Re: Women's surgery group

[Guest guest]

,

I think this is an old article by Dr. Reich. I do not know any good

laparoscopic surgeons who continue to routinely use colpotomy incisions to

remove fibroids from the abdomen since the development of the new

morcellating instruments a few years ago.

In that the intended audience for his article was gynecologists, the list of

possible surgical complications is stated a bit matter-of-factly.

Complications can occur with any surgery, but, in experienced hands, they

are rare. The paragraphs that discuss complications from a colpotomy

incision have become a non-issue, since this technique is almost never used.

Laparoscopic myomectomy is a technically more difficult procedure to perform

than either lapaproscopic or abdominal hysterectomy and many gynecologists

are not trained to do it. Add to this poor reimbursement from insurance

companies and the risk of complications in inexperienced hands and we end up

with very few doctors offering this option when it is appropriate.

In the early days of laparoscopic surgery (and, still relatively true) many

women were having difficulty finding gynecologists who were knowledgeable

and experienced in laparoscopic surgery. Women's Surgery Group was formed

by a group of well-known and experienced laparoscopic surgeons in order to

offer and promote laparoscopic surgery (and themselves) and fill this void.

I was asked to join a few years later. Inclusion in this group speaks to

technical expertise only and says nothing (unfortunately) about surgical or

medical bias or the doctors' approach to gynecologic problems. So, each

woman still needs to find a doctor who will present all the options, answer

all the questions and with whom they feel comfortable.

Bill , MD

Women's surgery group

Carla,

I stumbled on this site a while ago when looking up some German doctor on

the web. Bill is on the list of physicians, which is another reason

it stuck in my mind.

This paper is incredible, it is one of the few sources I have found on the

web of all the things that can go wrong during laparoscopy. I certainly

would not recommend that anyone coming up for surgery read it. Just

incredible, when I think how gynecologists attack UFE. It certainly makes

one realise how important it is to really interview a doctor carefully to

make sure they have the skills.

These people are very anti-myomectomy. There are a lot of others who are

extremely pro-laparoscopic hysterectomy, it is probably a far simpler

procedure and pays a lot better, especially in Europe.

Maybe Bill can tell us something about these people?

At 15:44 23.02.04 +0000, you wrote:

>You can read the surgical details on this with a paper purportedly

>written by Dr. Harry Reich at:

>

>http://www.womenssurgerygroup.com/conditions/Fibroids/treatment.asp

>

>For a description of culdotomy incision, scroll down to the section

>entitled:

>

>REMOVING LARGE MASSES FROM THE PERITONEAL CAVITY

>

>BTW, prior to getting to this section there is quite a bit of

>discussion on hysterectomy vs. myomectomy laparoscopically....I am

>extremely curious as to the impression this discussion makes on

>others...anyone care to read this page and share your thoughts?

MEETUP! with other local women who have Uterine Fibroids.

http://uterinefibroids.meetup.com

[Guest guest]

Dr. ,

Thank you so much for the reference to the womenssurgerygroup.com

site. It very clear-headed and is helping me come to terms with my

own decision-making process. I appreciate both eastern and western

medical approaches, and so pursue a blend of techniques and

philosophies when it comes to my own health. It is sometimes

difficult to find an east-west balance of well-informed (and evidence

backed) opinions.

regards,

Kim

>

> >http://www.womenssurgerygroup.com/conditions/Fibroids/treatment.asp