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Re: Gyn: Endometrial Ablation From: aditi desai (draditidesai@yahoo.co.uk) Sun Jun 8 04:43:48 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: Ob: Lost cerclage postpartum" Previous message: aditi desai: "Re: Gyn: Endometrial Ablation" Maybe in reply to: Garry E. Siegel, M.D.: "Gyn: Endometrial Ablation" I have had this problem a few times We do Novasures under LA too. I notice that if I pull back a cm and then tray and open the array it helps.Some cavities are a bit twisted. Having a visual picture of the size ,orientation and direction of the cavity at the prior hysteroscopy helps to direct the array before opening it Aditi Specialist UK ----- Original Message ---- From: "Garry E. Siegel, M.D." <garrys@mindspring.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Saturday, 7 June, 2008 9:46:33 PM Subject: Re: Gyn: Endometrial Ablation Thanks!  When are you moving? Garry At Fri,  6 Jun 2008, l.glazerman@rcn.com wrote: > >Gary: > >Usually when you can't get the Novasure to expand, the tips are stuck at the fundus. I've found that if you pull back a few cm, then push in, it usually works. It's hard to visualize, but the Novasure folks have a nice uterine model that can demonstrat >e what I'm saying. > >Larry > >>---- Original message ---- >>Date: Fri, 6 Jun 2008 07:58:56 -0500 >>From: garrys@mindspring.com (Garry E. Siegel,M.D.) >>Subject: Re: Gyn:  Endometrial Ablation >>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> >> >>Thanks, Dan and Doug.  I haven't used the HTA yet, as it isn't available >>at the hospital I'm mainly at, but is at another one, so I plan to try >>it. >> >>I do pretreat all hysteroscopies with cytotec, though I use 400 mcg. >>Does anyone have any information as to 200 vs.  400 mcg.? >> >>Garry >> >>At Fri, 6 Jun 2008, Douglas Krell wrote: >>> >>>Gary, >>>I'm not convinced this helps, but I had a patient like this that the resident perforated. >>>She had to be brought back to the OR where I pretreated her with cytotec 400mcg orally. >>>I was successful in dilating and ablating her with the Novasure. >>> >>>I've gone back to Thermachoice for the majority of my ablations. >>> >>>-- >>>Douglas Krell MD >>> >>>> Date: Thu, 5 Jun 2008 22:13:05 -0500 >>>> From: garrys@mindspring.com >>>> To: ob-gyn-l@mail.obgyn.net >>>> Subject: Gyn:  Endometrial Ablation >>>> >>>> A couple of times, I have had trouble getting a Novasure in a >>>> retroverted, retroflexed uterus, and have had to switch to Thermachoice. >>>> Today, I could get the device in to the fundus, but couldn't manipulate >>>> the width up to 2.5 cm. >>>> >>>> Does anyone have any tricks? >>>> >>>> Thanks, >>>> >>>> Garry >>>> >>>> -- >>>> Garry E. Siegel, M.D. >>>> Private Practice >>>> Roswell, GA >>> >>-- >>Garry E. Siegel, M.D. >>Private Practice >>Roswell, GA -- Garry E. Siegel, M.D. Private Practice Roswell, GAucan.html Next message: Richard Chudacoff, MD: "Re: Ob: Lost cerclage postpartum" Previous message: aditi desai: "Re: Gyn: Endometrial Ablation" Maybe in reply to: Garry E. Siegel, M.D.: "Gyn: Endometrial Ablation"

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