The Acessa procedure utilizes a technology called radiofrequency ablation, and treats each fibroid by applying energy through a small needle array. The surrounding normal uterine tissue is not damaged or otherwise affected. Over time, the treated fibroid tissue shrinks and may become completely reabsorbed by the body. Acessa is performed under general anesthesia, and only two very small (approximately ¼”) abdominal incisions are needed during the procedure – there is no cutting, suturing or removal of the uterus itself.
Uterus Mapped for Fibroids
The laparoscopic ultrasound probe is used to determine the location and size of all fibroids present. Intra-abdominal ultrasound allows excellent visualization of fibroids as small as 2 mm in diameter.
Handpiece Introduced into Fibroid
The Handpiece tip is advanced into the fibroid with ultrasound guidance.
Deployment of Handpiece Electrodes
The electrode array is deployed. Laparoscopic and ultrasound evaluation confirm that the electrodes remain within the fibroid.
Ablation and Withdrawal
The appropriate duration of ablation is determined, the treatment is applied, and any bleeding is controlled as the Handpiece is withdrawn.
Contacting Your Health Care Provider
There are many treatment options available to women with fibroids. You will need to call your health care provider if gradual changes in your menstrual pattern occur (heavier flow, increased cramping, bleeding between periods), or if fullness or heaviness develops in your lower abdomen. There may be associated pressure or discomfort and occasionally interference with normal urinary function. Your health care provider can discuss the risks and benefits of the various treatment options available to you.
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