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Re: Bernard endometrial ablation details From: Bernard Cristalli (bcrist@club-internet.fr) Wed Aug 27 14:42:32 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: John Schmitt: "Re: Puzzler??" Previous message: art fougner, md: "Re: Puzzler?? 24 week ob with severe left flank pain" ATFSOCCER@aol.com wrote: > > In a message dated 97-08-26 01:48:24 EDT, you write: > > << I have found many opinions regarding appropriate power (40-150W) and > > mode (cut, coag, blend 1, blend 2)settings used for roller-ball > > endometrial ablation. I am curious what the "listers" use and why. > > > -- > I never burn. I cut, to be able to have a pathologic report. > -- >> > > Bernard, > > Do you resect the entire endometrial lining? How do you know when you > have gotten down past the basalis layer. > I thought that part of the benefit of the coagulation mode was to get > the thermal penetration to destroy the glands and prevent > regeneration and recurrence? Hav you had good success with the cutting > mode and resection only? > -- Yes. Complete resection. You have to go in the muscle to destroy (or resect) the glands. You see quite well when you are in the myometrium. Until you are not in the muscle you don't do more than a mere D&C. The problem is near the tubal ostia where the perforation risk is great. Some authors use rollerballs at this level. I don't trust it. It's as dangerous for me. I just go as near of the ostia as I can. And the effect is perfect. -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: John Schmitt: "Re: Puzzler??" Previous message: art fougner, md: "Re: Puzzler?? 24 week ob with severe left flank pain"

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