Not all patients face the same risks from the same surgeries. And older patients with benign uterine tumors may need to exercise caution before choosing one specific procedure. I'm Rachelle Grossman with your latest health news. Research has found that electromechanical morcellation or EMM surgery to remove benign uterine tumors had little effect on negative outcomes like cancer. However, older patients undergoing this surgery did indeed face a raised cancer risk. A EMM tool is sometimes used during the procedure to break up tissue. It's use has been questioned. Uterine fibroids can cause a variety of symptoms, such as heavy.
Jo chats to us about her fibroid surgery and finally conquering the mountain UHCW NHS Trust
Hi I'm Jo Carter, I was a little bit shocked to begin with because I don't think it was anything serious I just had a little pain in my stomach and I went to the doctors thinking that it was probably just a little hernia or something and after a few scans they told me it was quite a big growth from that point I was shocked and also it was pretty daunting to think that I was going to have an operation as I always thought I was quite fit.
And healthy. The tumour was not too far off the size of this rugby ball I think it was 25 cm by 20cm by 17cm which is quite shocking considering the size of me and the fact I didn't know I had it. We actually called it Filbert, hoping it was a fibroid which it was, so we called it Filbert the fibroid and we were counting down the days to removal really. The surgeon was great pretty much from the moment I got diagnosed to the actual surgery itself it was.
Faultless, it was really quick and I couldn't have really asked for any more, from the scans they were probably a week two weeks apart I saw the Consultant twice and before I knew it I was in for the op, so really really good I was exercising fairly early on from as soon as I could move, I just started walking around the block, it got a bit longer and then I went back to the pool and just walked up and down in the pool and did quite a lot of aqua aerobics and then as soon as I could I got on my.
Bike probably from about 8 or 9 weeks but with no resistance, it wasn't far on from then I did a sportif of about 40 miles, I think it was the November. Probably the first one that I won which was mud sweat and beers and that was in the March say fairly soon afterwards and then I've gone on to win quite a few more. I did the iron run in August which was actually the day before it was my op anniversary that was August 22 this year and I won that so that was quite a highlight.
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.
Patient Story Robotic Uterine Fibroid Embolization with Magellan
Ivana I love to walk. It really feels great. I'm a teacher. Sometimes I work with the preschoolers or first grade, and you want to kind of be on their level, when you're sitting down. So I wasn't able to sit down a lot of times. And I noticed a lot of bloating. My body just wasn't functioning the way that it normally was. Last year the doctor noticed that I had fibroids that were the size of lemons. I was in pain a lot. I couldn't wear anything that buttoned. It literally looked like I was nine months pregnant. I was embarrassed. I sought.
Medical advice from my OBGYN about other options other than a hysterectomy. And he referred me to Dr. Bagla. Dr. Bagla Ivana, when she sought us out to have uterine fibroid embolization and it was performed robotically, she was ecstatic and knew that she was undergoing a procedure that would offer her a chance to really change her life. With traditional surgery, such as hysterectomy or myomectomy, there is an open incision, and most women are not ecstatic about having a large incision in the lower part of their abdomen, the scar, the potential.
For bleeding, or infections. With fibroid embolization as a whole, that procedure can be performed minimally invasively on an outpatient basis sometimes, and just through a simple needle hole. What's unique about the Magellan System is its ability to get to both right and left uterine artery, which is critical for the procedure. It offers support for our microcatheter to then deliver the embolic material right into the correct place within the uterus. Ivana The puncture that he made with the Magellan Robotics System, literally it was a little bandaid. And I remember, I had trouble finding where the incision was. Now I'm breathing.
LAAM A Safer Minimally Invasive Myomectomy for Fertility at CIGC
When you have patients that come in who are frustrated and you see their exposure to robotics or open surgery, you're thinking to yourself, what can I do to make it better for that patient Well, the LAAM procedure, which is laparoscopicassisted abdominal myomectomy, is a sort of a hybrid between laparoscopy and a very small cut to take out the fibroids. We developed the LAAM procedure because the laparoscopic approach has a lot of limitations. It is unable to remove smaller fibroids and fibroids inside the uterine cavity, and there's also.
Limitation in the ability to reconstruct the uterus properly. Most fibroid removal from the uterus is done by an OBGYN physician as an open surgical procedure. Now, this requires a hospital stay of two to three days with a six to eight week recovery period. Minimally invasive approaches such as robotic or laparoscopic myomectomies can be used to remove fibroids from the uterus, but are usually limited to smaller fibroids on the outside of the uterus. So myomectomy generally means, take out fibroids. In order to do a myomectomy properly, you have to be able to feel where the fibroids are.
