[Second generation endometrial ablation: surgical treatment of choice for menorrhagia]

ABSTRACT

Menorrhagia is a very common problem affecting over 20% of women in the reproductive age group. Until 30 years ago hysterectomy was the only surgical treatment available. Although it is 100% effective, it is associated with surgical complications and is more costly both financially and recovery time. The first generation endometrial ablation technique was introduces in the early 1980 as alternative to hysterectomy in suitable cases. This was followed few years later with second generation ablation techniques. These second generation devices avoid the need for hysteroscopic surgery, therefore are quick, easy to perform and can be carried out in out patient setting. Their safety and efficacy is primarily dependent on the devices rather than the operator