Abstract
Since microwave tissue coagulator became commercially available in 1982, it has been widely used for treating hepatomas. Some gynecologists did use the apparatus in laparoscopic salpingectomy for tubal pregnancy, tubal cautery for sterilization, and hemostasis during biopsies of the ovary and commented on its usability. However, gynecologists effectively forgot about microwave coagulation therapy until a 1995 report of microwave endometrial ablation for menorrhagia. Microwave coagulation therapy or microwave ablation therapy has gained recognition as a minimally invasive alternative to hysterectomy for menorrhagia, and recently a curved microwave applicator extended its indication. Menorrhagia in an enlarged distorted uterine cavity caused by myomas and adenomyosis is treatable by microwaves. In addition, atypical endometrial hyperplasia and early endometrial carcinoma are now within the scope of microwave ablation therapy.
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