Should diagnostic hysteroscopy be performed routinely following thermal balloon endometrial ablation? A case report of thermal bowel injury and literature review

Although thermal balloon endometrial ablation (TBEA) is an effective and easy technique, it can cause serious complications, including bowel injury, if perforation occurs. In this paper, a case of thermal bowel injury caused by the Thermablate Endometrial Ablation System is presented with a review o...

Full description

Saved in:
Bibliographic Details
Main Author: Hazem Al-Mandeel
Format: Article
Language:English
Published: IMR Press 2021-04-01
Series:Clinical and Experimental Obstetrics & Gynecology
Subjects:
Online Access:https://www.imrpress.com/journal/CEOG/48/2/10.31083/j.ceog.2021.02.2128
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Although thermal balloon endometrial ablation (TBEA) is an effective and easy technique, it can cause serious complications, including bowel injury, if perforation occurs. In this paper, a case of thermal bowel injury caused by the Thermablate Endometrial Ablation System is presented with a review of previous literature on such complications. Based on this case and expert recommendations, users are advised to follow established protocols, including hysteroscopy just prior to the insertion of the TBEA catheter to exclude prior uterine perforation from the uterine sound or curettage, and an additional hysteroscopy after completion of the ablation as the final step to ensure that a perforation has not occurred.
ISSN:0390-6663