More for Hospital - Based Procedures?
GYN Surgeon Thomas L. Lyons, MD
Advocates Less Expensive, In-Office Solutions
Globally renowned GYN surgeon
Thomas L. Lyons, MD, of the Center for Women’s Care & Reproductive
Surgery in Atlanta is launching an advocacy campaign to lower medical
Dr. Lyons, a minimally invasive
pioneer, is encouraging insurance companies to wake up to the
math—certain in-office procedures cost a fraction of what they cost in
the hospital— such as NovaSure to fix the Number One diagnosis in the
United States, Dysfunctional Uterine Bleeding (DUB).
However, if performed in a
hospital (as encouraged by insurance companies), the ninety- second
NovaSure procedure costs thousands of dollars more because of additional
hospital fees—up to three or four times as much.
“Neither insurance companies nor
patients benefit when certain procedures are done in hospitals instead
of done in-office,” said Dr. Lyons. “If we shifted procedures that CAN
be performed in the office away from a hospital setting, imagine the
money the entire health care system and individuals would save,” he
In-Office Advantages for Patients, Insurers, &
the Health Care System
Endometrial biopsy is often
performed as a “blind procedure” (in hospital settings it is called a D
& C) for dysfunctional uterine bleeding. The problem is that without
being able to see the area, the surgeon could be missing the problem up
to fifty per cent of the time. This doesn’t happen if it is seen using a
hysteroscope, a slender hand-held telescope, in an office-based
“By seeing and removing a polyp
or sub-mucosal fibroid with the hysteroscope, we could potentially pick
up a cancer early or prevent a hysterectomy,” explained Dr. Lyons.
“At a time when we’re striving
to reduce healthcare costs, our technology for in-office hysteroscopy is
excellent—and with it, we can fix problems without operating rooms,
general anesthesia, hospital stays and extraneous personnel,” he said.
Hysteroscopes now use
computer-driven optics—a chip on a flexible stick, which is inserted,
with no incisions, through the vagina and cervix to visualize the
problems in the uterus. Hysteroscopes are extremely versatile
Quick Fix for Dysfunctional
Uterine Bleeding (The #1 Diagnosis in the U.S.)
Endometrial ablation is a
clinical procedure that is performed to reduce and ideally eliminate
excessive menstrual bleeding by destroying, or ablating, the endometrial
lining of the uterus. The patented NovaSure System is a next generation
device that uses precisely measured radio frequency energy delivered via
hysteroscope to remove the endometrial lining.
Lyons was the first in the Southeast to offer NovaSure as a solution to
the age-old problem of excessive menstrual bleeding, or menorrhagia. It
is designed for pre-menopausal women who have completed their
According to the National Women’s Health Resource Center, a non-profit
offering information on women’s health, approximately one in five women
suffer from this problem. It accounts for approximately 30% of the
estimated 600,000 hysterectomies performed in the U.S. annually.
90-second treatment is significantly shorter than any other endometrial
ablation treatment. The average procedure lasts five minutes and is
performed without general anesthesia, meaning the patient can quickly
resume her daily activities.
added benefit to women: no medications or other preparation of the
uterine lining are necessary prior to the procedure.
Women seeking a hassle-free procedure for permanent sterilization that
involves no anesthesia, no scalpel incisions and no additional
outpatient surgery center expenses can have it performed in-office using
Essure and Adiana procedures, unlike
(getting the ‘tubes tied’) and
for men, involve no
or anesthesia. There are no punctures, burning or tying. Although
uncommon, complications with tubal ligation have been life threatening
and even caused death.
Instead, Thomas L. Lyons, MD, uses a tiny hysteroscope to pass
micro-inserts through the body's natural pathways (vagina,
and place them into the woman’s
“The Essure and Adiana procedures are very exciting,” said Dr. Lyons,
for two decades a global leader in offering minimally invasive GYN
solutions to women. “Our first device was placed in six minutes and the
patient was entirely comfortable and conversing during the length of the
additional benefit of the Adiana procedure is that it is compatible with
the NovaSure procedure, whereas Essure is not.
“This is a fantastic advance for women's health care, for a woman to
have a short office visit, an effective sterilization procedure and walk
out a few minutes later. I am pleased to offer this as one of several
office based procedures, which are very cost effective for the community
and women's health care in general,” said Dr. Lyons.
Email the Center for Women's Care
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Reproductive Surgery© 2006
1140 Hammond Drive, Suite
Atlanta, Georgia 30328.
Toll Free 1 (888) 545-0400
Metro Atlanta (770) 352-0037
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