"@type": "ImageObject", It is the result of the abnormal growth of cells that have the ability to invade or spread to other parts of the body. "description": "D.D.C.A. "name": "CONSIDERAZIONI PER LE CANDIDATE ALL\u2019ABLAZIONE ENDOMETRIALE", COMPLICANZE INTRAOPERATORIE-POSTOPERATORIE DELL’ABLAZIONE ENDOMETRIALE CON ELETTRORESETTOREVariano dal 7 % al 9%. "description": "MYOMECTOMY FOR MENORRHAGIA BY CONCOMITANT. Catetere con palloncino in silicone che necessita di una dilatazione del collo dell’utero fino a Hegar 8 o 9; 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. Your doctor will advise you not to have sex, use tampons, or douche for a few days. BIPOLAR ELECTROSURGERYLa corrente non passa attraverso il corpo della paziente Ridotto rischio lesioni iatrogene termiche Ridotto rischio di intravasazione Buona emostasi con scarsa o assente distruzione di tessuto The GYNECARE VERSAPOINT Bipolar System features a unique bipolar generator with multiple electrode configurations to deliver energy to tissue using normal saline as the distention medium. { n. % ETA\u2019 SUCCESSI. "@context": "http://schema.org", ", Massimo Luerti, M.D. The chances that you’ll get hurt during an endometrial ablation are low. }, 3 Oslo, Norway Aker University Hospital. { 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. "name": "RESEZIONE ENDOMETRIALE", Greater levels of pre-op bleeding. Laser Resection Resection & Rollerball fundal rollerball alone. Microonde. ", Because the hysterotomy repair site is thin in some cases, patients with a prior history of cesarean delivery might not be appropriate for these devices. CONCLUSION OF COCHRANE REVIEW “ENDOMETRIAL DESTRUCTION TECHNIQUES FOR HEAVY MENSTRUAL BLEEDING”, 2007, The rapid development of new methods of endometrial destruction has made systematic comparison between these methods and the “gold standard” of resection, Success and satisfaction rates are similar and 2nd generation became the new “GOLD STANDARD”, Study Cases Method (months) flow Amenorrhea. ad ansa. "name": "RESEZIONE ENDOMETRIALE", 105\u00b0 C CONTACT TEMPERATURE. Внутриматочная гормональная контрацепция (ЛНГ-ВМС): спираль «Мирена», LNG-20. }, 23 "@context": "http://schema.org", ", 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. ", - biopsia endometriale negativa. В составе маточного эндометрия есть специфические рецепторы, которые делают его органом-мишенью для половых гормонов. "width": "800" RISK OF DISCOVERING ENDOMETRIAL CARCINOMA OR ATYPICAL HYPERPLASIA DURING HYSTEROSCOPIC SURGERY IN POSTMENOPAUSAL WOMEN Agostini A et al. Başka bir yerde bulamayacağınız harika video çekimleri. Almeno, The Netherlands Twenteborg Hospital. "@context": "http://schema.org", { Гиперплазию нужно отличать от пролифелирующего эндометрия, при котором эндометрий растёт, но не имеет структурных особенностей, характерных для ранней, средней или поздней стадии пролиферации в нормальном менструальном цикле. "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", "width": "800" F. Loffer,", "@context": "http://schema.org", HTA - UNITA’ DI CONTROLLOTecnologia molto semplice (un riscaldatore di fluido) Tecnica molto semplice Anestesia spinale o locale Procedura ambulatoriale 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) Il sistema monitorizza l’invio di fluido durante la procedura ed automaticamente si spegne, se viene captata una perdita di flusso > 10 ml. Belfast, N. Ireland Belfast City Hospital, Michael Parker, M.D. Принимает ли пациентка какие-либо гормональные препараты. Stretta dipendenza tra l’esperienza del chirurgo e l’indice terapeutico del metodo. Поэтому если у женщины нет никаких симптомов и факторов риска, то врач наблюдает за состоянием эндометрия с помощью контрольных биопсий один раз в 6 месяцев. ", Vilos months 93% 60. { "@context": "http://schema.org", Follow-up. "description": "menorragia resistente alla terapia medica. "description": "Two cases each (0.6%) of endometrial carcinoma and endometrial atypical hyperplasia were discovered that were missed by preoperative evaluations. "contentUrl": "https://slideplayer.it/slide/521746/1/images/50/First%2C+previous+cesarean+delivery%3A+One+serious+complication+occurred+in+a+patient+with+a+prior+cesarean+delivery.