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Case Reports in Women’s Health

Late-Onset Endometrial Ablation Failure Read Article >

Postablation Endometrial Carcinoma

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Diagnosis and treatment of global endometrial ablation failure

One in seven women suffer with abnormal uterine bleeding during their reproductive years, according to Fraser et al. Heavy menstrual bleeding (menorrhagia) is the most common pattern. Global endometrial ablation has become a very popular surgical technique for women complaining of menorrhagia, disinterested in either medical management or definitive therapy – hysterectomy – or where medical management has failed. Read Article >

“See-and-Treat” Hysteroscopy in the Management of Endometrial Polyps

DR. MORRIS WORTMAN: The introduction of small diameter hysteroscopes and resectoscopes—often no larger than a SIS catheter—now allows most women with abnormal ultrasound findings to undergo a single-stage “see-and-treat” hysteroscopy for the management of endometrial polyps. Read Article >

Minimally Invasive Gynecologic Surgery

Evidence-based laparoscopic, hysteroscopic and robotic procedures Read Article >

Ultrasound-Guided Reoperative Hysteroscopy for Managing Global Endometrial Ablation Failures

Published 2014 in The Journal of Minimally Invasive Gynecology Read Article >

The MIGS approach to fixing failed EA

When endometrial ablation fails, ultrasound-guided reoperative hysteroscopic surgery helps patients avoid hysterectomy. Read Article >

Late-onset Endometrial Ablation Failure – Etiology, Treatment, and Prevention

Published 2015 in The Journal of Minimally Invasive Gynecology Read Article >

Ultrasound-guided Reoperative Hysteroscopy: Managing Endometrial Ablation Failures

Since 1995, five non-resectoscopic endometrial ablation (NREA) devices have been introduced and extensively employed to manage abnormal uterine bleeding (AUB) in women who have completed their childbearing. Oftentimes, EA is combined with hysteroscopic polypectomy or myomectomy to optimize the management of AUB. Read Article >

Why Bother Getting a Second Opinion?

DR. MORRIS WORTMAN: Never in the history of women’s health care have there been as many alternatives to hysterectomies. Obviously we are not talking about life-saving hysterectomies that are performed for cancers or acute hemorrhage following the birth of a child. But many—and possibly most–hysterectomies can now be replaced with other modalities that include:  Read Article >

The Advantages of Having Your Hysteroscopy at The Center

DR. MORRIS WORTMAN: Hysteroscopy is a commonly performed procedure today often used for assisting in the diagnosis and management of abnormal menstrual bleeding including unexplained post-menopausal bleeding. In nearly all communities hysteroscopy is performed either in an office, an ambulatory surgery center or a hospital.  Read Article >

The New MIGS Approach by Dr. Morris Wortman

CONTEMPORARY OB/GYN: Ultrasound-guided reoperative hysterscopy is a minimally invasive technique that can obviate the need for hysterectomy in nearly 90% of woman who have experienced an endometrial ablation failure.  Read Article >

Endomyometrial Resection (EMR) vs. Endometrial Ablation (EA)

DR. MORRIS WORTMAN: If you are considering any type of endometrial ablation (EA) you should strongly consider endomyometrial resection (EMR) and why I believe it has many advantages over any of the ablation techniques that are available today. Here’s a bit of background on each. Keep in mind that in 1988 I became the first physician in Western NY to successfully perform endometrial ablation and had extensive experience with it before I set out to on a different direction and invented the technique of EMR.  Read Article >

Surgery Without Hospitals

ROCHESTER MEDICAL RESOURCE GUIDE: Morris “Moe” Wortman, MD., is a “high flyer” in more ways than one. As a small plane enthusiast, he has logged air speed records in the United States and Europe; as a physician, he founded and has run one of the country’s most respected office-based surgical practices for more than twenty-five years.  Read Article >

Office-Based Surgery: What You Need To Know

THE BULLETIN: We are witnessing a “perfect storm” for the growth of office-based surgery (OBS) across the country. The combination of decreasing physician revenue, enhanced reimbursement for OBS and innovative technology have all stimulated the growth of minimally invasive procedures in the office setting. Many specialties offer a host of procedures in an office environment; these include upper and lower endoscopies, vasectomies, cystoscopies, many plastic surgical procedures, female sterilization, endometrial ablation and even removal of fibroids and endometrial polyps.  Read Article >