Myomectomy, removal and innoculation of the myoma. Once the uterine incisions are done, then the myoma will be visible as glicining and white and no capsules and there might be some adhesions between the myoma nd myometrium and it should be dissected using artery forceps or scissors and to facilitate removal of the myoma from its bed, the surgeon has to widen the incisions on both ways, depending on the size of the myoma and every possible adhesion or attachment between the myoma and the surrounding myometrial tissue should be cut or dissected with a blunt or sharp dissections.
Dr. Natalya Danilyants, MD A Safer, Faster Hysterectomy with DualPortGYN
MUSIC PLAYING Brenda Well, I've had perfect attendance for 18 years. And it was a sense of pride. And I just wanted to get back to work as soon as I could, and just get back into my regular routine. When I first went to a gynecologist, she had said that I wouldn't be a candidate for laparoscopic surgery. Because that's what I was looking to get. Because I just didn't, you know, like the idea of having a full large incision, and the recovery time. I also went to a urogynecologist,.
And she said the same thing. When I went to see Dr. Danilyants, she was just very confident that she wouldn't have a problem to be able to perform the whole surgery laparoscopically. Well she came to us for a second opinion. And she found out that minimally invasive approach is actually possible. She's like many other women who have large fibroids, and who are hearing from other doctors that they can only have open surgery. And in fact, it's not correct. Brenda One of the big problems was my husband I,.
We like to go on walks. It was putting a damper on our walking. The mobility, Brenda constantly had to go to the bathroom. It was just uncomfortable. When I spoke to doctor Danilyants, I had a whole list of questions that I brought. Because once you're told that you need to have a hysterectomy, your head starts spinning. Because you just don't know all of the different details. She answered every question, and we couldn't have asked for better results. Brenda Now I don't have that pain any longer. And it's a different world for me.
Dr. Paul MacKoul MD Makes Minimally Invasive Fibroid Removal Possible Helenes Story
I have been suffering from fibroids and endometriosis for over 20 years, and I had very intense pain, back problems, lower stomach problems, headaches from being so anemic. And it controlled my life. I think my first procedure was probably '95. And so since '95, I've been going through different procedures with different doctors, and nothing worked. I would do the surgery, and I would be fine for a month or two. And then I would say the longest I've ever been OK was for three months, and then bam here it comes again.
One of the doctors that I went into, he told me that the best advice that he could give me was to just go ahead and have a hysterectomy. And then he started laughing and said that that was his best advice for the day. And then I told him, thanks, but no thanks. And I walked out. I had a cyst rupture on my right ovary. And I ended up in the emergency room where I had to do surgeries to remove my appendix, because it kind of fused my appendix and my fallopian tube together.
After I got out of that surgery, my GYN at the time, she told me, I want you to go and see Dr. MacKoul. She said, this is the only doctor the only doctor that I want you to see. I went in to see Dr. MacKoul. He was pleasant, and he took the time out to explain to me what was going on and do all his little drawings. Dr. MacKoul recommended a LAAM myomectomy, because I wanted to retain my uterus. He told me if I had any questions just to call him,.
And he would explain anything that I didn't quite understand. Then he actually came and sat with me before I actually was taken in for the surgery. And he went over again what we're going to be doing, and then he told my family to just trust him. I was in good hands. I did not come across a specialist until I actually met Dr. MacKoul. Not only did he tell me what my problem was, not only did he tell me what mistakes had been done with my surgeries prior.
That caused my endometriosis to get worse but he fixed the problem. I haven't had any pain no back problems, no stomach problems, no headaches. I finally decided it was time for me to do what I wanted to do. Three months later, my dad had asked me, would I go with him to Africa. And I told him, sure, and so we went to Africa for a month. This was something that I would not have done prior to having the surgery. The energy that I didn't feel I had before to be able to do.
My master's, now I'm working on my master's. I have the energy where I'm doing my master's, working, and also helping my niece with her homework, and now having to travel with her to go to her different events. I wish I had met Dr. MacKoul before. I wish I had heard about him before I went through all those other procedures. But looking back, with everything that I went through, I'm always telling other people about Dr. MacKoul. He is a true specialist. He is the only specialist I would recommend.
da Vinci robotic gynecologic surgery for fibroids
Ashley Two of my aunts had fibroids and they just took out their uterus. So they don't have any children. Dr. Saffer Ashley has very large fibroids. It's not a cancer. So it's just an abnormal growth that just keeps on growing. If Ashley one day wants to get pregnant the only real option is removing the fibroids but not removing the uterus. Nurse You'll get prepped and ready to go to surgery. Dr. Saffer She's 20 and it's very unusual to see fibroids this big, early on in life. Louella I'm Louella. I'm Ashley's mom.