Robotic approach can't do that. The doctor is sitting at a console 15 feet away and doesn't even have the ability to feel the uterus or the fibroids. A laparoscopic approach for fibroid removal is sort of the same. The doctor can feel the fibers with metal instrumentation, but with LAAM, we're able to actually put a finger into the uterus, identify where those fibroids are, with a sense of touch or feel, can remove all the fibers in the uterus that are present. The LAAM approach is a small 14 inch.
Incision at the belly button. The other incision is about three centimeters, only about that big, way down on the bikini line. So with those two incisions, you are actually able to take out the fibroids and feel where they are. You're not going to miss smaller fibroids. You're not going to miss fibroids deep in the muscle. That's vital for patients, especially those that are thinking about getting pregnant or have bleeding from fibroids. The reproductive endocrinologist, for example, prefers our approach to robotic or laparoscopic myomectomy, because with those other procedures, smaller fibroids.
Maybe left behind, which will be detrimental to fertility. While it's a very innovative technique, the part that is so incredible about LAAM is that it gives women and an opportunity to conceive by sparing the uterus. Many of these women may have still had that opportunity, but it would have had to have been through an open procedure which would have been far more painful, more time out of work, and LAM is giving them this opportunity through a very small incision and less pain. Power morcellation is never used during a LAAM procedure.
LAAM procedures performed by CIGC surgeons do not use power morcellation for removal of fibroids from the uterus. Power morcellation is not beneficial for the LAAM procedure. It takes longer time to perform, it has more risks, and it can potentially spread cancer if the cancer is already present in the fibroid. Get a second opinion. Talk to other doctors. If your doctor is not doing a LAAM procedure for fibroids, find a doctor that is. CIGC surgeons are the only ones in the metropolitan area doing it. So LAAM is extremely thorough, very safe,.
Morcellator Lawsuit Information Injury Recovery Institute
Attention The following is an important medical announcement for women diagnosed with cancer after having a hysterectomy or uterine fibroid surgery. If a power morcellator was used during your surgery you may qualify for a substantial cash award. The FDA estimates that 1 in 350 women have an unsuspected form of uterine cancer that cannot be detected prior to hysterectomy or uterine fibroid surgery. And has recently issued a warning to doctors and patients about the increased risk of power morcellators spreading these undetected cancer cells during laparoscopic procedures. If you or a loved one were diagnosed with cancer after a surgery involving a power morcellator.
Understanding fibroids and abnormal uterine bleeding
Gtgt Sawson AsAsanie, M.D., MPH My name is Sawson AsAsanie, and I'm the director of the Minimally Invasive Gynecologic Surgery Program at the University of Michigan. Today we're going to be talking about abnormal uterine bleeding, which is a very common condition that affects many women in their reproductive years. Abnormal bleeding is any type of bleeding that is irregular. That could be bleeding in between menstrual cycles, bleeding that is heavier than usual during menstrual cycles, bleeding after intercourse, or even bleeding after someone's gone through menopause. There are many different causes of abnormal bleeding, and some might be due.
To hormonal changes, some might be due to structural abnormalities such as lesions within the uterus, and others might be due to systemic medical conditions. When a woman has a menstrual cycle that occurs greater than 35 days from start to start, less than 21 days from start to start, or bleeding in between their menses, after intercourse, or after menopause, these are all indications that something might be abnormal, and she should be examined by her physician. Uterine fibroids are a common cause of abnormal bleeding, and the lifetime risk.
Of developing uterine fibroids is approximately 70 to 80 percent. Uterine fibroids are benign tumors of the uterus and can cause many symptoms such as abnormal uterine bleeding, which can be either heavy or irregular, pelvic pain, andor pelvic pressure related to the large size of fibroids. However, not all women with uterine fibroids have symptoms, and the decision to proceed with treatment for uterine fibroids really depends on whether or not those symptoms are bothersome. If you think that your bleeding symptoms are abnormal or bothersome, or if you suspect that you might have uterine fibroids, you should talk to your doctor.
Cindys Hysterectomy Testimonial for Dr. David Ghozland
I have been having problems with my fibroid for years and I actually had surgery on in about 15 years ago and have 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 that then she 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 adult mental 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 thought I think it's a little too soon for that but are 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 month I had pain in my abdomen and dropping in.
Laparoscopic Fibroid Removal
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