Téma: 

Endometrial ablation

Horst Urban, Andrea Maľová

Treatment of heavy uterinal bleeding (metrorrhagia) can be divided into medicamentous and surgical treatment. Endometrial ablation and hysterectomy belongs to surgical treatment. Endometrial ablation is a minimal invasive method. The basis of this technique is destruction of basal layer of the endometrium that is deprived of ability to regenerate. Methods of endometrial ablation are divided into the methods of the first and second generation. Indication for the treatment is benign cause of bleeding. Hormonal preparation of the endometrium might be needed before operation. The most frequent complications of the first generation techniques are perforation of the uterus and „fluid overload syndrome“. The most frequent complications of the second generation develops due to uncontrolled effect of the energy to surrounding tissue and perforation of the uterus.

Ročník 2009  Témy časopisu Gynecology for practice 2 / 2009

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FROM BORDERLINE OF GYNECOLOGY
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6. Bibliography
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Examples of citations:
1. Webb MJ. Chirurgia v gynekologickej onkológii – včera, dnes a zajtra. Gynekol prax 2003; 1 (1): 29-34.
2. Shaheen NJ, Crosby NA, Bozymski EM, et al. Is there publication bias in the reporting cancer risk in Barrett´ esophagus? Gastroenterology 2000; 119: 333-338.
3. Kistner RW. Gynecology. Principles and Practice. 3rd Ed. Chicago: Year Book Medical Publisher 1979: 823p.
4. Osborne BE.The electrocardiogram of the rat. In: Budden R, Detweiler DK, Zbinden G. The rat electrocardiogram in pharmacology and toxicology. Oxford: Pergamon Press 1981: 15-27.
5. Rodička a novorodenec 2000. Zdravotnická statistika, ÚZIS ČR 2001, 127.
6. http/www.nspnz.sk/neonatal/priority.htm

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For primary dysmenorrhoea from laboratory results it is characteristic:
a. increase of lymphocytes in differential BP over 40 %
b. increase of C-reactive protein and FW in the blood
c. decrease of Hb level in the blood below 100 g/l
d. none of them are characteristic

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