Blog Archive

Hysterectomy (removal of uterus) and, especially myomectomy (removal of fibroids) may be associated with significant blood loss. Since Jehovah Witness patients decline blood transfusion, a blood loss may limit the scope of surgery or pose a risk to their life. Elimination, or at least reduction of blood loss is always...

Correct recognition of surgical anatomy is the most important factor that determines surgeon’s ability to perform any safe and effective operation. Surgeon’s dexterity and availability of assistants, proper instruments and devices are also important but have only a secondary role in achieving a desired outcome. The more surgical anatomy is...

Ovarian dermoid cyst (cystic teratoma) is a certain type of germ cell tumor. The vast majority (98%) of these tumors are benign (mature) and only 2% are malignant (immature). Dermoids derive from certain cells within the ovary that have the ability to generate different tissues such as hair, skin, bone,...

One of the options for permanent sterilization is hysteroscopic intra-fallopian tube placement of two flexible coils made of a mixture of polyester fibers, nickel, titanium, platinum, silver-tin and stainless steel. Intentionally, after three months, these coils become embedded into lumen of corner of the uterus and lumen of the fallopian...

Hysterectomy, which means removal of the uterus (womb), should always be the last resort in surgical armamentarium. Some of the indications for hysterectomy include menorrhagia (prolonged and heavy menstrual flow) and symptomatic leiomyomata (fibroids). Though the vast majority of hysterectomies can and should be done in a minimally invasive way...

Scores of women suffer from huge aching uteri, enormous painful fibroids, debilitating endometriosis and incapacitating pelvic organ prolapse. Many times they had prior abdominal surgeries and/or are obese. In US each year hundreds of thousands of women undergo hysterectomies (removal of uteri), myomectomies (removal of fibroids), excision of severe (frozen...

Traditionally, patients have recovered in the hospital for several days after a major gynecological surgery such as hysterectomy, myomectomy and sacrocolpopexy, Customary justifications for the inpatient stay included better pain control and immediate recognition and care of postoperative complications. However, the following benefits of minimally invasive surgery (MIS) virtually eliminate...

Unfortunately, many women will undergo one (or more) major gynecological surgeries including hysterectomy (removal of the uterus), myomectomy (removal of fibroid tumors in the uterus), and sacrocolpopexy (repair of “fallen” pelvic organs). Most women assume that such surgery is done through an open abdominal incision but in fact, the vast majority of...

Minimally invasive gynecologic (MIG) techniques have generated significant improvement in surgical outcomes. The advent of laparoscopic and robotically assisted laparoscopic (L/RAL) method (surgery through 0.25-0.5 inch “holes”) made the greatest contribution in that positive trend. Employing MIG techniques, patients undergoing major surgeries, such as hysterectomies and myomectomies, are able to go...

Potential surgical blood loss should be considered and discussed by surgeons and patients before surgery. Every operation caries a risk of unintentional bleeding. Prevention and elimination of blood loss is important in order to avoid reduced oxygen supply, steep drop in blood pressure which in turn leads to reduced perfusion...

Normally, endometrial (uterine lining) cells are present only in the uterine cavity. These cells are shedding once a month resulting in a menstrual period flow. Sometimes (abnormally), these cells are growing outside the uterine cavity. Such phenomenon is called Endometriosis (if it happens outside the uterus) and Adenomyoisis (if it...

As I discussed in my November 2011 blog, laparoscopic and/or robotic (minimally invasive) surgery has multiple and significant advantages as compared to laparotomy (open incision) surgery. Patients who need to have a hysterectomy (removal of uterus) or myomectomy (removal of fibroids) or sacrocolpopexy (suspension of sagging vagina) will definitely benefit...

Hysterectomy and/or Myomectomy should be the last resort treating symptomatic fibroids. Unfortunately, in spite of available conservative measures such as different hormonal agents and uterine fibroid embolization, many patients still need surgical intervention. In US each year hundreds of thousands of women undergo hysterectomies and myomectomies. The majority are performed...

For women with uterine fibroid tumors, laparoscopic myomectomy provides an excellent option by allowing women to retain their uterus and recovery more quickly than with traditional surgery. Robotically Assisted Laparoscopic Myomectomy is a minimally invasive procedure that uses laparoscopic myomectomy through 0.5 – 2.0 cm incisions in the abdomen (“belly”)...