Unsere Strategie

 

A Hysterectomy is often avoidable 

New procedure for the organ receiving therapy in the case of dysfuncional uterine bleedings and Menorrhagia

By Daniel Kruschinski, EndoGyn®, (Endoscopic Gynecology Centers)

 
If a woman suffers from heavy menstrual bleeding, there is another option. It is called MEA or Microwave Endometrial Ablation. The MEA System is a third-generation thermal ablation device intended to treat menorrhagia (heavy menstrual bleeding) due to benign causes in pre-menopausal women for whom child bearing is complete. The system is designed to ablate the endometrial lining of the womb. MEA is a clinically proven treatment for excessive uterine bleeding that is performed by the doctor. Clinical studies have shown that MEA is 96% effective in reducing blood flow significantly and 61% of the women stop bleeding completely. Absence of menstruation does not mean that the woman is climatcteric. The hormones of the patient are not influcenced by this procedure. 

MEA can be performed as an outpatient or daycare procedure and can be carried out under either a short general or local anaesthesia. The average procedure time is three and a half minutes. Patients who had had a local anesthesia report on slight cramps. Patients treated with MEA may also find that period pain disappears or is far less than before the treatment. Pain occurring in some patients can be treated with pain medications. Patients in terms of a short observation interval can normally go home and resume normal activities within 1-2 days. Weak cramps can occur within 48 hours. A vaginal secretion over approx. four weeks is also possible. 

MEA uses high frequency microwave energy to cause controlled and rapid heating of the endometrium, thereby ablating the tissue to the basalis and preventing regrowth. The MEA Applicator is gently inserted into the uterine cavity via the cervix. Microwave energy is then applied while the applicator is slowly withdrawn with a sweeping movement until the endometrium is completely treated. There are no fluids or balloons placed in the uterus and no pressure or vacuum is applied – the natural form of the womb is not modified. The procedure can be performed even with the presence of myomas as long as the MEA applicator can enter into the womb. 

MEA uses a unique temperature-profiling feature that allows the doctor to follow the contours of the patient’s uterine cavity and adapt the treatment accordingly.

  • A sensor at the applicator tip measures the temperature at the surface of the endometrium. 

  • Unlike second-generation endometrial ablation devices, assisted vision allows the doctor to view the temperature displayed on the control console to determine the progress and coverage of treatment heating.

  • MEA offers a tailored treatment appropriate for each patient. MEA is the only thermal endometrial ablation product currently available that enables the surgeon to effectively treat all areas of the uterine cavity regardless of the shape. This includes uterine cavity lengths of 6 to14 cm and those with fibroids less than or equal to 3 cm and polyps.

 

 

 

 

Microsulis applicator treating the cornua of the uterus

treating the fundus

treating the uterus

At the end of the treatment the endometrium is destructed all over the uterine cavity