About MEA -
[Cached Version]
Published on: 9/3/2000
Last Visited: 1/6/2002
Hosted by Dr. Jim Daniell, past President of ISGE, the speakers including Prof. Togas Tulandi from Canada who performs the technique, Dr. Nick Sharp from Bath, UK who performed the first clinical cases and Dr. David Parkin from Aberdeen, Scotland who has performed the randomised trials in the procedure, along with other UK gynaecologists Dr. Peter O'Donovan and Dr. Ellis Downes.
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Dr.Tulandi: Thank you Jim.
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Dr. Daniell: So, we have a chance here today to inform the people who log on to OBGYN.net about the new microwave technology by Microsulis.I think, as a non-user, who personally has had no experience with the new technique I am interested to hear what you have to say.
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Dr. Sharp: Ok, well, thanks very much Jim.
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Dr. Daniell - Now, Microsulis has supported, I think, proper investigative studies in England.Could you introduce some of your co-investigators and let's hear about some of their early research.I know you can't give us hard facts because the publications are still in press but you could give us some information about what's been done in the control studies investigating microwave technology for Endometrial Thermal Ablation.
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Dr. Daniell: People are criticizing this, I mean, your competitors are criticizing this, but I see this as a safe device.This is large enough that it is going to be difficult to perforate with this and the treatment consist of withdrawing it while you're monitoring the actual temperature at the tissue level and so it becomes very difficult to perforate.The only skill necessary is to sound the uterus and to be able to move back and forth as you draw back.And again, this is going to be a very brief treatment therefore women can tolerate this with local or light sedation.I certainly think that women in the United States will really like this technique.I just can't wait until Microsulis brings this to the United States.
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Dr. Daniell: That's true, in the states, the only commercial available product for Thermal Ablation costs over $600.This becomes very expensive and I think the opportunity to have a system that is reusable - because the number one criteria in medicine, is safety first, but then cost effective.And I predict that this will replace the use of the balloon.The other problem with our experience with the balloon therapy has been that the amenorrhagia rate is very low - less than 15%.What do you predict will be the 3-year amenorrhagia rate for microwave technology - what sort of a consensus from your expertise?
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Dr. Daniell: Another concern with the balloon techniques has been - what appears to be the high rate of adenomyosis that has either been misdiagnosed or which you are actually inducing because you're getting just a superficial coagulation and causing more glands and stroma to actually be active and invade.
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Dr. Daniell: How about your longer, much longer follow-ups?
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Dr. Daniell: So here we have it.We have the world's first company, Microsulis, which is producing a reusable system, for Endometrial Ablation that is going to have a very low rate of uterine perforation, because you're withdrawing this device.It's going to potentially penetrate deep enough to destroy the Endometrium and the superficial myometrium.This should theoretically, in my opinion, as a non-experienced user, reduce the long-term failure rate related to dysmenorrhea and undiagnosed or induced adenomyosis.
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Dr. Daniell: Well, thanks to OBGYN.net for allowing us to gather these experts today and for Microsulis for letting us bring these researchers together while they're here very busy at the ISGE meeting in Montreal.
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