By Thiers Soares Raymundo, MD In gynecologic endoscopy, two technologies – the CO2 laser and surgical robot – are changing how we approach an increasing number of procedures. I have been using these technologies for two years for several surgeries, including myomectomy for uterine fibroids, endometriosis and cystectomy. The benefits of using these technologies in […]
Opinion
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By Antonio R. Gargiulo, MD Dr. Gargiulo is a reproductive endocrinologist and reproductive surgeon at the Center for Infertility and Reproductive Surgery and the Boston Center for Endometriosis at Brigham and Women’s Hospital in Boston. He is the Medical Director of Robotic Surgery for Brigham Health, and an Associate Professor of Obstetrics, Gynecology and Reproductive […]
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by Maurice K. Chung, RPh, MD In my decades of practice, I have embraced the transformation from open surgery to laparoscopy and finally to every-smaller, less invasive laparoscopic approaches such as mini lap. As a pelvic pain specialist who performs many endometriosis and urogynecological procedures, I know how these surgical technologies can improve both outcomes […]
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By Harry Reich, MD, FACOG, FRCOG, FACS The ideal treatment for endometriosis is a single surgery that removes all abnormal endometrial cells, thus resolving the ensuing condition. Success means choosing the right surgery, so repeated procedures are not necessary. The challenge for surgeons is that when symptoms of endometriosis begin, it is difficult to see […]
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We focused on the most common reasons for retreatment and found new ways to address them. By Michael Maddox, MD Ideally, we would like to treat a condition once and allow our patients to return to normal, healthy activities. In my field, patients sometimes require repeat treatment for kidney stones. A second treatment means a […]
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By Jessica Opoku-Anane, MD, MS Forty to 50% of patients with endometriosis experience a recurrence of endometrial cell growth and pain within 5 years after surgical treatment, even with medical suppression. (Guo 2009) Recurrence is much higher in patients whose endometriosis is advanced at the time of surgery. Once the symptoms return, patients often need […]
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by Mona Orady, MD Obstetrician-Gynecologist Director of Robotic Surgery, Saint Francis Memorial Hospital, San Francisco I learned to perform mini-laparoscopy surgery about five years ago, and I have been performing it regularly for the last two years. Now I can use this modality for almost every gynecologic laparoscopic surgery that I perform, including […]