Thursday, January 11, 2007
How to Avoid Hysterectomy
Hysteroscopy Of Intramural Fibroids Video
This is a hysteroscopy of intramural fibroids video, of a 48 year old woman with extremely heavy periods and two intramural fibroids. "Intramural" here means "inside the walls" -- the fibroids are in the uterine wall and cannot be seen through a hysteroscopy like this. The endometrial cavity looks normal, slightly enlarged but otherwise nothing wrong with it. However, this patient has extreme menstrual bleedings and the ultrasound reveals that the cause of the bleeding is two intramural fibroids.
In this video you can also see the openings to the Fallopian tubes. Everything is normal, but the patient is heading to endometrial ablation anyway.
Endometrial Ablation For Submucous Leiomyoma Video
This is an endometrial ablation for submucous leiomyoma video, performed on a woman 41 of age. (Leiomyoma or myoma for short, is tumor of uterine muscle, usually called fibroid.) The woman was diagnosed with unresponsive menorrhagia; menorrhagia stands for "excessive bleeding", and unresponsive menorrhagia usually leads to a hysterectomy, because the doctors start thinking that nothing can save the day. Operative hysteroscopy enables one to avoid hysterectomy by controlling the conditions of uterine bleeding.
In this case, the method chosen was operative hysteroscopy, using an electrical loop. The electricity in the loop removes the segments of the fibroid.
Removing the fibroid is done in little steps, because the loop is small and can only cut away small parts one at a time. Once the largest part of the fibroid is removed, the surgeon proceeds with another instrument, GyneCare VersaPoint, which is a bipolar cuttery instrument to finish the cauterization and endometrial ablation of the uterine cavity.
In the end, the entire endometrium is removed and there will be no more bleeding for this patient.
Roller Ball Endometrial Ablation For Endometrial Polyp Video
This is an roller ball endometrial ablation for polyp video, performed on a woman 55 of age, with a diagnosis of unresponsive menorrhagia because of the presence of an endometrial polyp.
Menorrhagia stands for "excessive bleeding", and unresponsive menorrhagia usually leads to a hysterectomy, because the doctors start thinking that nothing can save the day.
The method of endometrial ablation chosen was operative hysteroscopy. The endometrial polyp is cut away with a roller ball. Most hysterectomies arise due to unresponsive uterine bleeding, but surgeries such as this help avoid hysterectomy by controlling the possible cause of it.
