Thousands of patients is shingles contagious afflicted with large fibroids needing is shingles conta

Home About Nathan Mordel, M.D. Heather Gibbons, M.D. Janet Lefkowitz, is shingles contagious D.O. Patient Cases & Results Robotically Assisted Total Laparoscopic Hysterectomy Robotically Assisted Laparoscopic Excision of Benign Ovarian Tumors Robotically Assisted Laparoscopic Myomectomy Robotically Assisted Laparoscopic is shingles contagious Sacrocolpopexy is shingles contagious Robotically Assisted Laparoscopic Excision of Endometriosis TV Coverage & is shingles contagious Videos da Vinci Surgical System Patient Forms Contact Us Links & Resources GYN Surgery Endometrial Ablation Laparoscopic Hysterectomy Laparoscopic Myomectomy is shingles contagious Operative Hysteroscopy Robotic Laparoscopic Excision of Endometriosis Laparoscopic Excision of Benign Ovarian Tumors Suburethral Sling Placement (TVT-O) Interstim Therapy Robotic Laparoscopic Sacrocolpopexy is shingles contagious Colpectomy/Colpocleisis Robotic Laparoscopic Prophylactic Removal of Tubes and Ovaries da Vinci Surgical System GYN Care Screening & Prevention Annual Exams and Pap Smears High Risk HPV Screening Breast Health Mammograms Osteoporosis Prevention STD Counseling and Testing HPV Vaccine Birth Control Methods Lifestyle & Preventative Care Breast & Ovarian Cancer Gene Testing In Office is shingles contagious Procedures Permanent Birth Control (Essure) Long Term Birth Control (IUD & Implanon) Endometrial Ablation Colposcopy Loop Electrosurgical Excision Procedure (LEEP) Diagnostic Flexible Hysteroscopy Pelvic is shingles contagious Transvaginal Ultrasound Urodynamic Testing Tubal Ligation GYN Conditions is shingles contagious Abnormal Papsmears and Human Papilloma Virus (HPV) Birth Control Methods Breast and Ovarian Cancer Syndrome Menopause Symptoms Conditions Abnormal Bleeding and Fibroids Chronic Pelvic Pain & Endometriosis Ovarian Cysts & is shingles contagious Benign Tumors Urinary Incontinence Pelvic Organ Prolapse 3BRAC1 & BRAC2 Carriers Abnormal Papsmears is shingles contagious and Human Papilloma Virus (HPV) Birth Control Methods Breast and Ovarian Cancer Syndrome Menopause Symptoms Testimonials Blog Contact
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Minimally invasive gynecologic (MIG) techniques have generated significant improvement in surgical outcomes. The advent is shingles contagious of laparoscopic and robotically assisted laparoscopic (L/RAL) method (surgery through 0.25-0.5 inch “holes”) is shingles contagious made the greatest contribution in that positive trend. Employing MIG techniques, patients undergoing major surgeries, such as hysterectomies and myomectomies, are able to go home the same day and return to normal activities in only 2-3 weeks. Major complications, such as clot formation (DVT), infection, scar formation, bowel obstruction and incisional hernias are reduced remarkably as well. Unfortunately, the majority of patients are still undergoing the traditional laparotomy (open abdominal incision). This makes them to stay 2-3 days in the hospital, postpones their return to normal activities by 6-8 weeks and increases the rate of major complications.
Thousands of patients is shingles contagious afflicted with large fibroids needing is shingles contagious a hysterectomy or myomectomy can benefit from L/RAL. Large fibroids are being extracted through small (0.5-0.8 inch) “holes” using special devices called morcellators. These tools are able to cut fibroids into smaller is shingles contagious fragments enabling their removal through these small incisions.
Recently (4/17/2014) and surprisingly, the FDA issued a safety communication is shingles contagious stating “FDA discourages the use of laparoscopic power morcellation during hysterectomy or myomectomy for the treatment of women with uterine fibroids”. It’s important to note that the FDA didn’t ban morcellation. The FDA continues it’s investigation and will issue final recommendations later this year. The concern expressed by the FDA stems from a possible risk of spreading sarcomatous is shingles contagious (certain is shingles contagious cancerous) tissue that could be inside these morcellated fibroids throughout the abdomen. The FDA stated that risk of sarcoma in fibroids is 0.3%. The Society of Gynecologic Oncologists (SGO) reported that the risk to be 0.1%. This means that out of every 1000 patients with fibroids, 1-3 will have sarcoma within a fibroid. There is no reliable way to diagnose sarcoma prior to surgery.
Sarcoma is shingles contagious is known to spread through blood vessels and, unfortunately, at the time of diagnosis, the distant dissemination is shingles contagious has already occurred. Therefore, if sarcoma is unknowingly morcellated, the possible detrimental impact of intraabdominal spread is at best, questionable. On the other hand, banning morcellation from 99.7-99.9% of patients who have benign fibroids, will cause them to undergo is shingles contagious traditional laparotomy surgery (instead of L/RAL) and subject them to significantl