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Table 1 Case reports of complications after second-generation endometrial ablation

From: Second-generation thermal endometrial ablation: beware of metal clips in the lower abdomen

Authors (year)

Type of ablation

Medical history

Complication

Intervention

Hubert 2001 [14]

HTA

Cervical incompetence

Hematometra after cervical occlusion

Cervical dilatation and stent

Roth 2004 [15]

ThermaChoice

2 CS

Bilateral tubo-ovarian abscesses 50 days later

Abdominal hysterectomy and bilateral salpingo-oophorectomy

Das 2005 [11]

2nd MEA 3 years after first MEA

Twin pregnancy after IVF, CS, MEA, endometriosis

Pelvic abscess 7 × 10 cm with ovarian endometrioma

Hysterectomy and bilateral salpingo-oophorectomy

Gandhi 2005 [16]

Cavatherm

Unknown

Ectopic pregnancy

Unknown

Janssen 2007 [12]

NovaSure

Essure sterilization

Bilateral cornual abscess

Laparotomy, resection of necrosis, removing of Essure microinserts

Robson 2007 [17]

HTA

Resection of leiomyoma type 0

Necrotic leiomyoma

Hysteroscopy

Robson 2007 [17]

HTA

3 intramural Leiomyoma

Necrosis of leiomyoma

Conservative therapy with antibiotics

Schlumbrecht 2007 [18]

HTA

Diabetes type 2 Prosthetic mitral valve

Pyometra and sepsis Cervical necrosis

Hysterectomy

V. Riemsdijk 2009 [5]

NovaSure

Myoma (4 cm)

Expulsion of myoma

Hysterectomy

Salmeen 2009 [13]

NovaSure

Sepsis within 36 h (Escherichia coli)

Exploratory laparotomy and hysterectomy

Rooney 2010 [19]

NovaSure

3 CS

Vesico-uterine fistula 2 weeks after NovaSure

supracervical laparoscopic hysterectomy repair of fistula

Iliodromiti 2011 [10]

MEA

Laparoscopic sterilization

Thermal bowel injuries with perforations

Exploratory laparotomy with subtotal hysterectomy, hemicolectomy

  1. MEA microwave endometrial ablation, HTA hydrothermal ablation, CS caesarean section