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Re: AblationsFrom: William McIntosh (williammcintosh@msn.com)Thu Mar 14 12:32:08 2002
I do the Thermal Balloon Ablations in the Day Surgery Unit. I have done almost 100 over the past 3 years, and my patients have been pleased with the ease and the results. They don't have to premedicate with Lupron, they can return to work the next day, and there is little discomfort. My results seem to comparable with what is reported, ~50% amenorrhea, 30-40% acceptable improvement, 10-20% insufficient improvement or no improvement. I have done 5 hysts on patients that I had previously ablated, and repeated the ablation on 2 others. I routinely do a dx hysteroscopy at the same time, and of course a thorough D&C is part of the procedure. Typical anesthesia is conscious sedation. The down side is the unreasonable expense of the balloon catheters, which make doing them a break-even proposition for the OR at best, one of several good reasons not to do them in the office. With other, hopefully cheaper, modalities coming out, the Gynecare folks are either going to have to lower the price, or find themselves priced out of the market. William D McIntosh MD FACOG Clarksville, TN
>----- Original Message -----
> I know we've discussed this from time to time.
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