Category: Hysterectomy

Essure Response

Fox LA Essure Concerns

I am terribly sorry that the comment may seem unsympathetic, but it was taken out of context during the edit of the interview which took well over half hour. The editors took out majority of the scientific and informative discussions and only chose a phrase presented out of context to portray a sense of lack of empathy within the medical community. I assure all of you that I take every concern my patients may have to heart and take them seriously. I believe that women have an uncanny ability to suspect problems in their bodies and over the years have come to trust that intuition. Having said that, my heart goes out to those who have experienced any wrong doing. I can only speak of my experience with my own patients and those of my colleagues with whom I have a close professional relationship. Essure in my experience has been one of the safest procedures and our patients are happy with the outcome. That is not to say that it is risk free. Everything we do in medicine carries a baseline risk. But we only recommend it if the benefits out way the risks. With regard to any complications, each case has to be evaluated individually. Placement of these devices, the way the procedure is performed, and choosing the right candidates, and proper follow ups play a significant role in the out come of this or any medical procedure. We cannot make a blank statement that it must be the device causing every problem in the book. “You have to take things with a grain of salt.” If someone is suffering from an ensuing infection after the procedure, it most probably is due to failure in following established aseptic techniques during the operation. This is a common concern with any procedure. The alloy used in making this device has been used in medicine for years. You find them in heart valve replacements and have been used in heart catheters around the world. It was not invented for this device. If a patient has an allergic reaction to the implants, it is not the device that we should pull off the market, it is the physician’s clinical judgment that we have to question.


Dr. Kossari Helps You Understand Your Hysterectomy Options

There are times when a hysterectomy is a must in order to deal with medical conditions that can be quite serious. A hysterectomy can be performed in different ways, but the main purpose is to remove the uterus, and at times, the ovaries as well.

It is an extremely common procedure that is used to treat such conditions as severe or abnormal vaginal bleeding, pre-cancerous conditions found in the cervix, uterine fibroids, severe endometriosis, uterine prolapsed, pelvic relaxation, and cancer. In all of these situations, the procedure is often a must in order to protect the health of the patient.

When your doctor determines that a hysterectomy is the proper treatment for you, then you will need to discuss the types that are currently available.

Laparoscopic Hysterectomy

Laparoscopic surgery is a non-invasive method performing a hysterectomy. During this procedure, a light and very small instrument will be threaded through small incisions in the belly.

The benefits to this procedure include small incisions for less pain during recovery and the fact that you get to keep your cervix. However, this procedure cannot be used in cases in which cancer has been found, especially cervical cancer.

Robotic Surgery

Robotic hysterectomy is considered the most non-invasive method of any type of surgical procedure. The procedure makes use of small incisions and a robot controlled device. The surgeon can have the most exact control possible throughout the procedure. The advantage is much lower risk to the patient and the most precise removal of tissues.

Robotic hysterectomies can be used for a variety of different conditions, including cancer. This allows the doctor to have precise control over what tissue is removed and what is not.

Vaginal Hysterectomy

In a few very specific cases, a vaginal hysterectomy may be performed. This procedure involves removal of the uterus through the vagina. Some women prefer this method since it seems less invasive. However, it can only be used in cases of hyperplasia, cervical dysplasia, and uterine prolapse. Additionally, vaginal hysterectomies come along with the possibility of severe complications.

Total Abdominal Hysterectomy

This procedure is the most invasive. It involves a full surgical incision in which the doctor will remove everything: the uterus and the cervix as well as the ovaries in some cases. Because it is so invasive, the procedure is only used in certain situations, including:

  • ovarian cancer
  • large fibroids in the uterus
  • severe endometriosis

Talk to your doctor

If your doctor determines that you need a hysterectomy, then it is important for you to go over your options and determine which would be best for your own condition. Not all hysterectomy options are right for each case, so make sure you go over the details with your physician.


Da Vinci Hysterectomy Gets You Back To Daily Activities Quickly

Conventional surgery for most gynecologic conditions are typically done through large abdominal incisions.  A new option is now available using state-of-the-art technology through a da Vinci® Hysterectomy. The minimally invasive surgery only uses a few tiny incisions to perform the procedure.

incision coparison

The da Vinci® surgical platform uses 3D, high-definition vision and miniaturized, wristed surgical instruments which allow for enhanced vision, precision, dexterity and control. There are numerous benefits to da Vinci® Surgeries when compared to conventional surgeries such as:

  • Less pain
  • Fewer complications
  • Less blood loss
  • Shorter hospital stay
  • Low risk of wound infections
  • Quicker recovery and return to normal activities

To learn more [Read More].