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Ablation vs Hysterectomy in Heavy Menstual Bleeding Professor Galal Lotfi, MD, MRCOG
Background
a.The Problem ,[object Object],[object Object],[object Object]
b.Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
c. Recently ,[object Object],[object Object],[object Object]
Which to choose? ,[object Object],[object Object],[object Object],[object Object]
Objectives  ,[object Object],[object Object]
?which way to go ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types of studies reviewed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outcome measures to compare
a.MBL ,[object Object],[object Object]
b.Quality of life
c.Length of hospital stay
d.Time to return to work
e. Duration of surgery
f.Rate of satisfaction ,[object Object],[object Object],[object Object],[object Object]
e.Adverse events:  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical techniques used ,[object Object],[object Object]
 
Studies reviewed ,[object Object],[object Object]
Results: HMB ,[object Object],[object Object],[object Object]
Results: Satisfaction ,[object Object],[object Object]
Results: Quality of life ,[object Object],[object Object]
Results: Surgery durat….. ,[object Object],[object Object],[object Object],[object Object]
Results: Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results: Repeat surgery ,[object Object],[object Object]
Results: Cost ,[object Object],[object Object],[object Object],[object Object]
Conclusion
1. Patient satisfaction, favour hyst ,[object Object],[object Object],[object Object],[object Object],[object Object]
2. Quality of life, favour Hyst ,[object Object],[object Object],[object Object]
3. Surgery, favour ablation ,[object Object],[object Object],[object Object]
4. Post op complications ,[object Object],[object Object],[object Object],[object Object]
5. Cost, favour? ,[object Object],[object Object],[object Object],[object Object]
Epilog
1. Implications for practice ,[object Object],[object Object],[object Object]
2. Implications for research ,[object Object],[object Object],[object Object]
Thank you Professor Galal Lotfi

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