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- 01GK1K4JWTFQR3E4J77WATD4VC classification C3.
- 01GK1K4JWTFQR3E4J77WATD4VC date "2022".
- 01GK1K4JWTFQR3E4J77WATD4VC language "eng".
- 01GK1K4JWTFQR3E4J77WATD4VC type conference.
- 01GK1K4JWTFQR3E4J77WATD4VC hasPart 01GK1KJF01RXQJ9RX6D58AH6JJ.pdf.
- 01GK1K4JWTFQR3E4J77WATD4VC subject "Medicine and Health Sciences".
- 01GK1K4JWTFQR3E4J77WATD4VC presentedAt urn:uuid:3d575989-9006-4ebc-9a3b-3881535b7cdf.
- 01GK1K4JWTFQR3E4J77WATD4VC abstract "Background: In the treatment of heavy menstrual bleeding, endometrial ablation is a minimally invasive procedure that could be performed under general, regional or local anesthesia. Performing procedures in an office setting - with local anesthesia - has been proven to be beneficial for patient wellbeing and to reduce costs, considering fewer anesthetic complications, shorter hospital stays, shorter recovery time and fewer used operation room resources. A systematic review by Reinders et al. showed that a combination of either intra- or paracervical anesthesia with intrauterine injections was more effective at reducing pain compared with intra- or paracervical anesthesia alone or no local anesthesia at all. In our center, paracervical anesthesia and intrauterine injections for the fundal block are combined with premedication by oral painkillers. Our experience about the overall patient impression of the usage of local anesthesia in an office setting for endometrial ablation by Novasure (bipolar radiofrequency ablation) was evaluated. Methods: Implementation of local anesthesia for Novasure - in the peripheral center of Isala, Zwolle, The Netherlands - started first of February 2021. Data was collected until 31th of January 2021. All procedures were performed by the same gynecologist, supported by two doctors assistants. Patients were presented a printed evaluation form immediately after undergoing the procedure. They were asked to fill in the form during the 15 minutes recovery time post procedure time in which they rested, drank something, filled in the form and could go home afterwards. The form consisted of 8 questions, with a 10 point Likert scale (1 being totally not agree, 10 being totally agree). Results: In 11 months, 54 patients filled in the form, response rate 100%. A mean of 8.5 was given for “Sufficient information prior to the procedure” (distribution 3-10), 9.7 for “everything was clearly explained during the procedure” (7-10). Aftercare was scored a mean of 9.7 (7-10) and clarity of the follow-up 9.7 (7-10). In the case of pain, no side effects of the premedication, pain during and pain after the procedure were scored 9.6 (4-10), 1.7 (0-8) and 1.0 (8-4) respectively. A mean of 9.1 (1-10) women would recommend the Novasure under local anesthesia to a friend. Conclusions: By our experience, the implementation of local anesthesia by a combination of paracervical and intrauterine injections in an office setting for endometrial ablation by Novasure was well received. Essentials are: sufficient information prior to the procedure (adequate counseling about expectations and manner of anesthesia, patient folder) and premedication.".
- 01GK1K4JWTFQR3E4J77WATD4VC author 10DB62D4-1740-11E3-846B-F97910BDE39D.
- 01GK1K4JWTFQR3E4J77WATD4VC author urn:uuid:515662f9-77c0-4176-b752-f48a40ae1317.
- 01GK1K4JWTFQR3E4J77WATD4VC dateCreated "2022-11-29T11:42:44Z".
- 01GK1K4JWTFQR3E4J77WATD4VC dateModified "2024-11-28T00:15:35Z".
- 01GK1K4JWTFQR3E4J77WATD4VC name "Implementation of endometrial ablation by Novasure with local anaesthesia in an office setting : our experience".
- 01GK1K4JWTFQR3E4J77WATD4VC sameAs LU-01GK1K4JWTFQR3E4J77WATD4VC.
- 01GK1K4JWTFQR3E4J77WATD4VC sourceOrganization urn:uuid:e50a2e67-6003-403a-bb11-1be03f34ea8a.
- 01GK1K4JWTFQR3E4J77WATD4VC type C3.