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November 18, 2017  
COMMUNITY: Frequently Asked Questions

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  • Fibroids1: What is the difference between your "tubes tied" and fallopian tubal occlusion?
    Dr. John Lipman: The traditional surgical procedure of getting your tubes tied is done laproscopically, and they usually go through the naval and there are one or two other holes made in the abdomen, and the tubes are either clipped, or burned or ligated in some fashion. It’s a surgical procedure, it is less invasive than an open procedure, but it’s still surgical. It’s typically done in a surgical center under general anesthesia. The next generation is hysteroscopic placement of metallic inserts into each tube to close the tubes, which is also done under anesthesia. What we’re doing is even less invasive than that. We’re putting the inserts in through smaller catheters rather than through a hysteroscope and the benefit of entering through smaller catheters is that you don’t have to dilate the cervix and insert this big scope through the cervix. Instead, you’re putting in a tiny catheter that the patient doesn’t even feel.
    Dr. John Lipman: The traditional surgical procedure of getting your tubes tied is done laproscopically, and they usually go through the naval and there are one or two other holes made in the abdomen, and the tubes are either clipped, or burned or ligated in some fashion. It’s a surgical procedure, it is less invasive than an open procedure, but it’s still surgical. It’s typically done in a surgical center under general anesthesia. The next generation is hysteroscopic placement of metallic inserts into each tube to close the tubes, which is also done under anesthesia. What we’re doing is even less invasive than that. We’re putting the inserts in through smaller catheters rather than through a hysteroscope and the benefit of entering through smaller catheters is that you don’t have to dilate the cervix and insert this big scope through the cervix. Instead, you’re putting in a tiny catheter that the patient doesn’t even feel.
    Dr. John Lipman

    Dr. John Lipman


    Dr. John Lipman is founder of the Atlanta Interventional Institute and Medical Director for the Center for Minimally Invasive Services at WellStar Windy Hill Hospital in Marietta, Ga. As an Interventional Radiologist, Dr. Lipman specializes in minimally-invasive out-patient procedures that can replace the need for major surgery. His clinic is dedicated to treating women’s conditions – particularly uterine fibroids and fertility issues. His love for the profession began during his medical school training at Georgetown and during his residency at Brigham and Women’s Hospital, Harvard Medical School. He completed his training with a fellowship in Interventional Radiology at Yale, and today he is dedicated to bringing less-invasive treatment alternatives to his community in Georgia.

    Dr. John Lipman

    Dr. John Lipman


    Dr. John Lipman is founder of the Atlanta Interventional Institute and Medical Director for the Center for Minimally Invasive Services at WellStar Windy Hill Hospital in Marietta, Ga. As an Interventional Radiologist, Dr. Lipman specializes in minimally-invasive out-patient procedures that can replace the need for major surgery. His clinic is dedicated to treating women’s conditions – particularly uterine fibroids and fertility issues. His love for the profession began during his medical school training at Georgetown and during his residency at Brigham and Women’s Hospital, Harvard Medical School. He completed his training with a fellowship in Interventional Radiology at Yale, and today he is dedicated to bringing less-invasive treatment alternatives to his community in Georgia.

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