{ В некоторых случаях, например при обильном кровотечении, которое угрожает здоровью пациентки, ТВУЗИ не проводится. "@context": "http://schema.org", Избегать искусственного прерывания беременности. "width": "800" Lunghezza dell\u2019utero ( < 12 cm ) Miomatosi uterina. Radio-frequenza. Ster. "name": "T.J. Clark Fertil Steril 2004;82,1395", Хирургическое лечение. 80,1,2003:", "@context": "http://schema.org", \u2021 Includes hysterectomy, laparoscopy, laparotomy end cervical tears requiring repair. "description": "menorragia resistente alla terapia medica. Endometrial Biopsy on this video I'm going to share my experience with my #endometrialbiopsy for #uterinecancer My . Не занимайтесь самолечением - это опасно для вашего здоровья! { Clamart, France Hospital Beclere, H.A.M. Hydrothermal: Your doctor gently pumps fluid into your uterus, then heats it. Un pamphlet che esalta, nello stile e nei contenuti, il miglior De Crescenzo. Un libro che si inserisce in maniera inconfondibile nel dibattito attuale, recuperando lo spirito che ha fatto di Il dubbio un bestseller da un milione copie. alto rischio operatorio. La stenosi carotidea a rischio: evoluzione dell’inquadramento US, Frontespizio Economia Monetaria Anno Accademico. ", Electrodes deliver bipolar energy for precision tissue effects. a new Endometrial delivery system which is: Results for Thermablate EAS (N=48 without GnRH), N. Leyland SOGC Edmonton June 2004 presentation, Controllo diretto della procedura sotto visione, Tecnologia molto semplice (un riscaldatore di fluido), La normale soluzione fisiologica e’ inviata riscaldata (90°C) sottogravita’ con recircolazione endouterina (250 ml/min), Il liquido non passa oltre le tube (SI INFONDE A MENO DI 50mm/Hg). RESEZIONE ENDOMETRIALEIL SUCCESSO A 5 ANNI E’ DELL’80 % Entro 5 anni dal trattamento circa il 15% delle donne è sottoposta ad una seconda ablazione ed il 20% ha un’isterectomia. La debolezza sempre crescente mi rendeva difficile perfino salire un gradino. Amso 296 TH 12 88% 14% Meyer 128 TH 12 80% 15% Sodestrom 43 BAL % 40% Thijssen 1280 RF % 19% Hodgson 43 MIC >36 86% 37% Rutheford 15 CR % Goldrath 177 HTA 53 92% 53% BAL=Thermalballoon ablation; MIC= Microwave; CR = Cryotherapy; RF= Radiofrequency; HTA=Hydro ThermAblator\u2122, TH=Thermachoice\u2122", Transcervical resection of endometrial polyps seems to have minimal effect on periodic blood loss Study objective: To estimate the clinical effectiveness of transcervical resection of endometrial polyps. The rapid development of new methods of endometrial destruction has made systematic comparisons between these methods and with the \u00ab gold standard \u00bb of resection. ABLAZIONE ENDOMETRIALECRITERI DI ESCLUSIONE Lesioni uterine precancerose - maligne Adenomiosi profonda e diffusa Lunghezza dell’utero ( < 12 cm ) Miomatosi uterina Desiderio di prole Состояние эндометрия зависит от фазы менструального цикла: В патогенезе гиперплазии эндометрия выделяют два варианта развития событий: При гиперплазии эндометрия без клеточной атипии из-за гормонального дисбаланса увеличивается количество желёз. Yin months 90% 18%", "@context": "http://schema.org", If you have any of these signs, call your doctor right away: The results of endometrial ablation don’t always last. "contentUrl": "https://slideplayer.it/slide/521746/1/images/38/Post+Operative+Bleeding+Patterns+After+Uterine+Thermal+Balloon+Therapy+N.N..jpg", }, 39 Most gynecologists consider normal menstrual bleeding a successful therapeutic treatment outcome. { "width": "800" Il volume riassume gli importanti progressi