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

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
_version_ 1818005904577003520
author Hazem Al-Mandeel
author_facet Hazem Al-Mandeel
author_sort Hazem Al-Mandeel
collection DOAJ
description 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.
first_indexed 2024-04-14T04:52:52Z
format Article
id doaj.art-4d0592d3547840eb92764388524f6cbd
institution Directory Open Access Journal
issn 0390-6663
language English
last_indexed 2024-04-14T04:52:52Z
publishDate 2021-04-01
publisher IMR Press
record_format Article
series Clinical and Experimental Obstetrics & Gynecology
spelling doaj.art-4d0592d3547840eb92764388524f6cbd2022-12-22T02:11:14ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632021-04-0148242342510.31083/j.ceog.2021.02.2128S0390-6663(21)00102-0Should diagnostic hysteroscopy be performed routinely following thermal balloon endometrial ablation? A case report of thermal bowel injury and literature reviewHazem Al-Mandeel0Department of Obstetrics and Gynecology, College of Medicine, King Saud University, 999088 Riyadh, Saudi ArabiaAlthough 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.https://www.imrpress.com/journal/CEOG/48/2/10.31083/j.ceog.2021.02.2128menorrhagiaheavy menstrual bleedingendometrial ablationthermal balloon ablationbowel burnbowel injury
spellingShingle Hazem Al-Mandeel
Should diagnostic hysteroscopy be performed routinely following thermal balloon endometrial ablation? A case report of thermal bowel injury and literature review
Clinical and Experimental Obstetrics & Gynecology
menorrhagia
heavy menstrual bleeding
endometrial ablation
thermal balloon ablation
bowel burn
bowel injury
title Should diagnostic hysteroscopy be performed routinely following thermal balloon endometrial ablation? A case report of thermal bowel injury and literature review
title_full Should diagnostic hysteroscopy be performed routinely following thermal balloon endometrial ablation? A case report of thermal bowel injury and literature review
title_fullStr Should diagnostic hysteroscopy be performed routinely following thermal balloon endometrial ablation? A case report of thermal bowel injury and literature review
title_full_unstemmed Should diagnostic hysteroscopy be performed routinely following thermal balloon endometrial ablation? A case report of thermal bowel injury and literature review
title_short Should diagnostic hysteroscopy be performed routinely following thermal balloon endometrial ablation? A case report of thermal bowel injury and literature review
title_sort should diagnostic hysteroscopy be performed routinely following thermal balloon endometrial ablation a case report of thermal bowel injury and literature review
topic menorrhagia
heavy menstrual bleeding
endometrial ablation
thermal balloon ablation
bowel burn
bowel injury
url https://www.imrpress.com/journal/CEOG/48/2/10.31083/j.ceog.2021.02.2128
work_keys_str_mv AT hazemalmandeel shoulddiagnostichysteroscopybeperformedroutinelyfollowingthermalballoonendometrialablationacasereportofthermalbowelinjuryandliteraturereview