Nurse Her mom Okay. Ashley I'm Alexis, her sister. Nurse Okay very good. Dr. Saffer This is a da Vinci SI System. The first component is the arms of the robot maneuver very similarly to a human hand with perfect wrist movements. The second component is the actual surgical console. This manipulates the instruments on the robotic arms. When I put my head where the headpiece is, I'm immersed in a 3D field, of fantastic resolution. Fibroids can start to twist on themselves. And that can cause excruciating pain. Ashley It feels like something is like eating me from the inside out. My stomach rises up.
And it stiffens. I'm going to kill you. Dr. Saffer There are ways of removing fibroids, the conventional way is where you make a large incision and take them out. How you doing Nurse Hello. How are you Dr. Saffer With Ashley's surgery there's no way we could do this minimally invasively if it wasn't for the robotic system. I'm going to go through a couple of things, as to what's going to happen this morning. We'll make little incisions in your tummy, and if we can safely take the fibroids out robotically, then that's what we'll do.
Ashley Mmhmm. Okay. Male I'll kind of hold your hand while things are happening. Ashley Yeah. Colleen What seems very routine to us on a daytoday basis is not routine to our patients. They're in a world that's unfamiliar to them. Nurse Just kind of nervous Ashley Yeah. Nurse That's alright. Colleen We understand their fear. We're here to alleviate those fears. Nurse Even nurses get nervous. I had surgery a couple months ago, they kept saying are you nervous No, no, no, no, no, no. But when it got right down to the point it was yes,.
I was nervous. Colleen All of us just as human beings want to know what to expect. Nurse Hugs and smooches and see you later. You're in great hands. Dr. Saffer It's the only robotic system that's dedicated to women's surgery in San Diego County. Nurse Did you meet Sophia the robot Dr. Saffer She'll be out of the hospital the next day. Recovery instead of being six weeks, tends to be 10 days. We attach the robotic arms to the patient. And then I'm right next to her, at the console during the surgery.
Nurse Wow. Dr. Saffer The last thing that you need to do is to get that fibroid tissue out of the abdomen. And we use something called a morcelator. It is sucking the fibroid out. You take it out through a small incision in the abdomen. And close up the middle incisions and we're done. The biggest hole is this one, and it's about a centimeter. How you doing Everything went very, very well. Louella Uhhuh. Dr. Saffer The good news is we did it all robotically, as we planned. She has a beautiful.
What Are Advantages of Robotic Surgery for Fibroid Treatment
Text on screen Fertility Authority. Your Most Trusted Source Ask the Experts What are the advantages of robotic surgery for fibroid treatment Dr. Jason Bromer, Reproductive Science Center of New Jersey Robotic surgery has been available as a technology for greater than 20 years now. But its applications to gynecology and reproductive medicine have really just been realized in the last four or five years. In the setting of myomectomy, which is removing fibroids from the uterus, it's been traditionally believed that for patients who want to maintain their fertility, fibroids would need to be removed through an open incision,.
Which would require a few nights' stay in the hospital after the procedure, and usually around the order of four to six weeks off from work before they can get back to their normal lives, because it's a very invasive, difficult procedure. Myomectomies have been able to be done laparoscopically in the past, but because of the limitations of traditional laparoscopic instruments, we don't have the facility to reconstruct the uterus in a way that would make it safe for patients to be pregnant afterwards. So, patients who wanted to spare their fertility really were told they needed this open, invasive procedure.
Robotic surgery, because of the additional control we get in operating the instruments, allows us to close the uterus and reconstruct the uterus in the same fashion that we could do with an open procedure. Now, a patient who would like to have a myomectomy and maintain their fertility can have the minimally invasive surgery with, essentially, going home the same day from the hospital. Our patients don't usually even stay overnight in the hospital. And we tell them that they will be getting back to their normal activities, frequently, within a week.
How to cure uterine fibroids without surgery
Hello, I'm doctor Gillian Johnson As a former fibroids sufferer what I want to tell you is You don't have to suffer. Fibroids and fibroids symptoms can be cured WITHOUT surgery or a hysterectomy. I had two uterine fibroids, and you may know how painful is. After several unsuccessful medications, my gynecologist wanted me to undergo surgery. But another doctor suggested me to follow a new holisticdrugfree method, accessible on the web. In just 5 weeks fibroids shrunk drastically. No more pain, no more irregular periods, no more bladder pressure. The following ultrasounds shown that both of these fibroid were completely gone.