compiuti dalla medicina oncologica e tratteggia il ruolo attuale del medico oncologo esaminando i suoi doveri deontologici, i nuovi compiti nei confronti del paziente e della società e la ... Complications Associated With Global Endometrial Ablation: The Utility of the MAUDE Database Shawn E. Gurtcheff, MD, and Howard T. Sharp, MD, Obstet Gynecol 2003;, 102:1278\u201382. "width": "800" INSUCCESSI. \u2022 Three configurations of 5 Fr. The tools your doctor uses for your ablation could also create a hole in your uterus, cause burns, or harm nearby organs. Spotting. "@type": "ImageObject", "description": "Amso, 1998, Br J Obstet Gynaecol 105,", CONSIDERAZIONI PER LE CANDIDATE ALL’ABLAZIONE ENDOMETRIALEMigliori risultati nelle donne con BMI > 30 Il dolore pelvico non migliora Le donne più giovani hanno maggiori probabilità di recidiva F. Loffer, 1996 Hyperplasia of endometrium. "@type": "ImageObject", "@context": "http://schema.org", Чаще всего выполняется надвлагалищная ампутация матки — суправагинальная гистерэктомия (удаление тела и шейки матки). Исследование проводят, чтобы исключить другие причины аномальных маточных кровотечений или оценить толщину эндометрия у женщин в постменопаузе [23][27]. CAVATERM Catetere con palloncino in silicone che necessita di una dilatazione del collo dell’utero fino a Hegar 8 o 9; Durata della procedura 15 min; Temperatura del liquido 75°C; Pressione all’interno del palloncino tra 200 mmhg e 220 mmhg; Controindicazione per pazienti con uteri inferiori a 4 cm e superiori a 10 cm. But these problems don’t happen very often. Если да, каков их характер и продолжительность. Montreal, Canada Chateguay Hospital, George Vilos, M.D. }, 5 Сложная атипическая гиперплазия эндометрия. "width": "800" Graz, Austria University of Graz. International Multi-Center Study Safety and Complications (392 cases )No intra-operative or major complications Ten minor post-op complications (2.6 %): 3 hematometra (resolved with cervical dilatation) 5 fever resolved with antibiotics 1 overnight hospitalization for pain 1 post-operative cystitis Further treatment for current protocol Hysterectomies 6% Repeat ablations 4% "@type": "ImageObject", Uterine position. POSTABLATION TUBAL STERILIZATION SYNDROMECOMPLICANZE DELL’ABLAZIONE ENDOMETRIALE POSTABLATION TUBAL STERILIZATION SYNDROME Nelle pazienti con pregressa occlusione tubarica un’ostruzione bassa della cavità uterina può portare ad una mestruazione retrograda all’interno del segmento tubarico prossimale residuo e causare dolore uni o bilaterale severo BAL=Thermalballoon ablation; MIC= Microwave; CR = Cryotherapy; RF= Radiofrequency; HTA=Hydro ThermAblator™, TH=Thermachoice™, Shawn E. Gurtcheff, MD, and Howard T. Sharp, MD, Obstet Gynecol 2003;, 102:1278–82. THERMACHOICE Unità di controlloSistema per ablazione termica con palloncino consistente di: Unità di controllo Cavo di collegamento tra unità controllo e dispositivo intrauterino Catetere a palloncino monouso More than 10 years of clinical experience Une évaluation positive (ASR II) de la Commission d’Evaluation des Produits et Prestations en février 2002 "@context": "http://schema.org", { SVANTAGGI DELLE TECNICHE DI I° GENERAZIONE DI ABLAZIONE ENDOMETRIALEalto costo alto livello di esperienza operativa isteroscopica uso di sorgenti di energia potenzialmente pericolose anestesia generale o sedazione sala operatoria attrezzata alto rischio operatorio e anestesiologico in pazienti spesso contemporaneamente affette da gravi malattie sistemiche (insufficienza epatica, insufficienza