--
Richard Chudacoff, MD, FACOG
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of William
McIntosh
Sent: Thursday, March 14, 2002 1:34 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Ablations
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 -----
From: "Joanne Bulley, MD" <islesannie@yahoo.com>
To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com>
Sent: Wednesday, March 13, 2002 5:19 PM
Subject: Ablations
> I know we've discussed this from time to time.
>
> Currently if I do ablations - the womand gets Lupron and I do a roller
> ball / roller ball electrosurgical ablation.
>
> Anyone doing the thermal or cryo ablations?
>
> In the office or in the OR?
>
> With concious sedation (like versed/demerol) or nothing?
>
> Joanne
>
> --
> Joanne Bulley, MD
> Keene, NH, USA
>
> ~*~ let there be peace on earth and let it begin with me ~*~
