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MINIMALLY INVASIVE GYNECOLOGIC PROCEDURES
With continual advances in medical science the advent of minimally
invasive techniques such as laparoscopy has brought big benefits
to patients in Atlanta. Women who require gynecologic procedures
now have less invasive, safer and more acceptable options to traditionally
painful and serious surgery.
At the forefront of these new minimally invasive procedures is
Nathan Mordel, M.D., board certified OB/ GYN and founder of Atlanta
Minimally Invasive Gynecologic Surgery Center, LLC (AMIGS) at Piedmont
Hospital. Dr. Mordel offers the latest techniques in gynecologic
and urogynecologic surgery, and in addition to these minimally invasive
surgical procedures, Dr. Mordel offers on-site vaginal ultrasound
evaluation of pelvic organs and urodynamics testing of bladder dysfunction.
Laparoscopic Supracervical Hysterectomy (LSH)
Hysterectomy is the second most common major operation performed
in the United States today, second only to caesarean section. LSH
is an alternative procedure to more invasive abdominal and vaginal
hysterectomies for women who suffer from fibroids, endometriosis
and persistent bleeding. LSH is a sutureless, bloodless and less
painful procedure. Candidates for this surgery have a clean pap-smears
history, are at a low risk for STD’s and are free of genital
cancer.
LSH, an outpatient surgery, requires only three tiny laparoscopic
abdominal incisions. In fact, most patients go home the same day
and resume all activities within a couple of weeks. By removing
only the uterus through a special device called a morcellator, leaving
the cervix, its attachments and blood and nerve supply intact, LSH
helps avoid complications such as pelvic floor problems including
sexual dysfunction, bladder and bowel symptoms, infections and surgical
menopause, dramatically reducing the physical and psychological
effects of the traditional surgery. When indicated, additional procedures
may be accomplished using the same tiny incisions including removal
of ovaries and tubes and correction of coexisting incontinence or
bladder/bowel sagging.
Tension-Free Vaginal Tape Placement (TVT) and Stress Incontinence
It's estimated that 13 million people suffer from urinary incontinence
and 50 - 60% of these cases are diagnosed as stress incontinence.
A national study showed that, due to embarrassment or the belief
that incontinence is inevitable, women take an average of 9 years
to tell their doctors. TVT is a procedure that treats stress incontinence.
It's an outpatient procedure performed in about 30 minutes, and
through a small half-inch vaginal incision, permanent mesh-like
tape is placed in a hammock fashion underneath the bladder neck.
The mesh-like tape remains as a permanent sling under the urethra,
preventing incontinence when straining or coughing. TVT has an 86%
complete success rate with less than 5% failure.
Patients who have received treatment for sudden urine loss say
that it is great to leave behind the tense moments worrying about
accidents and embrace a new found freedom.
Laparoscopic Correction Of Pelvic Floor And Organ Prolapse
And Sagging
When the natural mesh-like tissue and ligaments that hold pelvic
structure in place begin to fail, the resulting pelvic prolapse
(fascia) can be corrected by using minimally invasive laparoscopic
surgery. After childbearing, heavy physical occupation or traditional
hysterectomy a large percentage of women suffer from pelvic floor
relaxation. Such drooping occurs mainly into or through the vaginal
space. This process can cause a variety of symptoms, including vaginal
bulging/fullness, pelvic pressure/pain, urinary incontinence, and
more. Generally the approach to treatment for mild pelvic floor
relaxation is exercises (Kegels), including biofeedback and electrical
stimulation but moderate or severe pelvic floor dysfunction is usually
treated surgically.
Dr. Mordel offers corrective outpatient surgeries, such as Paravaginal
Repair and Vaginal Cuff Suspension, using a minimally invasive,
laparoscopic approach. With three tiny incisions, zoom cameras,
special instruments and permanent sutures, the sagging pelvic tissues
are returned to their normal anatomic position. Laparoscopic correction
of pelvic floor prolapse is usually an outpatient procedure with
a short recovery period of about 2 weeks.
Media Contact:
The Spizman Agency, LLC
Willy Spizman
770/953-0850
willy@spizmanagency.com
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