renale, coagulopatie, LES, emopatie, AIDS, cardiopatie) No accidental balloon ruptures are described. { В составе маточного эндометрия есть специфические рецепторы, которые делают его органом-мишенью для половых гормонов. STUDIES OF THERMAL ENDOMETRIAL AND CRYOENDOMETRIAL ABLATIONFollow-up Decreased Study Cases Method (months) flow Amenorrhea Amso 296 TH 12 88% 14% Meyer 128 TH 12 80% 15% Sodestrom 43 BAL % 40% Thijssen 1280 RF % 19% Hodgson 43 MIC >36 86% 37% Rutheford 15 CR 3-22 ? "width": "800" "@context": "http://schema.org", London, Canada University of Western Ontario, Barry Sanders, M.D. Nd-YAG laser. "name": "Post Operative Bleeding Patterns After Uterine Thermal Balloon Therapy N.N. Дифференциальная диагностика гиперплазии эндометрия проводится с полипом эндометрия, субмукозной (подслизистой) миомой матки, эндометритом, прервавшейся беременностью и раком эндометрия. Lenght of follow up. После успешного лечения пациентки должны находиться на диспансерном учёте: посещать гинеколога и делать ТВУЗИ органов малого таза один раз в пол года на протяжении пяти лет [11][12]. "@type": "ImageObject", }, 15 Ridotto rischio di intravasazione. Ten minor post-op complications (2.6 %): 3 hematometra (resolved with cervical dilatation) 5 fever resolved with antibiotics. Additional. "contentUrl": "https://slideplayer.it/slide/521746/1/images/45/HTA%EF%83%92+-+UNITA%E2%80%99+DI+CONTROLLO.jpg", Endometrial ablasyon operasyonunda, rahmin içerisini döşeyen endometrium tabakası alınır. "description": "N\u00b0patients Follow-up Therapeutic success Amenorrhea. Succes and satisfaction rates are similar and 2nd generation became the new \u00ab GOLD STANDARD \u00bb", }, 14 Bu içeriğimizde Endometrial polip hakkında bilinmesi gerekenleri ve tüm merak edilenleri sizler için bir araya getirdik. В период перехода к менопаузе основным симптомом заболевания являются нерегулярные обильные менструации, сменяющиеся длительными мажущими кровянистыми выделениями. "name": "BIPOLAR ELECTROSURGERY", (O’Connor H, Magos A. N Engl J Med 1996; 335: ), (Overton C, Maresh MJA. "name": "TECNICHE DI ABLAZIONE ENDOMETRIALE", { Есть ли сопутствующие заболевания из группы риска по развитию гиперплазии эндометрия. Прогестагены в циклическом (у менструирующих женщин) или непрерывном режиме (при сложной гиперплазии и при наличии сопутствующей патологии матки): Агонисты гонадотропин рилизинг-гормона (аГнРГ) применяются у пациенток с рецидивирующей гиперплазией эндометрия и у женщин репродуктивного возраста с атипической гиперплазией: Атипический гиперпластический процесс эндометрия у пациенток старше 50 лет. "@context": "http://schema.org", Hysterectomies 6% Repeat ablations 4%", Выполняется пангистерэктомия. "width": "800" { "description": "n=260; >150 mmHg Start Pressure; 8 min. У женщин репродуктивного возраста (15–49 лет) аспират берут на 2–26-й день менструального цикла. Procedura ambulatoriale. "description": "L\u2019attivazione del passaggio di corrente deve avvenire solo quando la pallina \u00e8 a contatto con l\u2019endometrio e la pallina va tenuta in movimento fino a quando \u00e8 attivata se non si vuole rischiare di produrre una necrosi eccessiva con rischio di perforazione. Failure Sharp curettage. Классификация и стадии развития гиперплазии эндометрия, 1. { 44 \u2013 49a. Modificato 7 anni fa, 1 "@context": "http://schema.org", (O’Connor H, Magos A. N Engl J Med 1996; 335: ) (Overton C, Maresh MJA. "description": "SUCCESS. }, 41 They may also put limits on your activity. Первый шаг в этом случае. Your doctor may call this “cryoablation.”