This is an endometrial ablation for fibroids
video, performed on a woman of 350 lbs, with high
risk of severe anemia, with a diagnosis of unresponsive menorrhagia.
The surgeon is Jose Bolanos, MD.
Menorrhagia stands for "excessive bleeding", so this woman was
not a candidate for a full hysterectomy. She had a fibroid in
the uterus, several polyps, and a thickened endometrial tissue,
which was the mechanical cause of bleeding.
The method of endometral ablation Mr. Bolanos
chose was operative hysteroscopy, the instrument chosen is GyneCare
VersaPoint. It is a bipolar cutter instrument and in the video
you will be able to clearly see how it "shaves off" the endometrium,
leaving the red tissue, soon to be exterminated on the left and
with the greyed out, ablated, tissue on the right.
In the end, the surface of the endometrium
is literally vaporized. The purpose of the endometrial ablation
here was to buy time, to put the patient on oral iron, so that
in two or three months her blood count would return to normal.