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.
Female Pelvic Disorders
Autumn Doermann An estimated 40 percent of all women will experience the uncomfortable symptoms of a pelvic disorder during their lifetime. Many women don't know there are treatment options that can help. Here with me today is Dr. Emily Cole to talk about what these conditions are and how to treat them. Dr. Cole, first of all, when we say female pelvic disorders what is that and what causes them Dr. Emily Cole Female pelvic disorders is basically a term that encompasses multiple different issues that women might experience in their lifetime. The most common of those.
Issues would be urinary incontinence or leakage of urine, followed by pelvic organ prolapse, the sensation that the pelvic organs are dropping or coming down out through the vagina. Others could potentially be pelvic pain or bowel problems as well. Causes there are multiple different causes. Childbirth is at the top of the list, increasing age, genetics, there are some other lifestyle causes such as obesity and smoking and there are others as well. Autumn So there are nonsurgical and surgical treatment options, we obviously want to start with nonsurgical so tell me what are those.
Dr. Cole There are a variety of different nonsurgical treatments for pelvic floor disorders and of course they are going to vary depending on which disorder the patient is experiencing. Some of the examples would be medications, pelvic floor exercises those can be assisted with pelvic floor physical therapists who specialize in those areas. In addition, dietary modifications and some lifestyle modifications such as increased exercise and overall well being combined with weightloss and smoking cessation. Autumn Tell me about the surgical options. Dr. Cole There are a variety of different surgical options that are available for the.
Minimally Invasive Surgery for Women
Autumn Many women worry about the impact surgery will have on their lives, and so they delay treatment for a variety of painful conditions. Dr. Jack Hsiao is here to share how minimally invasive and nonsurgical techniques offered at Sharp Mary Birch Hospital for Women Newborns can help. Thank you for being here. First of all, tell me, what is minimally invasive surgery Dr. Hsiao Minimally invasive surgery is the option to perform certain procedures that otherwise would have involved a larger incision through the benefit of using a fiber optic.
Camera where we can minimize the size of the incisions, or use very small incisions, or actually no incisions at all to perform the same procedures. Autumn So what kind of conditions can be treated with this Dr. Hsiao Many of the benign conditions that typically affect women for example, like endometriosis, uterine polyps that may cause bleeding, fibroids and whatnot. Those typically are the more common procedures that can be treated using this particular technique. Autumn So can you tell us what types of minimally invasive options there are Dr. Hsiao Well the very common, popular ones is laparoscopy and also robotic surgery but.
There is also another type of procedure called hysteroscopy, which can address a lot of issues that may be occurring inside the uterus. For example, polyps, uterine fibroids, we can do sterilization procedures without the benefit of an incision. We can also adjust certain uterine anomalies, for example, that may be involved with infertility issues that can also be taken care of. Autumn So what are some of the benefits Dr. Hsiao The primary benefit is that the woman is going to be able to return to her normal activities much faster than otherwise. They most of the time will not need to remain.
PreOp Hysterectomy Removal of Uterus, Ovaries and Fallopian Tubes Surgery
Your doctor has recommended that you have a hysterectomy with the removal of the ovaries and fallopian tubes. But what does that actually mean Hysterectomy is the removal of the uterus the organ that holds and protects the fetus during pregnancy. Hysterectomy often also involves the removal of other parts of the reproductive system, including the ovaries where eggs are produced the fallopian tubes which carry the eggs to the uterus and the cervix or neck of the uterus. There are many different reasons why a doctor may recommend this kind of surgery.
In many cases, disease or the growth of abnormal tissue will lead a doctor to recommend the removal of the uterus, the ovaries and fallopian tubes. In some cases, unusually heavy menstrual flow and the accompanying discomfort may make hysterectomy an important treatment option for patient and physician to consider. But no matter what the reason behind it, you should be aware that the removal of the uterus and other reproductive organs is a serious step and it can mean significant changes in your life. After having a hysterectomy, you will not be able to have children and if because your.
Ovaries are removed as part of the procedure, you may even need to take medication to replace hormones that your body once produced on its own. So make sure that you ask your doctor to carefully explain the reasons behind this recommendation. After allowing a few minutes for the anesthetic to take affect your doctor will decide whether to make a vertical or horizontal incision. An incision is made cutting through the skin and muscle of the abdomen. Next, the surgeon will inspect the general condition of the abdominal organs. Once the ovaries are exposed the uterus can then be separated from the bladder.
All arteries, veins and ligaments connected to the uterus, ovaries and fallopian tubes are tied off and cut. Now the uterus can be pulled upward. This stretches the vagina allowing the surgeon to cut the uterus free at the cervix. The surgeon closes the top of the vagina with stitches, and provides added support by attaching the ligaments that once held the uterus, ovaries and fallopian tubes in place. The incision is then closed and a drainage tube may be left inserted at the site. Finally, a sterile bandage is applied.
Researchers find a way to break wall around Cancer Tumours
A possible new method for treating pancreatic cancer which enables the body's immune system to attack and kill cancer cells has been developed by researchers. The method uses a drug which breaks down the protective barrier surrounding pancreatic cancer tumours, enabling cancerattacking T cells to get through. The drug is used in combination with an antibody that blocks a second target, which improves the activity of these T cells. The drug they used is already FDA approved for related things. Initial tests of the combined treatment, carried out by researchers at the University's Cancer.
General Extraction in Mt. Kisco NY Diana Northern Westchester Oral Surgery
Hi, my name is Diana, and I'm from North Salem. I came to see Dr. Weber to get 2 teeth pulled. I was not scared. I was a little scared, though. I'm scared because I was afraid it would hurt. The staff was really nice, and they helped me feel like I was safe. Dr. Weber was nice too, and he made me feel comfortable. Dr. Weber told me everything that he was going to do. If any of my friends needed their teeth taken out, I would tell them to see Dr. Weber.
Meet Our Researchers Three Myths and Facts about Infertility
DR. STUART MOSS So, one of the big myths that I would say is that a lot of people put all the blame on the female and say, Well, if a couple is infertile, it must be due to the female. And in fact, that's far from the truth. Probably 30 to 40 of infertility is caused by the male partner. Another 40 is caused by the female partner, and the remainder is caused by a combination of the two of them. So, I think a lot of people think that the male will just produce.
Sperm, it will be functional sperm, and it's the female that may have a problem. DR. SUSAN TAYMANS On the female side, I think that there's a lot of information coming out now that shows us that women don't know as much about their fertility and their bodies as we would like them to. I read a recent study from the Journal of Fertility and Sterility in which 60 of women incorrectly thought that the best time to get pregnant is after ovulation, and that's incorrect. The best time to get pregnant is before ovulation.
So if women are trying to get pregnant and they have this misconception, they're really shooting their odds down. DR. MOSS Can I add one other myth that we alluded to earlier on And that is the idea that men can father children through their entire lives, which theoretically is true, but you have to take into consideration the quality of the sperm as the male ages and that the offspring may have certain neurological issues like autism spectrum disorders or bipolar disorders. In a recently published paper looking at the Icelandic population.
How To Treat Fibroid Tumors
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New Treatment For Uterine Fibroids
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Removal Of Fibroid From Breast - Complete Surgical Procedure.Breast fibroids are also known as mammary dysplasia, fibroid breasts or fibrocystic breast disease. The fibroids are noncancerous rubbery nodules that cause..