SlideShare a Scribd company logo
1 of 37
Ablation vs Hysterectomy in Heavy Menstual Bleeding Professor Galal Lotfi, MD, MRCOG
Background
a.The Problem ,[object Object],[object Object],[object Object]
b.Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
c. Recently ,[object Object],[object Object],[object Object]
Which to choose? ,[object Object],[object Object],[object Object],[object Object]
Objectives  ,[object Object],[object Object]
?which way to go ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types of studies reviewed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outcome measures to compare
a.MBL ,[object Object],[object Object]
b.Quality of life
c.Length of hospital stay
d.Time to return to work
e. Duration of surgery
f.Rate of satisfaction ,[object Object],[object Object],[object Object],[object Object]
e.Adverse events:  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical techniques used ,[object Object],[object Object]
 
Studies reviewed ,[object Object],[object Object]
Results: HMB ,[object Object],[object Object],[object Object]
Results: Satisfaction ,[object Object],[object Object]
Results: Quality of life ,[object Object],[object Object]
Results: Surgery durat….. ,[object Object],[object Object],[object Object],[object Object]
Results: Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results: Repeat surgery ,[object Object],[object Object]
Results: Cost ,[object Object],[object Object],[object Object],[object Object]
Conclusion
1. Patient satisfaction, favour hyst ,[object Object],[object Object],[object Object],[object Object],[object Object]
2. Quality of life, favour Hyst ,[object Object],[object Object],[object Object]
3. Surgery, favour ablation ,[object Object],[object Object],[object Object]
4. Post op complications ,[object Object],[object Object],[object Object],[object Object]
5. Cost, favour? ,[object Object],[object Object],[object Object],[object Object]
Epilog
1. Implications for practice ,[object Object],[object Object],[object Object]
2. Implications for research ,[object Object],[object Object],[object Object]
Thank you Professor Galal Lotfi

More Related Content

What's hot

What's hot (20)

Hysteroscopy
HysteroscopyHysteroscopy
Hysteroscopy
 
Hysteroscopy complications
Hysteroscopy complicationsHysteroscopy complications
Hysteroscopy complications
 
Ovarian Stimulation Protocols
Ovarian Stimulation ProtocolsOvarian Stimulation Protocols
Ovarian Stimulation Protocols
 
Role of hysteroscopy in Infertility, Dr Rajesh Gajbhiye
Role of hysteroscopy in Infertility, Dr Rajesh GajbhiyeRole of hysteroscopy in Infertility, Dr Rajesh Gajbhiye
Role of hysteroscopy in Infertility, Dr Rajesh Gajbhiye
 
Role of Stem Cells in Obstetrics and Gynecology Practice
Role of Stem Cells in Obstetrics and Gynecology PracticeRole of Stem Cells in Obstetrics and Gynecology Practice
Role of Stem Cells in Obstetrics and Gynecology Practice
 
Managing adenomyosis
Managing adenomyosisManaging adenomyosis
Managing adenomyosis
 
Induction of ovulation
Induction of ovulationInduction of ovulation
Induction of ovulation
 
Luteal Phase Defect Contributors Dr.Shweta Mittal Gupta & DGF Team Experts
Luteal Phase Defect Contributors Dr.Shweta Mittal Gupta & DGF Team Experts Luteal Phase Defect Contributors Dr.Shweta Mittal Gupta & DGF Team Experts
Luteal Phase Defect Contributors Dr.Shweta Mittal Gupta & DGF Team Experts
 
Hysteroscopy complications
Hysteroscopy complicationsHysteroscopy complications
Hysteroscopy complications
 
Misoprostol in obstetrics
Misoprostol in obstetricsMisoprostol in obstetrics
Misoprostol in obstetrics
 
OPERATIONS FOR NULLIPAROUS PROLAPSE AND VAGINAL VAULT PROLAPSE, Mob: 7289915...
OPERATIONS FOR NULLIPAROUS PROLAPSE AND VAGINAL VAULT PROLAPSE,  Mob: 7289915...OPERATIONS FOR NULLIPAROUS PROLAPSE AND VAGINAL VAULT PROLAPSE,  Mob: 7289915...
OPERATIONS FOR NULLIPAROUS PROLAPSE AND VAGINAL VAULT PROLAPSE, Mob: 7289915...
 
Laparoscopic Tubal Recanalization Mob: 7289915430, www.drpradeepgarg
Laparoscopic Tubal Recanalization  Mob: 7289915430, www.drpradeepgargLaparoscopic Tubal Recanalization  Mob: 7289915430, www.drpradeepgarg
Laparoscopic Tubal Recanalization Mob: 7289915430, www.drpradeepgarg
 
Thin Endometrium
Thin EndometriumThin Endometrium
Thin Endometrium
 
Carbetocin in PPH
Carbetocin in PPHCarbetocin in PPH
Carbetocin in PPH
 
Salpingectomy for ovarian risk reduction
Salpingectomy for ovarian risk reductionSalpingectomy for ovarian risk reduction
Salpingectomy for ovarian risk reduction
 
Uterine factor in female infertility
Uterine factor in female infertilityUterine factor in female infertility
Uterine factor in female infertility
 
Laparoscopy and fertility
Laparoscopy and fertilityLaparoscopy and fertility
Laparoscopy and fertility
 
MANAGEMENT OF POOR RESPONDERS IN IVF BY DR SHASHWAT JANI
MANAGEMENT OF POOR RESPONDERS  IN IVF BY DR SHASHWAT JANIMANAGEMENT OF POOR RESPONDERS  IN IVF BY DR SHASHWAT JANI
MANAGEMENT OF POOR RESPONDERS IN IVF BY DR SHASHWAT JANI
 
