Measurement of serosal temperatures and depth of thermal injury generated by thermal balloon endometrial ablation in ex vivo and in vivo models.

Abstract:

OBJECTIVE:To evaluate the safety profile of endometrial ablation performed with a thermal balloon as defined by serosal temperature elevation and depth of injury. DESIGN:Observational study with histopathologic correlation conducted in ex vivo and in vivo phases. SETTING:Academic medical center. PATIENT(S):Twenty patients undergoing total abdominal hysterectomy. INTERVENTION(S):Endometrial ablation with a thermal balloon. MAIN OUTCOME MEASURE(S):Serosal temperature elevation and histologic depth of injury. RESULT(S):Ex vivo phase results revealed serosal temperatures remained within a safe physiologic range (<45 degrees C). Greatest depth of myometrial injury in the premenopausal uteri was 5.8 mm over the anterior lower uterine segment. In postmenopausal uterus. the greatest depth of myometrial injury was 3.8 mm in the anterior midline. In vivo phase results revealed mean (+/- SD) peak serosal temperatures of 36.1 +/- 1.6 degrees C. As with the ex vivo phase. histologic examination revealed deep endometrial and superficial myometrial damage to all areas. The greatest depth of myometrial injury occurred in the midfundus at 3.4 mm. CONCLUSION(S):No patients experienced complications or adverse events secondary to treatment. Results showed that transuterine thermal injury is a highly unlikely scenario. In both phases of this study, histologic examination revealed that temperatures exposed to the endometrial layer were sufficient to cause tissue damage.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Shah AA,Stabinsky SA,Klusak T,Bradley KR,Steege JF,Grainger DA

doi

10.1016/s0015-0282(98)00245-3

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

692-7

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(98)00245-3

journal_volume

70

pub_type

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