Saturday, December 11, 2010

PreOp® Patient Edu Hysterectomy Removal of Uterus, Ovaries and Fallopian Tubes Surgery


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http://www.PreOp.com
Patient Education Company
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.
Patient Education
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.
Patient Education
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.

Patient Education Company

Hysterectomy for Benign Disease #2


http://www.us.elsevierhealth.com/product.jsp?sid=&isbn=9781416062714&lid=&iid=
Hysterectomy for Benign Disease, by Mark D. Walters, MD and Matthew D. Barber, MD, MHS, is the ideal way to enhance your skills in this key area of gynecologic surgery. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, hours of video footage, together with detailed discussions and illustrations, clarify how to most effectively perform a variety of hysterectomy operations and manage complications. Case-based videos take you step by step through simple and complicated abdominal hysterectomy; simple and complicated vaginal hysterectomy; laparoscopic and robotic hysterectomy; vaginal oophorectomy; endometrial procedures that avoid hysterectomy; and more.

Wednesday, December 8, 2010

Laparoscopic Hysterectomy | Step 1 | Prof Zion Ben Rafael


Laparoscopic hysterectomy (LH) is relatively new technique, which was introduced in the late1980th.
The main goal of LH is to transform abdominal hysterectomy into a Laparoscopic Assisted Vaginal Hysterectomy-LAVH or Total LH. This technique offers no advantage to cases that can a-priori be done vaginally.

Tuesday, December 7, 2010

Laparoscopic Supracervical Hysterectomy 2008


A laparoscopic approach to supracervical hysterectomy as performed by Dr. Douglas Krell of the Albuquerque Health Partners gynecologic surgery team. This procedure has been modified numerous times since 2008 to reduce operating time and blood loss.

Total Abdominal Hysterectomy and Bilateral Salpingoopherectomy


http://www.us.elsevierhealth.com/product.jsp?sid=&isbn=9781416062714&lid=&iid=
Hysterectomy for Benign Disease, by Mark D. Walters, MD and Matthew D. Barber, MD, MHS, is the ideal way to enhance your skills in this key area of gynecologic surgery. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, hours of video footage, together with detailed discussions and illustrations, clarify how to most effectively perform a variety of hysterectomy operations and manage complications. Case-based videos take you step by step through simple and complicated abdominal hysterectomy; simple and complicated vaginal hysterectomy; laparoscopic and robotic hysterectomy; vaginal oophorectomy; endometrial procedures that avoid hysterectomy; and more.

Histerectomía Abdominal- Abdominal Hysterectomy


Enviado por " CONSULTORIO MÉDICO JAVIER FLORES BUISSON " MÁNCORA- PERÚ...
URL: http://consultoriomedicofloresmancora.es.tl/ ...
Histerectomía es la cirugía para extirpar el útero de una mujer y se puede hacer a través de una incisión (corte) ya sea en el abdomen o la vagina.El cirujano hace una incisión (corte) de 5 a 7 pulgadas en la parte inferior de su abdomen. El corte puede ir ya sea hacia arriba, hacia abajo o a través del abdomen, justo por encima del vello púbico (corte bikini).
Existen muchas razones para realizar una histerectomía, aunque puede haber maneras de tratar la afección que no requieran de esta cirugía mayor. La afección puede aliviarse con una cirugía menos invasiva. Hable con el médico acerca de las opciones de tratamiento.

Después de extirparles el útero, muchas mujeres notarán cambios en su cuerpo y en la manera de percibirse a sí mismas. Hable con el médico, con su familia y con sus amigos acerca de estos posibles cambios antes de someterse a la cirugía.

La histerectomía puede recomendarse para:

Tumores en el útero, como el miomas uterinos
Cáncer del útero, con mayor frecuencia cáncer endometrial
Cáncer de cuello uterino o una afección precancerosa del cuello uterino llamada displasia cervical
Cáncer ovárico
Endometriosis, cuando el dolor es severo y otros tratamientos no han ayudado.
Sangrado vaginal severo y prolongado (crónico) que no puede controlarse con medicamentos
Prolapso uterino. Un útero desprendido desciende hacia la vagina.
Adenomiosis. Esta afección hace que el tejido que reviste el útero prolifere dentro de las paredes del útero.
Dolor crónico de la pelvis
Complicaciones durante el parto, como el sangrado incontrolable.

