Abstract
Background:
The Novasure device employs biopolar thermal coagulation in order to ablate the endometrium. It is one of a class of blind, nonhysteroscopic techniques utilized for the treatment of abnormal (i.e., dysfunctional) uterine bleeding.
Cases:
Three cases are presented where the Novasure device was employed for endometrial ablation. Each case demonstrated thermal intestinal injuries associated with the use of the Novasure device.
Conclusions:
Despite several safeguards devised by the manufacturer, the Novasure bipolar device can and will perforate the uterus and cause thermal injury leading to intestinal perforation. (J GYNECOL SURG 25:73)