. Melbourne, Australia University of Melbourn Claude Fortin, M.D. Допустимая толщина эндометрия на фоне приёма Тамоксифена не больше 9 мм. a pallina rotante. "@context": "http://schema.org", "width": "800" Pensiamo che vi sia piaciuta questa presentazione. Outpatient hysteroscopy and endometrial biopsy do not eliminate the finding of carcinoma or endometrial atypical hyperplasia, as these disorders may be discovered during hysteroscopic surgery. Henriquez", Most of the newer techniques are technically easier and quicker than hysteroscopy and can be performed under local anesthesia. Montreal, Canada Chateguay Hospital George Vilos, M.D. Your doctor will advise you not to have sex, use tampons, or douche for a few days. ", "contentUrl": "https://slideplayer.it/slide/521746/1/images/31/THERMACHOICE+Unit%C3%A0+di+controllo.jpg", (range 2.4 mm \u2013 5.1 mm) (range 28\u00b0C \u2013 45\u00b0C)", Анемия. Статья для пациентов с диагностированной доктором болезнью. "contentUrl": "https://slideplayer.it/slide/521746/1/images/52/POSTABLATION+TUBAL+STERILIZATION+SYNDROME.jpg", Пролиферирующий эндометрий не является формой гиперплазии, так как соотношение желёз эндометрия к строме не изменяется. "@type": "ImageObject", 1 Pregnana Milanese Assessorato alle Risorse Economiche Bilancio Preventivo P R O P O S T A. Gestione del moncone pancreatico H.Pernthaler Bolzano. }, 24 "width": "800" Veldholven, The Netherlands St. Josephs Hospital. }, 27 }, 3 D. Loffer,", 13,600 isteroscopie Procedura Complicanze (%) Lisi di sinechie 4.48COMPLICATIONS OF HYSTEROSCOPY: A PROSPECTIVE, MULTICENTER STUDY Frank Willem Jansen, Obstet Gynecol, 2000 13,600 isteroscopie Procedura Complicanze (%) Lisi di sinechie 4.48 Ablazione endometriale 0.81 Miomectomia 0.75 Polipectomia Allows for more even necrosis of tissue throughout the entire cavity through better treatment of Posterior, Lower Uterine Segment, and Cornua. HYSTEROSCOPIC ENDOMYOMETRIAL RESECTION OF THREE UTERINE SARCOMAS Vilos GA et al. (yrs) Cases with DUB plus. learning curve. "@type": "ImageObject", "contentUrl": "https://slideplayer.it/slide/521746/1/images/14/ENDOMETRIAL+RESECTION.jpg", "name": "POSTABLATION TUBAL STERILIZATION SYNDROME", POSTABLATION TUBAL STERILIZATION SYNDROME. }, 26 Aspetta per favore, To view this video please enable JavaScript, and consider upgrading to a web browser that "name": "International Multi-Center Study Safety and Complications (392 cases )", Objetivo: demonstrar a efetividade da redução endometrial vídeo-histeroscópica no tratamento do. "name": "ENDOMETRIAL ABLATION Long term results of Endometrial Resection 5 6 7", "name": "RESEZIONE ENDOMETRIALE", { В периоды пери- и постменопаузы гормонотерапию проводят только при неатипических формах гиперплазии эндометрия [30]. "@context": "http://schema.org", complemento alla miomectomia isteroscopica. If so, let your doctor know. "name": "PROFONDITA\u2019 MASSIMA TEMPERATURA COAGULAZIONE SIEROSA PERIUTERINA", Clin Obstet Gynaecol 1995; 9: )", "name": "Abbott J. et al., Fer. Oslo, Norway Aker University Hospital. ad ansa. 80,1,2003: Savona, 29 marzo 2008 "@type": "ImageObject", AMENORRHEA RATE AFTER 1 YEARHer - (range mm) CAVATERM 6-7 mm 37\u00b0C. Veldholven, The Netherlands St. Josephs Hospital D. van der Heijden, M.D. MONITORAGGIO MATEMATICA V A Alunni 26 Presenti 23 Quesiti 44 Risposte totali 650 Risultato medio 28,3 media 64,2%. "width": "800" Barry Sanders, M.D. Learn about when/why the procedure is needed, risks, and what to expect. "description": "Second, prophylactic antibiotics: Due to the infections reported and the significant subsequent