A hysterectomy (from Greek ὑστέρα hystera "womb" and εκτομία ektomia "a cutting out of") is the surgical removal of the uterus, usually performed by a gynecologist. Hysterectomy may be total (removing the body, fundus, and cervix of the uterus; often called "complete") or partial (removal of the uterine body but leaving the cervical stump, also called "supracervical"). It is the most commonly performed gynecological surgical procedure. In 2003, over 600,000 hysterectomies were performed in the United States alone, of which over 90% were performed for benign conditions.Such rates being highest in the industrialized world has led to the major controversy that hysterectomies are being largely performed for unwarranted and unnecessary reasons.
Removal of the uterus renders the patient unable to bear children (as does removal of ovaries and fallopian tubes), and changes her hormonal levels considerably, so the surgery is normally recommended for only a few specific circumstances:
Certain types of reproductive system cancers (uterine, cervical, ovarian) or tumors
As a prophylactic treatment for those with either a strong family history of reproductive system cancers (especially breast cancer in conjunction with BRCA1 or BRCA2 mutation) or as part of their recovery from such cancers
Severe and intractable endometriosis (overgrowth of the uterine lining) and/or adenomyosis (a more severe form of endometriosis, where the uterine lining has grown into and sometimes through the uterine wall) after pharmaceutical and other non-surgical options have been exhausted
Postpartum to remove either a severe case of placenta praevia (a placenta that has either formed over or inside the birth canal) or placenta accreta (a placenta that has grown into and through the wall of the uterus to attach itself to other organs), as well as a last resort in case of excessive postpartum bleeding
For transmen, as part of their gender transition
For severe developmental disabilities
Although hysterectomy is frequently performed for fibroids (benign tumor-like growths inside the uterus itself made up of muscle and connective tissue), conservative options in treatment are available by doctors who are trained and skilled at alternatives. It is well documented in medical literature that myomectomy, surgical removal of fibroids with reconstruction of the uterus, has been performed for over a century.
The uterus is a hormone-responsive reproductive sex organ, and the ovaries produce the majority of estrogen and progesterone that is available in genetic females of reproductive age.
Some women's health education groups such as the Hysterectomy Educational Resources and Services (HERS) Foundation seek to inform the public about the many consequences and alternatives to hysterectomy, and the important functions that the female organs have all throughout a woman's life.

Graphic Hysterectomy Surgery using the PEAK Surgical PlasmaBladeTM (no audio)


Visit our website: http://www.peaksurgical.com/applications/obgyn

PEAK Surgical has developed a family of disposable surgical cutting and coagulation tools ideal for hysterectomy surgery. PlasmaBlade offers the technology needed for a variety of procedures:

•The PlasmaBlade, which is designed to be used to cut through all types of soft tissue, including skin, fat and muscle.
•The PlasmaBlade Needle, which has a fine needlepoint tip, is specifically designed for use in ultra-precise surgical procedures and on very delicate skin.
•The PlasmaBlade EXT is designed for use in hysterectomy surgical procedures requiring an extended tip to reach deep into the body.

Benefits of the PlasmaBlade in hysterectomy surgery - the PlasmaBlade provides hysterectomy surgeons and gynecologic oncologists with a single tissue dissection device that offers several features and benefits:

•It quickly, easily and safely cuts through all types of tissue, including skin, fascia, fat and muscle.
•It can be used to cut skin without the "edge curling" associated with traditional electrosurgery.
•Studies with the PlasmaBlade demonstrated that it provides 65 percent greater skin surgical incision wound strength at six weeks than traditional electrosurgery.
•It provides the same positive wound healing profile of minimal scarring and inflammation as a scalpel, but with 60 percent less bleeding.
•Fascia incision healing strength at one week shows the PlasmaBlade to be significantly better than traditional electrosurgery, which is important as wound herniation occurs early during the healing process.
•It eliminates the need to switch between a scalpel and a traditional electrosurgery device during hysterectomy surgery, improving workflow efficiency and reducing the chance for sharps injuries or burns.
•It dissects in a wet or dry surgical field, which is especially useful with obese patients and where edema is present.
•Because it cuts tissue at a much lower temperature and delivers less heat, it is associated with minimal tissue charring and reduced surgical smoke, which is a concern to patients and OR staff given the potential health risks.
•For repeat Cesarean sections, the PlasmaBlade is associated with less bleeding from the skin surface when an old scar is removed, making it easier to close.
•Because the PlasmaBlade minimizes collateral thermal damage, it may reduce the incidence of unintentional tissue injury. This is important in procedures such as hysterectomy surgeries, in which the bowel, bladder and ureters are separated from the other abdominal and pelvic organs by very thin margins, and are common sites of unintentional surgical injury.
•Use of the PlasmaBlade may result in fewer adhesions because it causes less collateral tissue damage than traditional electrosurgery. Studies have demonstrated that use of the Peak PlasmaBlade results in 60 percent less scar tissue formation at six weeks than traditional electrosurgery.
•The PlasmaBlade may reduce the incidence of surgical site infections as it causes less deposition of eschar because of the cooler temperatures at which it operates, and also leaves behind less necrotic tissue. Thus it reduces two potential harbors for infectious microorganisms, and lessens the burden on the inflammatory system as the body attempts to clear the dead material.

