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    The MIGS approach to fixing failed endometrial ablation

     

    Summary

    UGRH is an advanced and specialized minimally invasive hysteroscopic technique accomplished under sonographic guidance and has the capacity, in our hands, to significantly reduce the need for hysterectomy in women who have experienced delayed complications following EA. UGRH requires a team that includes an experienced hysteroscopist and a sonographer trained to provide U/S guidance. UGRH can produce rewarding results with very low morbidity and is no more challenging than many of the complex procedures performed by those specializing in other branches of minimally invasive gynecologic surgery. As in the case of any new procedure, it requires commitment to learning a new technique in the secure environment of a supportive team.

    References

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    12. Wortman M, Daggett A, Deckman A. Ultrasound-guided reoperative hysteroscopy for managing global endometrial ablation failures. J Minim Invasive Gynecol. 2014;21(2):238–244.

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