Universität zu Köln

Piriyev, Elvin, Schiermeier, Sven and Roemer, Thomas (2022). Combined procedure of the transcervical radiofrequency ablation (TRFA) system and surgical hysteroscopy. Increased risk or safe procedure? Videosurgery Miniinvasive Tec., 17 (2). S. 380 - 385. POZNAN: TERMEDIA PUBLISHING HOUSE LTD. ISSN 2299-0054

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Abstract

Introduction: The advantage of transcervical radiofrequency ablation (TRFA) is that it is minimally invasive, inci-sion-free, and treats a wide spectrum of fibroids, including those that are not accessible by surgical hysteroscopy (FIGO 3, 4, 5, 6, and 2-5). However, there are no publications describing a combined procedure of operative hysteros-copy and TRFA yet, so it was still unknown whether a combined procedure is associated with additional risks. Aim: To report the combined technique of transcervical intrauterine radiofrequency ablation of fibroids and surgical hysteroscopy. Material and methods: Our study was designed to show the results of our case series with 21 patients. The retro-spective study included only patients who were treated with the combined procedure of surgical hysteroscopy with fibroid and/or endometrial resection and fibroid ablation using the Sonata System. Results: The combined procedure was performed without any complications in all cases. Two days after surgery, no in-creased morbidity was observed compared to only conventional surgical hysteroscopy and/or therapy with the TRFA. All patients were satisfied with the procedure. No late complications were observed within the first 6 months postoperatively. Seventeen patients with bleeding symptoms were asked about their subjective assessment of improvement. Fifteen pa-tients reported significant improvement in symptoms and 1 patient reported only minimal improvement. Only 1 patient, who underwent TRFA and endometrial resection, did not report any improvement. No increase in symptoms was observed. Conclusions: Although TRFA is an approved method, it is not yet widely used worldwide. The combined procedure has been rarely used. The aim of our work is to show through our case series that transcervical radiofrequency abla-tion can be combined with surgical hysteroscopy for fibroid and/or endometrial resection without any additional risk.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Piriyev, Elvin UNSPECIFIED UNSPECIFIED UNSPECIFIED Schiermeier, Sven UNSPECIFIED UNSPECIFIED UNSPECIFIED Roemer, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-671286
DOI:	10.5114/wiitm.2022.113565
Journal or Publication Title:	Videosurgery Miniinvasive Tec.
Volume:	17
Number:	2
Page Range:	S. 380 - 385
Date:	2022
Publisher:	TERMEDIA PUBLISHING HOUSE LTD
Place of Publication:	POZNAN
ISSN:	2299-0054
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TERM CLINICAL-OUTCOMES; UTERINE FIBROIDS; MYOMAS; RESECTION; IMPACT; RATES Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67128