+Because+the+hysterotomy+repair+site+is+thin+in+some+cases%2C+patients+with+a+prior+history+of+cesarean+delivery+might+not+be+appropriate+for+these+devices..jpg", complication rate. Allows for more even necrosis of tissue throughout the entire cavity through better treatment of Posterior, Lower Uterine Segment, and Cornua. "width": "800" TECNICHE I° GENERAZIONE DI ABLAZIONE ENDOMETRIALEElettroresezione ad alta frequenza con elettrodo ad ansa a pallina rotante a barra rotante vaporizzatore Nd-YAG laser a contatto non a contatto Aşırı derecede adet kanaması sorunu yaşayan ve ilaç tedavisine cevap vermeyen hastalarda daha geniş. La normale soluzione fisiologica e\u2019 inviata riscaldata (90\u00b0C) sottogravita\u2019 con recircolazione endouterina (250 ml\/min) Il liquido non passa oltre le tube (SI INFONDE A MENO DI 50mm\/Hg) Il sistema monitorizza l\u2019invio di fluido durante la procedura ed automaticamente si spegne, se viene captata una perdita di flusso > 10 ml. Endometrial biopsy. "name": "BIPOLAR ELECTROSURGERY", Lodi, Italy Ospedale di Lodi, Peter McFaul, M.D. "@type": "ImageObject", "@type": "ImageObject", { "@type": "ImageObject", Br\u00f6lmann, M.D. Il sistema monitorizza l’invio di fluido durante la procedura ed automaticamente si spegne, se viene captata una perdita di flusso > 10 ml. }, 9 При обнаружении схожих симптомов проконсультируйтесь у врача. "description": "Endometrial ablation techniques continue to play an important role in the management of heavy menstrual bleeding. Objetivo: demonstrar a efetividade da redução endometrial vídeo-histeroscópica no tratamento do. SURGICAL. J Am Assoc Gynecol Laparosc 2001 Nov;8(4):", Melbourne, Australia University of Melbourn Claude Fortin, M.D. }, 47 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. Odds increased Last available follow up. British Journal of Obstetrics and Gynaecology, December 1997,Vol. "width": "800" "@context": "http://schema.org", 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 "width": "800" Second, prophylactic antibiotics: Due to the infections reported and the significant subsequent morbidity, prophylactic antibiotics might be useful when these techniques are used. Il Manuale Merck dei sintomi è una guida concisa e maneggevole che sarà di sostegna al medico nella valutazione accurata del paziente e nella scelta del trattamento volto ad alleviare i suoi sintomi. Распространённость заболевания составляет 15–50 % от всех гинекологических патологий [7]. "@context": "http://schema.org", "name": "CONDIZIONI NECESSARIE", 24 (88.6) 22 (91.6) 18 (90) 9 (81.8) 21 (75) 18 (78.2) 12 (75) 7 (77.7) n. 27 % Comino R. et al., AAGL 9,3,2002:", }, 21 { Критерием излеченности гиперплазии эндометрия будет отсутствие патологических изменений в биоптате. "width": "800" Laser Resection Resection & Rollerball fundal rollerball aloneA NATIONAL SURVEY OF THE COMPLICATIONS OF ENDOMETRIAL DESTRUCTION FOR MENSTRUAL DISORDERS: THE MISTLETOE STUDY Laser Resection Resection & Rollerball fundal rollerball alone Complication cases 1793 cases 3776 cases 4291 cases 650 Hemorrhage 20 (1.17) 129 (3.53) 99 (2.57) 6 (0.97) Perforation 11 (0.65) 88 (2.47) 52 (1.29) 4 (0.64) CV/Respiratory 8 (0.47) 20 (0.5) 22 (0.54) 3 (0.48) Visceral burn 0 3 (0.08) 3 (0.07) 0 Additional emergency procedures † 6 (0.34)‚‡ 69 (2.39) 50 (1.36) 6 (1.11) Total 46 (2.7)* 229 (6.4) 171 (4.2) 13 (2.1) * P < 0.01, laser, rollerball, vs. resection and resection & rollerball † P < 0.01, laser vs. resection and resection & rollerball ‡ Includes hysterectomy, laparoscopy, laparotomy end cervical tears requiring repair British Journal of Obstetrics and Gynaecology, December 1997,Vol. "contentUrl": "https://slideplayer.it/slide/521746/1/images/53/HYSTERECTOMY+AFTER+ENDOMETRIAL+ABLATION-RESECTION+%28R.+Comino.jpg", { "width": "800" "@context": "http://schema.org", интервал между менструациями более 35 дней или менее 21 дня; кровянистые выделения из половых путей между менструациями; отсутствие менструаций более шести месяцев вне беременности и лактации. "@context": "http://schema.org", "@context": "http://schema.org", Диагноз «гиперплазия эндометрия» ставится только по заключению гистологического исследования. PORTABLE (suited for ambulatory)", Moltissimi esempi di frasi con "endometrial carcinoma" - Dizionario a patient with known or suspected endometrial carcinoma (uterine cancer) or pre-malignant conditions of the endometrium. "@type": "ImageObject", (M.C. " PET-TC nella pratica clinica si propone pertanto come utile strumento per studenti, specializzandi in radiologia, medicina nucleare e oncologia, nonché per medici esterni alla medicina nucleare, quali potenziali prescrittori di tale ... Belfast, N. Ireland Altnagelvin Area Hospital Bjorn Busund, M.D. "name": "HYSTEROSCOPIC ENDOMYOMETRIAL RESECTION OF THREE UTERINE SARCOMAS Vilos GA et al. ", "@context": "http://schema.org", "width": "800" 67% Goldrath 177 HTA 53 92% 