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It has been in use since the 1970s, after its invention by Dr. Sheldon Weinstein. [2] LEEP has many advantages including low cost and a high success rate. [3] The procedure can be done in an office setting and usually only requires a local anesthetic, though sometimes IV sedation or a general anesthetic is used. [4]
Typical procedures include endometrial ablation, submucosal fibroid resection, and endometrial polypectomy. Hysteroscopy has also been used to apply the Nd:YAG laser treatment to the inside of the uterus. [7] Methods of tissue removal now include electrocautery bipolar loop resection, and morcellation. [8]
There are a number of indications for obtaining an endometrial biopsy from a non-pregnant woman: [citation needed]. Women with chronic anovulation such as the polycystic ovary syndrome are at increased risk for endometrial problems and an endometrial biopsy may be useful to assess their lining specifically to rule out endometrial hyperplasia or cancer.
Endometrial ablation is a surgical procedure that is used to remove or destroy the endometrial lining of the uterus. The goal of the procedure is to decrease the amount of blood loss during menstruation (periods). Endometrial ablation is most often employed in people with excessive menstrual bleeding following unsuccessful medical therapy. [1]
The procedure for the Tao brush biopsy is: The patient will be asked to lie on the table with her feet in the stirrups, as for a routine pelvic exam. The brush will be inserted into the uterus. The covering sheath will protect the brush from collecting any contaminating tissue from the cervix. Once the brush is in place, the sheath is removed.
Endometriomas require surgical removal and excision is considered to be superior to cyst vaporization or coagulation in terms of permanent removal of the disease and pain relief. [11] Surgery can sometimes have the effect of improving fertility but can have the adverse effect of leading to increases in cycle day 2 or 3 FSH for many patients.
Removal of coronary artery obstruction and insertion of stent(s) ( 36.1 ) Bypass anastomosis for heart revascularization ( 36.2 ) Heart revascularization by arterial implant
Chronic endometritis is more common after menopause. [2] The diagnosis may be confirmed by endometrial biopsy. [3] Ultrasound may be useful to verify that there is no retained tissue within the uterus. [4] Treatment is usually with antibiotics. [1] Recommendations for treatment of endometritis following delivery includes clindamycin with ...