{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:33:08Z","timestamp":1786739588941,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To compare the operative time, effectiveness, and patient satisfaction between ball endometrial ablation and transcervical resection of the endometrium (TCRE) using a bipolar resectoscope.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Forty-four women with heavy menstrual bleeding who were unresponsive to at least 3 months' medical management were included in this randomized, controlled clinical trial. After randomization, patients underwent either TCRE or ball endometrial ablation using a bipolar resectoscope. The operative time, fluid deficit, and postoperative pain were recorded. The patients were evaluated postoperatively at 3, 6, and 12 months after surgery. Patient satisfaction, amenorrhea rate, reintervention rate, and pictorial blood-loss-assessment chart (PBAC) score were compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean operative time in ball endometrial ablation group was 11.17 \u00b1 2.24 min and in TCRE group was 22.33 \u00b1 5.26 min (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). There was no significant difference in the postoperative PBAC score, amenorrhea rates, patient satisfaction, and need for reintervention between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Operative time with ball endometrial ablation is significantly less when compared to TCRE when using a bipolar resectoscope.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/gmit.gmit_88_20","type":"journal-article","created":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T00:46:44Z","timestamp":1627951604000},"page":"143-147","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Comparison of Bipolar Ball Endometrial Ablation and Transcervical Resection of the Endometrium in the Treatment of Heavy Menstrual Bleeding"],"prefix":"10.4103","volume":"10","author":[{"given":"Murali","family":"Subbaiah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neethu","family":"Selvest","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilip Kumar","family":"Maurya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-2-20240830","first-page":"950","article-title":"Menstrual symptoms: The importance of social factors in women's experiences","volume":"56","author":"O'Flynn","year":"2006","journal-title":"Br J Gen Pract"},{"key":"R2-2-20240830","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1007\/s00404-009-0982-7","article-title":"Second generation endometrial ablation techniques: An audit of clinical practice","volume":"280","author":"Madhu","year":"2009","journal-title":"Arch Gynecol Obstet"},{"key":"R3-2-20240830","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.jmig.2012.11.006","article-title":"Does adjuvant long-acting gestagen therapy improve the outcome of hysteroscopic endometrial resection in women of low-resource settings with heavy menstrual bleeding?","volume":"20","author":"Shokeir","year":"2013","journal-title":"J Minim Invasive Gynecol"},{"key":"R4-2-20240830","doi-asserted-by":"crossref","first-page":"310","DOI":"10.9738\/CC149.1","article-title":"Tranexamic acid: A potential adjunct to resectoscopic endometrial ablation","volume":"97","author":"Ergun","year":"2012","journal-title":"Int Surg"},{"key":"R5-2-20240830","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1136\/bmj.309.6960.979","article-title":"Randomised trial of hysterectomy, endometrial laser ablation, and transcervical endometrial resection for dysfunctional uterine bleeding","volume":"309","author":"Pinion","year":"1994","journal-title":"BMJ"},{"key":"R6-2-20240830","doi-asserted-by":"crossref","first-page":"1351","DOI":"10.1111\/j.1471-0528.1997.tb11003.x","article-title":"A national survey of the complications of endometrial destruction for menstrual disorders: The MISTLETOE study. Minimally Invasive Surgical Techniques \u2013 Laser, EndoThermal or Endorescetion","volume":"104","author":"Overton","year":"1997","journal-title":"Br J Obstet Gynaecol"},{"key":"R7-2-20240830","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1111\/j.1447-0756.2010.01244.x","article-title":"Biological effects of distension media in bipolar versus monopolar resectoscopic myomectomy: A randomized trial","volume":"36","author":"Darwish","year":"2010","journal-title":"J Obstet Gynaecol Res"},{"key":"R8-2-20240830","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1016\/S1074-3804(05)80233-6","article-title":"Development and use of a bipolar resectoscope in endometrial electrosurgery","volume":"4","author":"Isaacson","year":"1997","journal-title":"J Am Assoc Gynecol Laparosc"},{"key":"R9-2-20240830","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1111\/j.1471-0528.1990.tb16249.x","article-title":"Assessment of menstrual blood loss using a pictorial chart","volume":"97","author":"Higham","year":"1990","journal-title":"Br J Obstet Gynaecol"},{"key":"R10-2-20240830","first-page":"CD001501","article-title":"Endometrial resection and ablation techniques for heavy menstrual bleeding","volume":"1","author":"Bofill Rodriguez","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"R11-2-20240830","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1055\/s-0031-1287668","article-title":"Management of abnormal uterine bleeding in low- and high-resource settings: Consideration of cultural issues","volume":"29","author":"Haththotuwa","year":"2011","journal-title":"Semin Reprod Med"},{"key":"R12-2-20240830","doi-asserted-by":"crossref","first-page":"185","DOI":"10.4103\/jhrs.JHRS_134_16","article-title":"A prospective randomized study comparing unipolar versus bipolar hysteroscopic myomectomy in infertile women","volume":"10","author":"Roy","year":"2017","journal-title":"J Hum Reprod Sci"},{"key":"R13-2-20240830","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1016\/j.bpobgyn.2015.03.011","article-title":"Hysteroscopy and heavy menstrual bleeding (to cover TCRE and second-generation endometrial ablation)","volume":"29","author":"Bongers","year":"2015","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"R14-2-20240830","first-page":"988","article-title":"Five-year follow-up of endometrial ablation: Endometrial coagulation versus endometrial resection","volume":"99","author":"Boujida","year":"2002","journal-title":"Obstet Gynecol"},{"key":"R15-2-20240830","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1067\/mob.2002.124958","article-title":"Hysteroscopic transcervical endometrial resection versus thermal destruction for menorrhagia: A prospective randomized trial on satisfaction rate","volume":"187","author":"Pellicano","year":"2002","journal-title":"Am J Obstet Gynecol"},{"key":"R16-2-20240830","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1196\/annals.1365.019","article-title":"Safety issues of hysteroscopic surgery","volume":"1092","author":"Paschopoulos","year":"2006","journal-title":"Ann N Y Acad Sci"},{"key":"R17-2-20240830","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/s10397-016-0983-z","article-title":"BSGE\/ESGE guideline on management of fluid distension media in operative hysteroscopy","volume":"13","author":"Umranikar","year":"2016","journal-title":"Gynecol Surg"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/GMIT.GMIT_88_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:30:16Z","timestamp":1786735816000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/GMIT.GMIT_88_20"}},"subtitle":["A Randomized Clinical Trial"],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit_88_20","relation":{},"ISSN":["2213-3070"],"issn-type":[{"value":"2213-3070","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}