Re: Endometrial ablation

From: douglas krell (douglas.krell@nsionline.com)
Fri Jan 31 07:35:33 1997


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rbraun@indyunix.iupui.edu wrote:

> The best treatment for infertility is to tell a woman that she cannot get
> pregnant.

This is actually a "Natural Law". It is a variant of LAW XIII of The House of God--The delivery of medical care is to do as much nothing as possible.

But for practical purposes, I perform a laparoscopic tubal sterilization prior to all endometrial ablations. I usually perform the tubal first although for a time I would put the laparoscope in, perform the ablation while watching the uterine fundus on a second monitor. This was merely for the sake of curiosity and also to measure how much irrigant would flow through the fallopian tubes and wind up in the pelvis. Most of the time it was negligable. But my standard procedure today is to perform the LTS, remove all the equipment from above, suture the incisions and perform the ablation from below.

--

Douglas Krell MD FACOG

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