Recognition of uterine perforation during Thermachoice endometrial ablation: the importance of safety devices in second-generation ablative techniques

Amanda J. O'Leary, S. K. Vyas
2004 Gynecological Surgery  
A 31-year-old woman was undergoing a Thermachoice endometrial ablation. Her only past medical history of note was that she had undergone a caesarean section. Hysteroscopy prior to the procedure revealed a normal uterine cavity. A Thermochoice endometrial ablation procedure was commenced but was abandoned after the pressure measurement safety device revealed a problem. On repeat hysteroscopy a uterine perforation was noted at the site of the caesarean section scar. Without the safety mechanism
more » ... safety mechanism the procedure would have continued and could have resulted in intra-abdominal injury.
doi:10.1007/s10397-004-0009-0 fatcat:pb7uxfe6qvdp5aaqneju7envpu