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Title: The treatment of menorrhagia, with an evaluation of endometrial ablation and its evolution
Author: Jack, Stuart Angus
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 2008
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This thesis is based on work performed in the Department of Gynaecology of Aberdeen Royal Infirmary. Chapter 1 outlines and reviews the current literature on the aetiology, epidemiology and treatment of menstrual disorders. A detailed review of the Microwave Endometrial Ablation is made. The evidence based is reviewed and discussed with a focus on randomised trials. Chapter 2 describes the 5 year follow up of an original trial comparing women initially referred to a gynaecologist with excessive menses who were randomised to either standard medical treatment or endometrial ablation in the form of Transcervical Resection of the Endometrium (TCRE). Chapter 3 describes a multi-centre international randomised controlled trial comparing the first generation technique of Rollerball Endometrial Ablation (RBEA) with the second generation technique of Microwave Endometrial Ablation (MEA). Chapter 4 describes a randomised controlled trial of MEA performed in a outpatient setting in the early post menstrual phase to standard treatment performed in a day case theatre after endometrial preparation.
Chapter 5 reviews the rates of surgery for excessive menstrual bleeding in Scotland and the Grampian region from 1998 – 2004. Chapter 6 reviews the conclusions made from the work described in this thesis and there relevance to medical practice. Suggestions are made for areas of future research.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (M.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available