Years ago, patients who needed gynecological surgery only had a single option — an open procedure. In open procedures, the surgeon makes a large incision to carry out the operation resulting in the potential for greater postoperative pain, larger scars and longer recovery times. Today, laparoscopic surgery options have replaced that invasive procedure.
A hysterectomy is the surgical removal of the uterus, and this operation is an exceptionally common procedure with over half a million hysterectomies performed in the United States every year. Gynecologists employ the procedure to treat a range of both cancerous and benign conditions including tumors, uterine fibroids, and heavy or prolonged menstrual periods, also known as menorrhagia. Depending on the condition being treated, the patient’s age, and other factors, a hysterectomy may be performed along with a salpingo-oophorectomy – removal of the ovaries and fallopian tubes. There are several options performing a hysterectomy procedure, one of which is a Da Vinci hysterectomy, which offers patients several distinct benefits. Read More
A few days ago, I saw a local newspaper article that described a botched robotic surgery from 2009. The article went on to claim that new surgical technologies such as the da Vinci® Surgical System are not always properly evaluated by physicians and hospitals in terms of their potential harm to patients. Perhaps most alarming, the article noted that there are questions about the experience and expertise of many of the surgeons who use the equipment.
I always encourage my patients to be fully informed about the advantages and potential risks of any procedure they’re considering. From my perspective, the recent media coverage provides an excellent opportunity to explain robotic surgery and review what you can do to help prevent the kind of complications mentioned in the article. Finally, at the end of this blog you’ll find a description of my practice and what my patients can expect if they choose robotic surgery.
Join me on Thursday, October 27 at 7:30 pm at Norwalk Hospital for a free educational seminar to discusss Minimally Invasive Surgery for the treatment of Pelvic Prolapse, Uterine Fibroids and Endometriosis. To register call 1-866-NHB-WELL.
Those of you who have followed my blogs for a while know that I’ve written about pelvic prolapse a few times — once about daVinci surgery and another time regarding a clinical study that was set up to see if synthetic mesh inserted through a vaginal incision is beneficial in the repair of pelvic organ prolapse. Pelvic organ prolapse is a relatively common condition caused by the weakening of pelvic muscles and ligaments that support organs such as the bladder and uterus. When this weakening occurs, these organs can slip out of place, often pushing into or through the vagina. Pelvic organ prolapse can be uncomfortable and it can interfere with bowel movements, urination and sexual activity.
FOR IMMEDIATE RELEASE
April 11, 2011
Norwalk, CT – Today John Garofalo, M.D. was admitted to the Registry of the Council of Gynecologic Endoscopy (CGE) with certification at the highest level of competence in Operative Laparoscopy and Operative Hysteroscopy. He is now one of a select group of Connecticut and Fairfield County physicians to be listed on the Registry. With this certification, CGE recognizes Dr. Garofalo’s experience conducting endoscopic surgeries that led to successful medical outcomes.
Back in April I blogged about pelvic organ prolapse. It’s a relatively common condition caused by the weakening of pelvic muscles and ligaments that support organs such as the bladder and uterus. When this weakening occurs, these organs can slip out of place, often pushing into or through the vagina. Pelvic organ prolapse can be uncomfortable and it can interfere with urination, bowel movements and sexual activity.
I’m writing about pelvic organ prolapse again because of a recent clinical study that was set up to see if synthetic mesh inserted through a vaginal incision is beneficial in the repair of pelvic organ prolapse. This surgical procedure, called vaginal colpopexy, has been performed using sutures for many years with success rates in the neighborhood of 65-75%. These failure rates are much higher than the failure rate with da Vinci sacrocolpopexy, which I wrote about in my April blog.
5th Annual Norwalk Hospital Medical Staff Educational Symposium
Marriott Hotel, Newport, RI
October 22 – 24, 2010
Sunday October 24, 2010 – 7:30 – 8:15 am:
Uterine Fibroids – How Should We Treat Them? – Steven Bernstein & John Garofalo
Objective: Understand the treatment options for uterine fibroids
In the last few months I’ve blogged about several different surgery types that can be performed using the da Vinci Surgical System. (If you’re new to this blog, the da Vinci Surgical System uses five very small abdominal incisions and state-of-the-art remote control technology to convert my hand movements from a console a few feet away into precise movement of da Vinci surgical instruments.) Another condition that can be treated using the da Vinci Surgical System is endometriosis. Read More