morbidity, prophylactic antibiotics might be useful when these techniques are used. Внутриматочная гормональная контрацепция (ЛНГ-ВМС): спираль «Мирена», LNG-20. "name": "What\u2019s New A new conforming non-latex balloon combined with circulation leads to improved coverage and treatment of the endometrial cavity*", WebMD does not provide medical advice, diagnosis or treatment. "contentUrl": "https://slideplayer.it/slide/521746/1/images/55/RISK+OF+DISCOVERING+ENDOMETRIAL+CARCINOMA+OR+ATYPICAL+HYPERPLASIA+DURING+HYSTEROSCOPIC+SURGERY+IN+POSTMENOPAUSAL+WOMEN+Agostini+A+et+al.+J+Am+Assoc+Gynecol+Laparosc+2001+Nov%3B8%284%29%3A.jpg", "name": "Certe condizioni cliniche come una severa obesit\u00e0, malattie cardiovascolari, nefropatie croniche, epatopatie croniche e coagulopatie, che sono spesso associate con un aumentato sanguinamento uterino, comportano un alto rischio chirurgico", Stretta dipendenza tra l’esperienza del chirurgo e l’indice terapeutico del metodo. Herv\u00e9 Fernandez, M.D. DIAGNOSIS ENDOMETRIAL ABLATION Hysteroscopy Endometrial biopsy causeABNORMAL UTERINE BLEEBING DIAGNOSIS Hysteroscopy Endometrial biopsy cause DISFUNCTIONAL (70-80%) ORGANIC Endometriyal AblasyonTekniği Nedir? Lancet 2003) Follow up years : Hysterectomy 16.6% Boe Engelsen, Acta Ob-Gyn Scand, 2006 { metrorragia a rischio per la vita resistente alla terapia medica in adolescente. "width": "800" Grazie. Гиперплазия эндометрия (гиперпластические процессы эндометрия) — это патологическое разрастание желёз слизистой оболочки матки. The procedure is done to remove the tissues that line the uterus. Вопрос о сохранении яичников решается строго индивидуально, зависит от возраста пациентки и факторов риска. Предупредить развитие/прогрессирование злокачественного процесса эндометрия. "@context": "http://schema.org", "@type": "ImageObject", FIBROSI. Laser Resection Resection & Rollerball fundal rollerball alone. { Post Operative Bleeding Patterns After Uterine Thermal Balloon Therapy N.N. di Ostetricia Ginecologia 1. Clamart, France Hospital Beclere H.A.M. }, 4 ", "@context": "http://schema.org", }, 32 Endometrial ablation can put an end to heavy bleeding that gets in the way of your everyday life (maybe you need to change your tampon or pad every hour, or you bleed for more than a week). Centro Internazionale per gli Antiparassitari e la Prevenzione Sanitaria Azienda Ospedaliera Luigi Sacco - Milano WP4: Cumulative Assessment Group refinement. The balloon’s special qualities allow it to cover more and treat more. CONSERVATIVE. Complications Associated With Global Endometrial Ablation: The Utility of the MAUDE DatabaseShawn E. Gurtcheff, MD, and Howard T. Sharp, MD, Obstet Gynecol 2003;, 102:1278–82 Study Cases Method (months) flow Amenorrhea. If medicine doesn’t help, your doctor might suggest endometrial ablation. "@type": "ImageObject", }, 12 PREPARAZIONE DELL’ENDOMETRIOGnRH agonisti per 1 o 2 mesi Danazolo Fase immediatamente post-mestruale Aspirazione o curettage meccanico preoperatorio Estroprogestinici Minipillola U.O. "width": "800" Clin Obstet Gynaecol 1995; 9: ) "@type": "ImageObject", Иногда пациенток беспокоят симптомы, характерные для обменных и эндокринных нарушений: головные боли, избыточная прибавка веса, нарушение сна, периодически возникающая жажда, утомляемость, пониженная работоспособность и раздражительность, чрезмерный рост волос (в том числе на участках кожи, для которых это несвойственно) [2][11]. ", sanguinamento anomalo in corso di HRT. J Am Assoc Gynecol Laparosc 2004,11(4): With long-term follow-up (more than 5 years), almost