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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Nonresectosopic endometrial ablation methods (available in the United States)

Nonresectosopic endometrial ablation methods (available in the United States)
Ablation method
(device name)		 Endometrial preparation Device diameter
(mm)		 Treatment time
(minutes)		 Minimum sounded length Maximum sounded length Advantages
Bipolar radiofrequency (Novasure) None 7.5 1 to 2 6* 10
  • No endometrial preparation needed
  • Long-term data available
Cryoablation (Cerene) Hormonal suppression or proliferative phase use 6 2.5 N/A 10
  • Perioperative ultrasound allows visual guidance
Circulating hot water (Hydrothermablator) Hormonal suppression 7.8 11 6 10.5
  • May treat different cavity shapes
  • Direct visualization
  • Long-term data available
Combined thermal and radiofrequency (Minerva) None 7.0 3 to 4 4 10
  • Low power settings
  • No endometrial preparation needed
Vapor system (Mara) None 5.8Δ 2 6 12
  • Cervix dilation may not be needed
  • No endometrial preparation needed

* For bipolar radiofrequency ablation, the cornu to cornu distance must be 2.5 cm.

¶ While endometrial preparation may be used, the procedure also can be performed in the early proliferative phase of the menstrual cycle without endometrial preparation.

Δ The Mara device often does not require any dilation of the cervix.
Adapted from: ACOG Practice Bulletin No. 81: Endometrial Ablation. Obstet Gynecol 2007; 109:1233.
Graphic 56492 Version 14.0

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