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Re: Novasure troubleshooting From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Thu Aug 28 08:27:21 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: GYN: Laparoscopy with IUD in situ" Previous message: Joe Cutchin: "Re: GYN: Laparoscopy with IUD in situ" In reply to: Joanne Bulley, MD: "GYN: Novasure troubleshooting" Next in thread: Joanne Bulley, MD: "Re: Novasure troubleshooting" Reply: Joanne Bulley, MD: "Re: Novasure troubleshooting" In my one failure, I went a head and did rollerball. Sometimes it is best not to press forward so vigorously. You would have had no leg to stand on had there been a complication if the Endoloop did work. -- Richard Chudacoff, MD There is more stupidity than hydrogen in the universe, and it has a longer shelf life. Frank Zappa -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Joanne Bulley, MD Sent: Wednesday, August 27, 2003 9:32 PM To: Multiple recipients of list OB-GYN-L Subject: GYN: Novasure troubleshooting We have been trying the Novasure. Overall I really love it. I have done 10 patients and 2 other docs in town have done another 10 (or so). The first time we rented the machine I did one - and it worked wonders for her. The second time I did 5 - and all are thrileed (as am I). This last time I had three patients. Bigger uteri for several of them. The very last patient we could not get a "GO" with the cavity vacuum check by the machine. I understand the process - and why it has the fail safe that the machine will NOT provide the current through the electrode if it fails the cavity integrity assessment. She had a large uterus with fibroids as well as a patulous cervix. I really do NOT think there was any perforation. We put an Endoloop around the cervix to tighten around the Novasure electrode - basically as a cerclage and finally we changed to a new electrode and checked all the connections. After running out of other options - the procedure was stopped. For those of you who have done these - A. What else would you have tried? B. Would you have converted to another procedure in light of the "failed cavity integrity" indicating there may be a perforation (she was not pretreated with Lupron)? C. What would you offer this woman no that she has gone to the OR - and nothing has been accomplished for her DUB? D. Anything Else? Thanks. -- Joanne Bulley, MD Keene, NH, USA ----- Work to create peace everywhere you go and with everything you do. ----- Let us accept truth, even when it surprises us and alters our views. -George Sand Next message: Richard Chudacoff, MD: "Re: GYN: Laparoscopy with IUD in situ" Previous message: Joe Cutchin: "Re: GYN: Laparoscopy with IUD in situ" In reply to: Joanne Bulley, MD: "GYN: Novasure troubleshooting" Next in thread: Joanne Bulley, MD: "Re: Novasure troubleshooting" Reply: Joanne Bulley, MD: "Re: Novasure troubleshooting"

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