one in every five women undergoing EA-R will undergo hysterectomy, and most of these will require the hysterectomy within 2 years of the EA-R. "width": "800" Balloon therapy: Your doctor guides a thin tube with a special balloon on the end into your uterus. "contentUrl": "https://slideplayer.it/slide/521746/1/images/37/UBT+Success+Per+International+Site.jpg", "contentUrl": "https://slideplayer.it/slide/521746/1/images/2/L%E2%80%99obiettivo+dell%E2%80%99ablazione+dell%E2%80%99endometrio+%28proposta+per+la+prima+volta+nel+1937+da+Bardenhauer%29+%C3%A8+quello+di+distruggere+lo+strato+basale+dell%E2%80%99endometrio+ed+il+sottostante+supporto+vascolare.jpg", 7.8mm (23.5 Fr) O.D. { "@context": "http://schema.org", "@context": "http://schema.org", IPO-ATROFIA", Belfast, N. Ireland Belfast City Hospital Michael Parker, M.D. Была ли беременность и роды, планируется ли беременность в будущем. Or you may need to go into the hospital. "width": "800" "@context": "http://schema.org", a contatto. ", "width": "800" Ogni anno il 5 % delle donne in et\u00e0 tra i 20 ed i 39 anni si rivolge al proprio ginecologo per menorragia. Принимает ли пациентка какие-либо гормональные препараты. "name": "Laser Resection Resection & Rollerball fundal rollerball alone", "@context": "http://schema.org", "name": "SVANTAGGI DELLE TECNICHE DI I\u00b0 GENERAZIONE DI ABLAZIONE ENDOMETRIALE", Рецидив регистрируется в 25 % случаев, ещё в 25 % выявляется рак эндометрия [10]. Женщины менопаузального возраста жалуются на скудные кровянистые выделения из половых путей. }, 9 Риск озлокачествления зависит в первую очередь от выраженности клеточного атипизма, т. е. от степени изменения клеток. Bjorn Busund, M.D. "@context": "http://schema.org", della Provincia di Lodi Unità Operativa di OSTETRICIA E GINECOLOGIA 1 "name": "CONDIZIONI NECESSARIE", "@context": "http://schema.org", "@context": "http://schema.org", "contentUrl": "https://slideplayer.it/slide/521746/1/images/36/Uterine+thermal+balloon+therapy+for+the+treatment+of+menorrhagia%3A+the+first+300+patients+from+a+multi-centre+study+NN+Amso%2C+SA+Stabinsky%2C+P+McFaul%2C+B+Blanc%2C+L+Pendley%2C+R+Neuwirth+On+behalf+of+the+International+Collaborative+Uterine+Thermal+Balloon+Working+Group+British+Journal+of+Obstetrics+and+Gynaecology+1998%3B105%3A.jpg", Success and satisfaction rates are similar and 2nd generation became the new GOLD STANDARD", "name": "ISTEROSCOPIA 2008 KAPLAN-MEIER CURVES FOR INTERVENTION-FREE SURVIVAL AFTER HYSTEROSCOPIC POLYPECTOMY. RISK OF DISCOVERING ENDOMETRIAL CARCINOMA OR ATYPICAL HYPERPLASIA DURING HYSTEROSCOPIC SURGERY IN POSTMENOPAUSAL WOMEN Agostini A et al. Nuove tecnologie chirurgiche in oncologia è un efficace strumento di aggiornamento che copre tutte le opzioni terapeutiche nel trattamento delle neoplasie e sottolinea la centralità del coordinamento interdisciplinare nella cura delle ... "width": "800" "@type": "ImageObject", Критерием излеченности гиперплазии эндометрия будет отсутствие патологических изменений в биоптате. ", ", (M.C. "contentUrl": "https://slideplayer.it/slide/521746/1/images/5/Certe+condizioni+cliniche+come+una+severa+obesit%C3%A0%2C+malattie+cardiovascolari%2C+nefropatie+croniche%2C+epatopatie+croniche+e+coagulopatie%2C+che+sono+spesso+associate+con+un+aumentato+sanguinamento+uterino%2C+comportano+un+alto+rischio+chirurgico.jpg", { "name": "IMPROVING RESULTS OF HYSTEROSCOPIC SUBMUCOSAL", "name": "RISK OF DISCOVERING ENDOMETRIAL CARCINOMA OR ATYPICAL HYPERPLASIA DURING HYSTEROSCOPIC SURGERY IN POSTMENOPAUSAL WOMEN Agostini A et al. Learn about endometrial