Friday, December 3, 2010

Total abdominal histerektomi


Total abdominal histerektomi

PreOp® Patient Education: Hysterectomy Removal Uterus 1


http://bit.ly/PreOpFacebook or http://bit.ly/PreOpFan
http://bit.ly/PreOpTwitter or http://bit.ly/PreOpFollow
http://www.PreOp.com - Patient Education
Patient ED @ 617-379-1582 INFO
On the day of your operation,
you will be asked to put on a surgical gown.
You may receive a sedative by mouth and
an intravenous line may be put in.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving the abdomen.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia. Patient Education
The surgeon will then apply an antiseptic solution to the skin...
place a sterile drape around the operative site...
After allowing a few minutes for the anesthetic to take effect...
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.
Next, the fallopian tubes are tied off and cut.
All arteries and veins connected to the uterus are tied off and cut as well.
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 in place.
The incision is then closed...
and a drainage tube may be left inserted at the site.
Finally, a sterile bandage is applied.
Patient Education Company

Thursday, December 2, 2010

Total Abdominal Hysterectomy: Fibroid Uterus


http://www.us.elsevierhealth.com/product.jsp?sid=&isbn=9781416062714&lid=&iid=
Hysterectomy for Benign Disease, by Mark D. Walters, MD and Matthew D. Barber, MD, MHS, is the ideal way to enhance your skills in this key area of gynecologic surgery. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, hours of video footage, together with detailed discussions and illustrations, clarify how to most effectively perform a variety of hysterectomy operations and manage complications. Case-based videos take you step by step through simple and complicated abdominal hysterectomy; simple and complicated vaginal hysterectomy; laparoscopic and robotic hysterectomy; vaginal oophorectomy; endometrial procedures that avoid hysterectomy; and more.

Robotic Assisted Hysterectomy


Richard J. Cardosi, MD, FACOG, FACS, is a board-certified gynecologic oncologist with Watson Clinic in Lakeland, Florida. He was the first gynecologic oncologist in the area to utilize the da Vinci robotic system for hysterectomies and advanced gynecologic cancer surgeries.

The da Vinci robotic system is designed to perform hysterectomies and other advanced gynecologic surgical procedures in a minimally invasive manner, resulting in a faster healing time, less discomfort and scarring, and a quicker recovery to normal activity.

During the procedure, a robot with mechanical arms is positioned by the patients bedside. Surgical tools are attached to the arms and inserted through very small incisions in a woman's abdomen. The surgeon remains in complete control of the procedure every step of the way. Dr. Cardosi directs the robotic arms with specialized hand controls while sitting at a console from which he views the operating field in 3-D.

For more information or to schedule an appointment with Dr. Cardosi, please call (863) 680-7578 or visit us online at www.WatsonClinic.com/cardosi.

Wednesday, December 1, 2010

Complicaton Rates of Vaginal Hysterectomy-Mayo Clinic Proceedings


Dr. Christine Heisler, female pelvic medicine and reconstructive surgeon, discusses complication rates of patients undergoing vaginal hysterectomy at Mayo Clinic; study published in February 2010 issue of Mayo Clinic Proceedings. http://tinyurl.com/yjok7ka

Live webcast: Robotic-Assisted Hysterectomy


More than half a million times annually in the US, cancer and other serious conditions warrant hysterectomy-- the removal of a woman's uterus.
Usually the procedure is performed via an abdominal incision that requires a 3- to 5-day hospital stay and a 6- to 8-week recovery period. Now, in a handful of hospitals around the country, new robotic technology allows physicians to perform this procedure through small incisions that require a recovery time of only one night in the hospital and a significantly shorter recovery period at home.

Watch as Hartford Hospital surgeon Dr. Amy Brown performs this revolutionary new procedure live on www.OR-Live.com

PreOp® Patient Education: Hysterectomy Removal Uterus 2


http://www.PreOp.com
Patient ED @ 617-379-1582 INFO
On the day of your operation,
you will be asked to put on a surgical gown.
You may receive a sedative by mouth and
an intravenous line may be put in.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving the abdomen.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia. Patient Education
The surgeon will then apply an antiseptic solution to the skin...
place a sterile drape around the operative site...
After allowing a few minutes for the anesthetic to take effect...
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.
Next, the fallopian tubes are tied off and cut.
All arteries and veins connected to the uterus are tied off and cut as well.
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 in place.
The incision is then closed...
and a drainage tube may be left inserted at the site.
Finally, a sterile bandage is applied.
Patient Education Company

Hysterectomy for Benign Disease #5


http://www.us.elsevierhealth.com/product.jsp?sid=&isbn=9781416062714&lid=&iid=
Hysterectomy for Benign Disease, by Mark D. Walters, MD and Matthew D. Barber, MD, MHS, is the ideal way to enhance your skills in this key area of gynecologic surgery. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, hours of video footage, together with detailed discussions and illustrations, clarify how to most effectively perform a variety of hysterectomy operations and manage complications. Case-based videos take you step by step through simple and complicated abdominal hysterectomy; simple and complicated vaginal hysterectomy; laparoscopic and robotic hysterectomy; vaginal oophorectomy; endometrial procedures that avoid hysterectomy; and more.