Microwave endometrial ablation (MEA) refers to a relatively new technique which is now being seen as a possible option to hysterectomy.
This technique involves destroying the endometrium using microwave energy. MEA is recommended for women who have crossed their child-bearing years and wish to have no more children, or for those women who suffer from non-cancerous menorrhagia (excessive uterine bleeding).
This technique has been gaining popularity in many countries due to it minimally invasive nature, simplicity and safety.
The endometrial ablation procedure involves inserting a long slim tube through the vagina into the uterus and delivering microwave energy with the help of a computer. The procedure is conducted under appropriate anesthesia.
The tip of the applicator is moved across the tissue and the high temperature passing through it destroys the endometrium. Typically the procedure is painless and is completed in 3-4 minutes.
Complications though rare, are possible, as in any other surgical procedures. Some of the complications may include:
Before the procedure patients should inform the doctor of any kind of allergies and their pregnancy status.
Consult the physician under any of the following conditions:
Recovery depends upon the kind of anesthesia administered and the kind of MEA performed.
Usually patients who receive general, spinal or epidural anesthesia may be discharged from the recovery room, after their breathing, pulse and blood pressure stabilizes and the patient is alert. Patients however, should not drive, and preferably need to be driven home.
If anesthesia was not administered, patients would be required to rest for a couple of hours before being discharged.
Patients may be required to wear a sanitary pad because of a watery-bloody discharge which may continue for several weeks. Patients may also be advised to refrain from using tampons, douching and indulging in sexual intercourse for a couple of days.
To facilitate recovery, restrictions may be put on strenuous activities and lifting heavy objects.
Normal diet too can be resumed, unless otherwise prescribed.
Minor side-effects of the procedure may include:
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