Myoma Uterine Fibroids What is Myoma, Causes, Symptoms and Treatment for Myoma
A fibroid is a benign tumor that mainly consists have muscular tissue and usually grows inside the uterus. Fibroids are also called myomas. Its size ranges widely, from a small tumor the size of a pea to a large tumor almost the size of the uterus. Myomas are classified into three types, depending on the location where they are found. The intramural myoma, a fibroid that grows in the muscular wall of the uterus. This subserosal myoma, a fibroid located just beneath the outside mucosal covering of the uterus. Here the fibroid projects to the.
Outside and occasionally remains connected with the uterus only through a small stalk. The submucosal myoma, a tumor that grows beneath the surface of the uterus lining. Therefore, this type of fibroids can grow into the uterine cavity. The actual causes have development of a fibroid are still unclear. However, it has been documented that fibroids are associated with high levels of estrogen, the female sex hormone. Fibroids can only developed during reproductive years of women. Following menopause, the production of estrogen decreases which will usually cause fibroids to shrink or disappear.
Myomas are more common in nonpregnant and infertile women. In general, fibroids are asymptomatic or associated with just a few complaints if any complaints. If any complaints occur, then the location, size and type of the fibroid are the major factors. Fibroids can affect nearby structures. They can cause compression of the bladder, which may lead to urinary complaints, or may obstruct the intestine, which may result in constipation. Other complaints can be backaches, abdominal problems, menstrual flow disturbances. Fibroids can impede normal childbirth, which may require caesarean delivery. Fibroids relatively more often lead to miscarriages.
Whenever fibroids cause symptoms, they need to be removed or shrinked. Medications sometimes cause fibroid to shrink by blocking the production and secretion of estrogen. In other cases, surgery may be required to remove the fibroid. The type of surgery depends on the location of the fibroid. Sometimes it's possible to remove the fibroid with the help of the tube entered through the vagina and the procedure is called hysteroscopic myomectomy. In other cases, surgery through the abdominal wall may be necessary. In the case of a large fibroid, hysterectomy may be the only solution.
Fibroid Surgery Using the daVinci Surgical Robot miVIP
I have been having problems with my fibroid for years and I actually had surgery on it about 15 years ago and had my right ovary removed and I kept having problems doctor Ghozland made me feel very comfortable about the procedure he explained to me what was going to happen and he said Cindy I highly recommend doing the Da Vinci robotic surgery because the recovery period is so much shorter and the staff at the surgical center was amazing by the way and the recovery I was amazed I had no abdominal pain like the first time I.
Had surgery on my abdomen I couldn't feel anything where they took anything out after four days I was feeling so good I can believe it I said to my husband i feels so good and he said why don't you go out for a run then I said I think it's a little too soon for that but I couldn't believe it because before my previous surgery I feel like I can really recommend this because my previous surgery took me a good year to get back to normal and it was months that I had pain in my abdomen and throbbing and.
Minimally Invasive Hysterectomy with da Vinci Robotic Surgery miVIP
A hysterectomy is basically the removal of the uterus and various pathologies that patients may have may require the uterus to be removed and that's when we recommend a hysterectomy. There's a lot of reasons why somebody would do a hysterectomy they can range from symptomatic complaints of heavy bleeding chronic pelvic pain painful intercourse severe endometriosis cancer cases fibroids you traditionally have vaginal hysterectomies, abdominal hysterectomies laparoscopic assisted hysterectomies and now the new robotic hysterectomy which is the new kid on the block we always look at the patient to see what they really need.
And depending on that we choose what's the best course of action I find that robotic surgery fits for all patients even simpler or complex cases robotic surgery gives you the best tools robotic surgery provides a 3d image where laparoscopically you do not have that which is a huge advantage of robotic surgery another big advantage of robotic surgery over laparoscopy is the articulating instrumentation so with the articulating instrumentation you can have lot more precise surgery the thing that we're noticing is patients seem to have a lot less.
Pain after robotic that laparoscopic surgeries that's the only difference but recovery time we always ask the patients to take it easy and slow down their activity level about a week or 10 days regardless. One of the great things about miVIP the reason why I like to bring my patients here is because they really make it a safe and comfortable environment for surgeons and patients they provide really topoftheline equipment top of the line nursing staff topoftheline OR technicians which make my life so much easier and makes it a lot safer to perform these kind of major surgeries.
Robotic Hysterectomy For Large Uterine Fibroids And Endometrial Caner
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