Endometrial resection, also known as hystero-resection is a procedure performed in women who are having menstrual problems. This is only one treatment option for this purpose and basically replaces hysterectomy ( a complete surgical removal of the uterus).
The procedure is always performed under general anesthesia because it may be very uncomfortable. In order to inspect the inside of the uterus doctors first insert a hysteroscope, assess the changes of the inner lining of the uterus and then continue with the most convenient technique.
It is essential to memorize that endometrial resection is an invasive procedure capable to destroy much of the lining of the uterus. As a result, the woman is not supposed to get pregnant any more. Pregnancy after endometrial resection is risky and may be associated with numerous complications. This is why her and her partner must choose the most efficient means of contraception and prevent undesirable pregnancy.
Endometrial Resection Techniques
Today, there are a few modern techniques doctors use while performing endometrial ablation. The most common ones are Thermachoice and Microwave endometrial ablation.
Thermachoice Uterine Balloon Therapy includes insertion of a balloon into the uterus and its inflation. This way the balloon actually expands and gets into the contact with the entire uterus. This is achieved with a sterile fluid. The fluid is at some point heated to 87 degrees and left inside the uterus for approximately 8 minutes. After the treatment, fluid is eliminated from the balloon, and the balloon is also removed from the organ.
Microwave Endometrial Ablation(MEA) is another widely used technique. It requires microwave energy in order to induce rapid, shallow heating of the endometrium. The heat is what destroys the endometrium. The entire procedure lasts no longer that 3 minutes.
Only women who are confirmed not to suffer from uterine fibroids or any other structural deformities of the inside of the uterus are suitable candidates for endometrial resection.
Before and After the Procedure
Prior the procedure women are prescribed certain medications which reduce thickness of the inner lining of the uterus. After being admitted into hospital, the woman must sign a consent form and she is told everything about the procedure, including potential complications. It is essential to report all the allergies to medications or other allergens, previous surgeries, active diseases and medications which are currently taken.
After the procedure many women are kept hospitalized overnight to recover. Cramping in the lower abdomen is a common side effect of the procedure and is brought under control with painkillers. Resting is essential for complete recovery. A woman must stay in bed for at least 24 hours after getting home. Increase in body temperature or worsening pelvic pain are symptoms which must be immediately reported to the doctor because they point to some complications.