Published Paper Details:

Endometrial ablation is a minimally invasive treatment aimed at destroying or removing the inner lining of the Uterus - Endometrium, to reduce or stop menstrual flow altogether in patients with Abnormal Uterine Bleeding. Endometrial ablation is typically recommended for women who experience menorrhagia, for whom medication has not been effective, and for those who do not wish to undergo a Hysterectomy. Endometrial Thermal Balloon Ablation (ETBA) may be conceptually equated with Agnikarma, as both utilize controlled thermal energy to ablate diseased tissue and induce Rakta-stambhana. A 45-year-old female with Abnormal Uterine Bleeding came to our department with C/O - Intermittent PV bleeding for the past 2 months with UPT Negative. O/E - Patient's vitals were stable. Per Abdominal examination - Soft and Non-tender. Per vaginal examination revealed a bulky Uterus, corresponding to 8 weeks. Surgical H/O - Diagnostic D&C done and HPE reports suggestive of Cystic Glandular Hyperplasia without atypia. USG suggestive of Bulky Uterus with Thick Cystic Endometrium with Bilateral ovarian cyst. The patient consented to Endometrial Thermal Balloon Ablation under Spinal Anaesthesia. Initially, dilatation and curettage was done, followed by Endometrial Thermal Balloon Ablation, and Endometrial fire (smoke) was achieved as the endpoint. The patient was vitally stable and discharged without complication.