in the navel. The ovaries may or may not be removed at the same time. In the Total Laparoscopic Hysterectomy or TLH, the laparoscope is used to remove the entire uterus from the abdomen. Advanced Hysteroscopic Surgery & Endometrial Ablation
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