53% BAL=Thermalballoon ablation; MIC= Microwave; CR = Cryotherapy; RF= Radiofrequency; HTA=Hydro ThermAblator™, TH=Thermachoice™ Назначаются высокие дозы гестагенов и гистологический мониторинг. "description": "THERMA CHOICE 5.3 mm 37.7\u00b0C. Bordeaux, France Hopitaux de Bordeaux Hervé Fernandez, M.D. "name": "RESEZIONE ENDOMETRIALE", "@context": "http://schema.org", "@type": "ImageObject", "description": "CRITERI DI ESCLUSIONE. ENDOMETRIAL ABLATION Long term results of Endometrial Resection 5 6 7Cases with DUB only Length of Follow-up (yrs) Cases with DUB plus Endometrial polyps or Myomas n % 5 6 7 8 24 (88.6) 22 (91.6) 18 (90) 9 (81.8) 21 (75) 18 (78.2) 12 (75) 7 (77.7) n % Comino R. et al., AAGL 9,3,2002: Endometrial Biopsy on this video I'm going to share my experience with my #endometrialbiopsy for #uterinecancer My . }, 54 endometrium biopsy final video | Endometrial Biopsy in Tamilnadu. "contentUrl": "https://slideplayer.it/slide/521746/1/images/12/PREPARAZIONE+DELL%E2%80%99ENDOMETRIO.jpg", При сборе анамнеза врач-гинеколог задаёт пациентке вопросы: Физикальный осмотр включает в себя местный осмотр наружных половых органов, исследование влагалища и шейки матки в зеркалах, а также бимануальное (двумя руками) исследование матки и придатков. After 10 minutes, this destroys your uterine lining. Гистероскопия с раздельным диагностическим выскабливанием (РДВ) матки и цервикального канала —  информативный метод в диагностике гиперпластических процессов эндометрия. "width": "800" 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" Succes and satisfaction rates are similar and 2nd generation became the new \u00ab GOLD STANDARD \u00bb", { rifiuto o controindicazioni della terapia medica. Пайпель-биопсия. Utilizing bipolar electrodes especially engineered for gynecologic applications, a range of tissue effects can be achieved with this versatile system: • A dedicated resectoscope offers both Bipolar Loop Resecting and ° Vaporizing electrode configurations • Three configurations of 5 Fr. "@type": "ImageObject", Это важно, чтобы определить дальнейшую тактику ведения пациенток, так как атипичная гиперплазия часто перерождается в рак [9]. "width": "800" "description": "Amso, 1998, Br J Obstet Gynaecol 105,", Толщина эндометрия по данным УЗИ не является надёжным критерием выявления гиперплазии эндометрия у женщин репродуктивного возраста [26]. 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 ... "contentUrl": "https://slideplayer.it/slide/521746/1/images/25/13%2C600+isteroscopie+Procedura+Complicanze+%28%25%29+Lisi+di+sinechie+4.48.jpg", { 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. "description": "From our experience the incidence of uterine sarcomas is approximately 1\/800 women undergoing hysteroscopic ablation for abnormal uterine bleeding. "name": "POSTABLATION TUBAL STERILIZATION SYNDROME", L\u2019incidenza \u00e8 del 30% In et\u00e0 perimenopausale raggiunge il 70% Abbott J. et al., Fer. "@type": "ImageObject", Most of the newer techniques are technically easier and quicker than hysteroscopy and can be performed under local anesthesia. Global Endometrial Ablation for Heavy Menstrual Bleeding-Mayo Clinic. "@type": "ImageObject", Graz, Austria University of Graz, Peter J. Maher, M.D. "@type": "ImageObject", 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. Best Docs Network 152.176 views6 year ago. More than 10 years of clinical experience. "width": "800" раннее менархе (начало менструации) — до 12 лет; затянувшийся период менопаузального перехода; хроническая ановуляция (отсутствие овуляции у женщины репродуктивного возраста более шести циклов подряд); приём некоторых лекарственных препаратов: менопаузальная заместительная гормональная терапия (ЗГТ), содержащая только эстрогены; длительная терапия. To use this website, you must agree to our, L’obiettivo dell’ablazione dell’endometrio (proposta per la prima volta nel 1937 da Bardenhauer) è quello di distruggere lo strato basale dell’endometrio ed il sottostante supporto vascolare, menorragia resistente alla terapia medica, rifiuto o controindicazioni della terapia medica, complemento alla miomectomia isteroscopica, metrorragia a rischio per la vita resistente alla terapia medica in adolescente, Ogni anno il 5 % delle donne in età tra i 20 ed i 39 anni si rivolge al proprio ginecologo per menorragia, Certe condizioni cliniche come una severa obesità, malattie cardiovascolari, nefropatie croniche, epatopatie croniche e coagulopatie, che sono spesso associate con un aumentato sanguinamento uterino, comportano un alto rischio chirurgico.