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.
Patient Story Prostate Artery Embolization with Robotic Catheter
Biking brings balance to my life, good physical activity and a great sense of enjoyment A group of 6 of us, we ride, we take a couple of major trips a year they know that I've gotta stop a little bit more frequently than they do to use the facilities, which in part determined how much I rode and how often I rode. I had been diagnosed with prostate enlargement 1520 years ago. My symptoms had progressed to the point where it was intrusion in my life it really affected my energy.
My ability to concentrate, my ability to just function in my ordinary day both in the office and also with functions at home. I was facing the issue of requiring surgery or this new procedure prostate artery emobolization which was using interventional radiology to achieve the same purpose without surgery having heard what was involved in surgery and now having this option to do something so much less invasive was such a relief. I had prostatic artery embolization PAE, with the Magellan Robotic System differences in recovery are night and day,.
Differences in risk complications are night and day, all in favor of the prostate artery embolization benign prostatic hyperplasia or enlargement of the prostate gland it's the most common benign tumor of the prostate. Doctor Rosenberg really want us to take advantage of novel technologies such as robotics and the Magellan system to really make his procedure as successful as possible. And the procedure really relies on the fact of treating the root of the problem and that's the prostatic growth. The device offers us the ability to now use a catheter which we can shape in any direction and then guide within the body.
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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.
New Minimally Invasive Options for Gynecologic Surgery at North Shore Medical Center NSMC
This is the biggest change I've seen in my practice in 20 years its what I am most excited about since I've come out of residency a patient may come and see me because she's got heavy bleeding and she was found to have a fibroid uterus as it turns out she's been dealing with this for about three years because her mother had the same thing and she had surgery using a traditional laparotomy big incision she's in the hospital for a week and didn't feel well again for eight weeks what I can now tell this patient is.
Let me bring you to the hospital I can use small incisions you can go home the same day i'll have you driving in three days and you can be back to work in two weeks you know we've been doing this for three years and we still say it's a a great operations really sweet operation because it really allows the patient a comfort level that they wouldn't have otherwise if they had to have a major operation or major incision the procedures would be as follows office tubal sterilization.
Office endometrial ablations for heavy bleeding then transitioning to the hospital we do laproscopic supracervical hysterectomies total laparoscopic hysterectomies we can combine those procedures with removal of the tubes and ovaries as well we can do laparoscopy for pelvic pain and endometriosis laparoscopy for removal the ovaries and tubes if we need to for history of breast cancer or for history of ovarian cycsts an example the recent patient is a patient of mine who had a fibroid uterus and the fibroid itself was the size of a grapefruit 10 centimeters.
She had not only heavy bleeding from this but pelvic pain and we were able to see her get her in to the hospital did a hysterectomy the specimen itself weighed 1.5 pounds she was able to go home the following day and she's back at work as we speak which is two and a half weeks after the procedure this is someone who's been living with pain for three to four years shoot me in the eye and say this is so easy how could I possibly have waited for so long.
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.
Novasure Endometrial Ablation Professional Brooklyn Gynecological Services Brooklyn, NY
If you have very heavy menstrual periods, the kind that get in the way of everyday life, then you must hear about Novasure. What is Novasure Endometrial Ablation It's a simple, safe quick procedure to help lighten or stop your periods without the use of hormones or the risks of a hysterectomy. There are no pills which mean no hormonal side effects, it's 90 effective at dramatically reducing or stopping a woman's menstrual bleeding. Novasure is a onetime procedure that's done in your doctor's office and takes just a few minutes!.
How does Novasure work It's an endometrial ablation procedure which is minimally invasive and has no incisions. It works by removing the uterus lining, or endometrium, with a delivery of radio frequency energy. The doctor will insert a slender wand into the uterus which will extend a mesh device that gently expands to fit the shape and size of your uterus. The mesh device then delivers about 90 seconds of measured radio frequency energy. The device is then removed from the uterus. It's that quick simple! What can I expect after the procedure Most women experience moderate cramping which can.
Be treated with over the counter pain medication. There may also be vaginal bleeding, spotting or discharge that may last for several weeks. The discharge is a normal part of the healing process. Recovery is fast and most women resume normal activities within a day or two. Is Novasure right for me If you would like to stop your heavy periods and are sure that you do not want children in the future then Novasure Endometrial Ablation may be the right choice for you. Please speak with your doctor today at Professional Gynecological Services.
Fertility Rates Can Improve with Minimally Invasive GYN Surgery
Infertility has become a significant issue in our present time. Many women are now waiting longer to become pregnant and are faced with infertility due to age or due to conditions such as endometriosis or fibroids that have become more advanced with time. We're able to offer them treatment through minimally invasive approach that will allow them to successfully conceive, Infertility specialists, also known as reproductive endocrinologists, are experts in the diagnosis and treatment of infertility. These doctors will determine why a patient cannot become pregnant and will often use very advanced procedures such.
As IVF, also known as in vitro fertilization, or IUI, intrauterine insemination, to help with pregnancy. Reproductive endocrinologists will often require that patients undergo surgery when necessary to increase fertility rates. dr. danilyants There are good examples that surgery alone can increase pregnancy rates. Fibroid removal from the cavity of the uterus can significantly increase fertility rates by allowing the embryo to implant properly into the lining of the uterus. Surgical removal of endometriosis is known to significantly increase fertility directly after surgery. DR. MACKOUL Scar tissue removal from the cavity of the uterus.
Or from the fallopian tubes will also increase the chances of becoming pregnant. There are times, however, when even surgery alone will not allow for pregnancy. And additional help is often needed from a fertility expert. If surgery is needed, it can usually be performed laparoscopically, allowing for small incisions and a fast recovery. Almost all busy reproductive endocrinologists, the fertility specialists, will refer patients to an expert in minimally invasive surgery. This is to ensure a successful procedure with the shortest recovery time possible. dr. danilyants The Center for Innovative GYN Care.
Specializes in fertility surgery. CIGC has developed techniques and procedures specifically to enhance fertility outcomes. The LAAM procedure for removal of uterine fibroids allows for the removal all fibroids to the uterus with the fastest possible recovery and lowest complication rates. This ensures the patients are back on schedule with their fertility plan as soon as possible. DualPortGYN procedures, using retroperitoneal technique, are extremely effective in removing endometriosis. It's amazing to have patients send me pictures of their babies months or years after I've performed their procedure, thanking me that somehow it changed their life.
There have been many unsuccessful former IVF patients in our practice that have become pregnant after the complete removal of endometriosis using these techniques. Advanced and very novel scar tissue removal procedures and protocols, both for fallopian tubes and the uterine cavity, are regularly done to increase fertility rates. dr. danilyants Surgical success of the procedures has created partnerships between CIGC and some of the most successful fertility groups in the area. Use the surgical specialist to take care of the problem for you. Then use your reproductive endocrinologist, your fertility.
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