LiNA OperaScope^(TM) for microwave endometrial ablation for endometrial polyps with heavy menstrual bleeding: A case report  

作　　者：Kaoru Kakinuma Toshiyuki Kakinuma Kyouhei Ueyama Takumi Shinohara Rora Okamoto Kaoru Yanagida Nobuhiro Takeshima Michitaka Ohwada 

机构地区：[1]Department of Obstetrics and Gynecology,International University of Health and Welfare Hospital,Tochigi 329-2763,Nasushiobara,Japan

出　　处：《World Journal of Clinical Cases》2023年第36期8557-8562,共6页世界临床病例杂志

摘　　要：BACKGROUND The procedure for microwave endometrial ablation(MEA)follows established MEA practice guidelines but requires hysteroscopic observation of the uterine lumen before and after MEA.When a luminal uterine lesion is recognized,its removal requires preoperative dilation of the cervix because the outer diameter of a conventional rigid hysteroscope is 8.7 mm.Recently,a fully disposable rigid hysteroscope(LiNA OperaScope^(TM))with a narrow diameter(4.4 mm)and forceps capable of extracting endometrial lesions has become available.CASE SUMMARY Here,we report a case of heavy menstrual bleeding(HMB)complicated by endometrial polyps where MEA was performed after removing endometrial polyps using the LiNA OperaScope^(TM) device.A 48-year-old woman with three prior pregnancies and three deliveries was referred to our hospital for further examination and treatment after being diagnosed with HMB 2 years earlier.The patient underwent MEA following endometrial polypectomy using LiNA OperaScope^(TM).After MEA,endometrial cauterization was again examined using the LiNA OperaScope^(TM),and the procedure was completed.No preoperative cervical dilation was performed.The patient’s clinical course was favorable,and she was discharged 3 h after surgery.One month after surgery,menstruation resumed,and both HMB and dysmenorrhea improved markedly from 10 preoperatively to 1 postoperatively,as assessed subjectively using the visual analog scale.The patient’s postoperative course was uneventful with no complic-ations.CONCLUSION LiNA OperaScope^(TM) can be a minimally invasive treatment for MEA of HMB with uterine lumen lesions.

关 键 词：Heavy menstrual bleeding Microwave endometrial ablation Endometrial polyp HYSTEROSCOPY Minimally invasive surgery DYSMENORRHEA Case report 

分 类 号：R711[医药卫生—妇产科学]