NEW USES OF LASER IN GYNECOLOGY
NEW USES OF LASER  IN GYNECOLOGYNEW USES OF LASER  IN GYNECOLOGY
NEW USES OF LASER IN GYNECOLOGY
 
Pet in gynecological malignancies
Pet in gynecological malignancies Pet in gynecological malignancies
Pet in gynecological malignancies
 

Similar to Endometrial Ablation

Hysterectomy for benign conditions in a university hospital in
Hysterectomy for benign conditions in a university hospital inHysterectomy for benign conditions in a university hospital in
Hysterectomy for benign conditions in a university hospital in
Tariq Mohammed
 
Implant-Based Breast Reconstruction
Implant-Based Breast ReconstructionImplant-Based Breast Reconstruction
Implant-Based Breast Reconstruction
Stamatis Sapountzis
 
effective health care review
effective health care revieweffective health care review
effective health care review
Adina Chen Bar
 

Similar to Endometrial Ablation (20)

CALGB 9343 -Lumpectomy without Radiation in women >70 years
CALGB 9343 -Lumpectomy without Radiation in women >70 yearsCALGB 9343 -Lumpectomy without Radiation in women >70 years
CALGB 9343 -Lumpectomy without Radiation in women >70 years
 
Ectopic pregnancy future fertiliy
Ectopic pregnancy future fertiliyEctopic pregnancy future fertiliy
Ectopic pregnancy future fertiliy
 
Bladder cancer treatment
Bladder cancer treatmentBladder cancer treatment
Bladder cancer treatment
 
Laparoscopy 1
Laparoscopy  1Laparoscopy  1
Laparoscopy 1
 
Anal cancer
Anal cancerAnal cancer
Anal cancer
 
Robot-assisted versus open radical hysterectomy: A multi-institutional experi...
Robot-assisted versus open radical hysterectomy: A multi-institutional experi...Robot-assisted versus open radical hysterectomy: A multi-institutional experi...
Robot-assisted versus open radical hysterectomy: A multi-institutional experi...
 
Problems & Solutions in Fibroid Ablation with MRGHIFUS
Problems & Solutions in Fibroid Ablation with MRGHIFUSProblems & Solutions in Fibroid Ablation with MRGHIFUS
Problems & Solutions in Fibroid Ablation with MRGHIFUS
 
effectiveness of operative hysteroscopy in primary infertility on pregnancy rate
effectiveness of operative hysteroscopy in primary infertility on pregnancy rateeffectiveness of operative hysteroscopy in primary infertility on pregnancy rate
effectiveness of operative hysteroscopy in primary infertility on pregnancy rate
 
Cesarea bjog
Cesarea bjogCesarea bjog
Cesarea bjog
 
Breast surgery for Metastatic Breast Cancer : Cochrane Analysis
Breast surgery for Metastatic Breast Cancer : Cochrane Analysis Breast surgery for Metastatic Breast Cancer : Cochrane Analysis
Breast surgery for Metastatic Breast Cancer : Cochrane Analysis
 
Laura Dyer CoolSculpting Study.pdf
Laura Dyer CoolSculpting Study.pdfLaura Dyer CoolSculpting Study.pdf
Laura Dyer CoolSculpting Study.pdf
 
How to have quality of life in Advanced ovarian malignancy
How to have quality of life in Advanced ovarian malignancyHow to have quality of life in Advanced ovarian malignancy
How to have quality of life in Advanced ovarian malignancy
 
OIU review article
OIU  review articleOIU  review article
OIU review article
 
Transcervical Resection of Endometrium
Transcervical Resection of EndometriumTranscervical Resection of Endometrium
Transcervical Resection of Endometrium
 
Hysterectomy for benign conditions in a university hospital in
Hysterectomy for benign conditions in a university hospital inHysterectomy for benign conditions in a university hospital in
Hysterectomy for benign conditions in a university hospital in
 
S0039610907001752
S0039610907001752S0039610907001752
S0039610907001752
 
Implant-Based Breast Reconstruction
Implant-Based Breast ReconstructionImplant-Based Breast Reconstruction
Implant-Based Breast Reconstruction
 
Journal club - Hernioplasty
Journal club - HernioplastyJournal club - Hernioplasty
Journal club - Hernioplasty
 
effective health care review
effective health care revieweffective health care review
effective health care review
 
Presentation (1).pptx
Presentation (1).pptxPresentation (1).pptx
Presentation (1).pptx
 

More from Galal Lotfi (7)

Placenta accreta
Placenta accretaPlacenta accreta
Placenta accreta
 
Broad ligament Fibroid, 8.5Kg
Broad ligament Fibroid, 8.5KgBroad ligament Fibroid, 8.5Kg
Broad ligament Fibroid, 8.5Kg
 
Myomas
MyomasMyomas
Myomas
 
Vaginal Hysterectomy: Revival
Vaginal Hysterectomy: RevivalVaginal Hysterectomy: Revival
Vaginal Hysterectomy: Revival
 
Ovarian Tumors, Diagnosis Or Prognosis
Ovarian Tumors, Diagnosis Or PrognosisOvarian Tumors, Diagnosis Or Prognosis
Ovarian Tumors, Diagnosis Or Prognosis
 
Menopause: When to use HRT?
Menopause: When to use HRT?Menopause: When to use HRT?
Menopause: When to use HRT?
 
Vaginal Hysterectomy: Safe Technique
Vaginal Hysterectomy: Safe TechniqueVaginal Hysterectomy: Safe Technique
Vaginal Hysterectomy: Safe Technique
 

Endometrial Ablation