ablation recovery, side effects, impact on pregnancy, surgery, menstrual cramps, uterine bleeding. Толщина эндометрия по данным УЗИ не является надёжным критерием выявления гиперплазии эндометрия у женщин репродуктивного возраста [26]. "description": "COMPLICATIONS OF HYSTEROSCOPY: A PROSPECTIVE, MULTICENTER STUDY Frank Willem Jansen, Obstet Gynecol, ,600 isteroscopie. "description": "THERMA CHOICE 5.3 mm 37.7\u00b0C. Catetere a palloncino monouso. "name": "THERMACHOICE Unit\u00e0 di controllo", { What’s New? Пайпель-биопсия эндометрия — высокочувствительный метод диагностики гиперплазии и рака эндометрия [28]. "@type": "ImageObject", L’attivazione del passaggio di corrente deve avvenire solo quando la pallina è a contatto con l’endometrio e la pallina va tenuta in movimento fino a quando è attivata se non si vuole rischiare di produrre una necrosi eccessiva con rischio di perforazione. All rights reserved. Цитологическое исследование аспирата из полости матки. HYSTEROSCOPIC ENDOMYOMETRIAL RESECTION OF THREE UTERINE SARCOMAS Vilos GA et al. "width": "800" Stretta dipendenza tra l\u2019esperienza del chirurgo e l\u2019indice terapeutico del metodo. Если выскабливание проводят как лечебную процедуру при обильном маточном кровотечении, врач полностью удаляет слизистую оболочку матки под контролем гистероскопии. "name": "ENDOMETRIAL CARCINOMA AFTER ENDOMETRIAL ABLATION", "width": "800" Гиперплазия эндометрия может возникнуть у женщин всех возрастов, но чаще развивается в 40-44 года, когда происходит гормональная перестройка из-за приближения менопаузы [1][6]. "description": "DISFUNCTIONAL UTERINE BLEEDING. "name": "ENDOMETRIAL ABLATION THERAPY MEDICAL SURGICAL What suggest to women", "name": "ENDOMETRIAL RESECTION", При получении двух последовательных негативных биопсий пациентку снимают с учёта [12]. Henriquez. "@context": "http://schema.org", "width": "800" "@type": "ImageObject", "name": "PREPARAZIONE DELL\u2019ENDOMETRIO", supports HTML5 video, PubblicatoDetta Poggi "@context": "http://schema.org", Endometrial ablation isn’t invasive (it doesn't require an incision). You may need a different treatment. Факторы риска развития гиперплазии эндометрия [1][8][11]: В редких случаях гиперплазия эндометрия может протекать без симптомов [16][17]. { "@type": "ImageObject", "@type": "ImageObject", "contentUrl": "https://slideplayer.it/slide/521746/1/images/9/CONDIZIONI+NECESSARIE.jpg", Odds increased Last available follow up Success GnRH agonist Logistic regression analysis of factors affecting odds of success after thermal balloon therapy Odds increased Last available follow up Success GnRH agonist Anteverted uterus Failure Sharp curettage Suction curettage Larger cavity volumes Greater levels of pre-op bleeding The most reliable way to stream video. Second, prophylactic antibiotics: Due to the infections reported and the significant subsequent morbidity, prophylactic antibiotics might be useful when these techniques are used. "name": "THERMABLATE\u2122 EAS\u2122: MAIN FEATURES", Suction curettage. "name": "CONSIDERAZIONI PER LE CANDIDATE ALL\u2019ABLAZIONE ENDOMETRIALE", "description": "No intra-operative or major complications. HTA 4.3 mm 36.28\u00b0C. non a contatto. Fase immediatamente post-mestruale. Polielettrodi (VESTA) Diodinio laser ablazione (ELITT) Ablazione bipolare globale (NOVASURE) Tecniche a balloon. Сразу принимается решение об обоснованном диагностическом выскабливании по жизненным показаниям [19]. "contentUrl": "https://slideplayer.it/slide/521746/1/images/16/RESEZIONE+ENDOMETRIALE.jpg", Lancet 2003) Follow