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Re: Menorrhagia in a patient with a uterus didephys From: William D. McIntosh, M.D (wmcintosh@premiermed.com) Tue Nov 14 07:28:12 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Gyn: Menorrhagia in a patient with a uterus didephys" Previous message: Gordon Goldman: "Re: ACOG statement" In reply to: Garry E. Siegel, M.D.: "Gyn: Menorrhagia in a patient with a uterus didephys" Next in thread: Efrain Ramirez: "Re: Gyn: Menorrhagia in a patient with a uterus didephys" I had a very similar patient that I took to the OR for an ablation with the HydroThermal ablation tool from Boston Scientific. We were trialing it and the Novasure as we seek alternatives to our balloon system. This is exactly the advantage the HTA has over the other options; you can attack larger uteri, uteri with fibroids, and misshapen uteri as easily as the more typical sizes and shapes. I would like to add that there are a number of problems with the HTA, and I am not sure if we are going to buy it, but this is the distinction it has over its competitors. In any event, the HTA did a great job for my patient with this problem. -- William D. McIntosh, MD FACOG Clarksville, TN -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Monday, November 13, 2006 6:21 PM To: Multiple recipients of list OB-GYN-L Subject: Gyn: Menorrhagia in a patient with a uterus didephys 40 YO P2103, 6 weeks from a repeat C/S-TL, with a history of menorrhagia nicely treated with OCPs. She is wondering about long term treatment for menorrhagia, should it return? Specifically, she asked about ablation. My instinct is that she is not a candidate for global techniques due to the misshapeness of the cavities, and the potential thinness of the uterine walls. Then, maybe she could be done with a lapscope in, or do an old fashioned rollerball or resection. Any thoughts? Garry -- Garry E. Siegel, M.D. Private Practice Roswell, GA Premier Medical Group's HIPAA Compliance Policy states that unencrypted Protected Health Information (PHI) will not be sent to external email recipients. If this email contains PHI, please inform both the original sender and Premier Medical Group's Security Officer (securityofficer@premiermed.com or 931-245-7044) of this policy violation. Thank you for assisting us in our commitment to safeguard our patients' personal information. Next message: Garry E. Siegel, M.D.: "Re: Gyn: Menorrhagia in a patient with a uterus didephys" Previous message: Gordon Goldman: "Re: ACOG statement" In reply to: Garry E. Siegel, M.D.: "Gyn: Menorrhagia in a patient with a uterus didephys" Next in thread: Efrain Ramirez: "Re: Gyn: Menorrhagia in a patient with a uterus didephys"

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