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Re: AblationFrom: mborn (mborn@massmed.org)Fri Nov 15 18:32:38 1996
I have not used bipolar energy to remove fibroids via the hysteroscope. ACMI's Vaportrode electrode withe the resecoscope works quickly. I have done 4 cm Myomas in 10 minutes with only a 100 cc fluid loss. 1.5% Glycine is my distending fliud of choice. i use with the vaportrode 200w pure cutting current, and it melts the fibroid away. You have to be carefull not to touch the endometrium or the uterine wall or you can get perferation. With vaporization you seal the vessels and get very little bleeding or fluid absorbsion. This prevents hyponatermia and fluid overload, which has caused deaths. Myer
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