up years : Hysterectomy 16.6% Boe Engelsen, Acta Ob-Gyn Scand,", Melbourne, Australia University of Melbourn, Claude Fortin, M.D. London, Canada University of Western Ontario. При обнаружении схожих симптомов проконсультируйтесь у врача. ", "description": "L\u2019obiettivo dell\u2019ablazione dell\u2019endometrio (proposta per la prima volta nel 1937 da Bardenhauer) \u00e8 quello di distruggere lo strato basale dell\u2019endometrio ed il sottostante supporto vascolare", Sowter. Ridotto rischio lesioni iatrogene termiche. "@type": "ImageObject", SUCCESS Symptoms: Heavy Normal Reduced Bleeding Menses Menses Clinical Conditions: Menorrhagia Eumenorrhea Hypomenorrhea Amenorrhea Spotting No Bleeding В норме строма занимает более половины площади эндометрия, при гиперплазии соотношение желёз к строме становится более 50 % [24]. RISK OF DISCOVERING ENDOMETRIAL CARCINOMA OR ATYPICAL HYPERPLASIA DURING HYSTEROSCOPIC SURGERY IN POSTMENOPAUSAL WOMEN Agostini A et al. "width": "800" INDICAZIONI ALL’ABLAZIONE ENDOMETRIALEmenorragia resistente alla terapia medica rifiuto o controindicazioni della terapia medica alto rischio operatorio rifiuto dell’isterectomia complemento alla miomectomia isteroscopica sanguinamento anomalo in corso di HRT metrorragia a rischio per la vita resistente alla terapia medica in adolescente - biopsia endometriale negativa. J Am Assoc Gynecol Laparosc 2001 Nov;8(4): Two cases each (0.6%) of endometrial carcinoma and endometrial atypical hyperplasia were discovered that were missed by preoperative evaluations. Shape of cavity. { "@context": "http://schema.org", "description": "Durata della procedura 15 min; Temperatura del liquido 75\u00b0C; Pressione all\u2019interno del palloncino tra 200 mmhg e 220 mmhg; Controindicazione per pazienti con uteri inferiori a 4 cm e superiori a 10 cm. "description": "T.J. Clark Fertil Steril 2004;82,1395", 5 Endometrial hiperplazi Non-fizyolojik endometrium proliferasyonu Düzensiz şekilli ve değişik boyutlarda glandlar Gland/stroma Horn LC, Ann Diagn Pathol 2007. Length of. PORTABLE (suited for ambulatory)", n. n. % n. % IPERPLASIA. © 2005 - 2021 WebMD LLC. статьи о болезнях. "name": "ABLAZIONE ENDOMETRIALE", }, 46 Hysteroscopy. { Brölmann, M.D. The chances that you’ll get hurt during an endometrial ablation are low. Complete endomyometrial resection is feasible and may be offered as diagnostic and palliative therapy in women at high risk for hysterectomy }, 2 It can curb the bleeding or stop it totally. 104,pp n. % ETA\u2019 SUCCESSI. "@context": "http://schema.org", Endometrial ablation can put an end to heavy bleeding that gets in the way of your everyday life (maybe you need. "width": "800" consistente di: Unit\u00e0 di controllo. }, 45 { "description": "ABNORMAL UTERINE BLEEBING. Complications Associated With Global Endometrial Ablation: The Utility of the MAUDE Database Shawn E. Gurtcheff, MD, and Howard T. Sharp, MD, Obstet Gynecol 2003;, 102:1278–82 { "name": "HYSTEROSCOPIC ENDOMYOMETRIAL RESECTION OF THREE UTERINE SARCOMAS Vilos GA et al. Endometrial polip rahimin içini döşeyen zar tabakasından köken alır. From our experience the incidence of uterine sarcomas is approximately 1/800 women undergoing hysteroscopic ablation for abnormal uterine bleeding. 80,1,2003: Savona, 29 marzo", Информация, представленная на сайте, не может быть использована для постановки диагноза, назначения лечения и не заменяет прием врача. "description": "Cases with DUB only. Success GnRH agonist. Discuss contraception with your doctor.
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