Novasure Procedure Performed on 'The Doctors'

Channel: thedoctorstv   |   2009/04/28
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1
Novasure Procedure Performed on
Novasure Procedure Performed on 'The Doctors'
::2009/04/28::
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2
Endometrial Ablation
Endometrial Ablation
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Endometrial Ablation without Anesthesia by Promedical Inc.
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Novasure Endometrial Ablation
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Endometrial Ablation
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After Endometrial ablation do you continue to have periods every month?
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::2010/10/27::
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A Gynecologist discusses her personal Novasure story
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::2011/03/16::
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Endometrial Ablation | PWHCare.com
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Endometrial Ablation Procedure
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Hysteroscopic polype and endometrial ablation with the "Princess" bipolar miniresectoscope
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Endometrial Ablation - Dr. Scott Chatham
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::2013/03/18::
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Global Endometrial Ablation for Heavy Menstrual Bleeding-Mayo Clinic
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Novasure Endometrial Ablation
Novasure Endometrial Ablation
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Endometrium Ablation on HystSim- New Software Version
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endometrial ablation rollerball
endometrial ablation rollerball
::2010/11/06::
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Endometrial ablation with  the  "Resection Master" bipolar resectoscope.
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::2013/06/21::
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45
Endometrial Ablation
Endometrial Ablation
::2010/01/10::
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Hysteroscopic endometrial ablation
Hysteroscopic endometrial ablation
::2008/05/09::
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Healthbreak: Thomas M. Ebersole, MD - Uterine Ablation
Healthbreak: Thomas M. Ebersole, MD - Uterine Ablation
::2012/03/08::
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Hysteroscopic removal of endometrial polyp and endometrial ablation
Hysteroscopic removal of endometrial polyp and endometrial ablation
::2013/05/15::
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49
Wing needle for global local prior to endometrial ablation
Wing needle for global local prior to endometrial ablation
::2013/08/05::
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Endometrial Ablation to treat Heavy Menstrual Bleeding
Endometrial Ablation to treat Heavy Menstrual Bleeding
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RESULTS [51 .. 101]
From Wikipedia, the free encyclopedia
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Endometrial ablation
Intervention
Endometrial ablation 1.jpg
Hysteroscopic endometrial ablation
ICD-9-CM 68.23

Endometrial ablation is a medical procedure that is used to remove (ablate) or destroy the endometrial lining of a uterus. This technique is most often employed for people who suffer from excessive or prolonged bleeding during their menstrual cycle but cannot or do not wish to undergo a hysterectomy. The procedure is most commonly done on an outpatient basis. Placenta accreta may occur if the patient becomes pregnant after endometrial ablation, so birth control is recommended. However, heavy menstrual bleeding is most commonly due to dysfunctional uterine bleeding or adenomyosis. If patient does not want hysterectomy or endometrial ablation, another option with norethisterone can be given.

Procedure[edit]

A number of competing procedures are available.[1]

  • Transcervical resection of the endometrium (TCRE) uses a hysteroscope equipped with a cauterization loop that avails for resection of the endometrium.[2] It is a proven procedure,[3] being a day-care procedure with rapid recovery.[4]
  • The HTA System[5] uses a small telescope-like device called a hysteroscope which is inserted into the uterus through the cervix, to help doctors safely confirm proper probe placement and to see the area they are treating. This device circulates heated saline which burns the lining of the uterus. This procedure will stop, or significantly decrease, menstrual bleeding. 94% of patients who have undergone this procedure reported a satisfactory decrease in menstrual flow.
  • With the Novasure system[6] a mesh is introduced into the cavity and the lining is destroyed by applying electrical energy to the mesh that will thermally damage the adjacent endometrium. 87% of patients have a successful reduction in bleeding down to normal levels.
  • The Thermachoice III balloon[7] is a technique in which heated fluid fills a ballon which was inserted into the uterine lining. The fluid is safely contained in a flexible and non-allergenic material that conforms to most uterine shapes and sizes with no reduction of efficacy.

Older methods utilize hysteroscopy to insert instruments into the uterus to destroy the lining under vision using laser or electrical current in a small loop. Another system introduces a radio-frequency rod that emits energy to destroy the uterine lining.

The procedure is done while the patient is either under local anesthesia, or, if necessary, general or spinal anesthesia. The recovery period can be from one day up to 2 weeks.

After the procedure, the endometrium heals by scarring, reducing or removing the possibility of future uterine bleeding. The patient may develop amenorrhea, however hormonal functioning will remain unaffected.

Effectiveness[edit]

Approximately 80% of those who undergo this procedure will have reduced menstrual bleeding. Of those, approximately 45% will stop having periods altogether. However, a second procedure or a hysterectomy will be required in approximately 22% of cases.[citation needed]

Risks[edit]

Although uncommon, the procedure can have serious complications including:

See also[edit]

References[edit]

  1. ^ http://www.bostonscientific.com/templatedata/imports/collateral/Gynecology/oth_articleCarver_The%20Female%20Patient_01_gy_us.pdf
  2. ^ Hysteroscopic Surgery, by King’s College Hospital. August 2013
  3. ^ Cooper, K. G.; Bain, C.; Parkin, D. E. (1999). "Comparison of microwave endometrial ablation and transcervical resection of the endometrium for treatment of heavy menstrual loss: A randomised trial". The Lancet 354 (9193): 1859–1863. doi:10.1016/S0140-6736(99)04101-X. PMID 10584722.  edit
  4. ^ Page 122 in Desai (January 2002). Gynecology Endoscopic Surgery: Current Concepts. Jaypee Brothers Publishers. ISBN 978-81-7179-937-4. 
  5. ^ Hydro ThermAblator System (HTA). Instructions for use. 2005 Boston Scientific Corporation.
  6. ^ NovaSure. Instructions for use. 2004 Cytec Corporation.
  7. ^ Gynecare Thermachoice III. Instructions for use. 2008 ETHICON, Inc. a Johnson & Johnson Company.
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