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Endometriosis, Pelvic Pain and the Minimally Invasive Success Story |
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Written by Dr. Branning
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Wednesday, 23 February 2011 00:00 |
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Endometriosis is a condition that affects 6-10% of reproductive age women. It is an often debilitating condition that can cause severe pain and infertility. In fact, those patients with chronic pelvic pain have a prevalence of endometriosis of 70-87%, while those who have infertility issues have a prevalence of endometriosis of 38% (1). The diagnosis is made surgically, but a high degree of suspicion is necessary to lead towards a surgical solution. Minimally Invasive Surgery (MIS) should be the first option for any gynecologic procedure. The daVinci Robotic Surgical System at Baylor Medical Center at Frisco is tailor made for the diagnosis and treatment of Endometriosis. With its superior vision, the daVinci system arms the surgeon with the most advanced tools in the war against pelvic pain and endometriosis. With documented significantly less blood loss, post operative pain and quicker return full function, the daVinci approach is the leading approach to the battle against endometriosis and the pelvic pain and infertility that ensues. When conservative treatments fail, or show limited results, the patient may choose a surgical approach. Clearly excision is far superior to merely draining or cautery of the implants. The successful excision of the endometriosis implant is wholly dependent upon the ability to find the implants (including all of the atypical lesions), see as precisely as possible the surgical dissection of the peritoneum, and successfully remove the lesion with free and clear margins so as to eradicate the disease. The tremendous vision of the daVinci system makes this task infinitely easier. It's a better surgery. It's a game changer.
As one of the few gynecologic robotic surgeons in Texas I have been able to perform surgical success stories that I was not able to do as easily or as precisely with mere laparoscopy. If you're suffering from chronic pelvic pain, heavy painful periods or known endometriosis, I'd be happy to discuss all of your options including excision with the daVinci Surgical System here at Baylor Medical Center at Frisco.
George Branning, M.D.
(1) ACOG Practice Bulletin 114 July 2010 |
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Last Updated on Wednesday, 26 October 2011 15:21 |
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Written by Dr. Branning
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Thursday, 15 April 2010 05:29 |
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Tuesday afternoon, 40 hours after we began, I delivered the son of one of my dear patients. That's right, 40 hours. I want to celebrate this birth and the incredible patience my patient had with me throughout the ordeal. We began with a cervical ripening technique overnight beginning on Sunday evening. IV medicines were begun for contractions the following morning. In reality she didn't really get into labor until 7pm on Monday. She began to make progress. Now why was a vaginal birth so important for her? After all, 1 in 5 patients walking into any labor and delivery in America will end up with a cesarean section. They are common and safe. They also meet my definition of Natural Child Birth, which is: Any time a baby comes out of a mom (no matter how that happens), it is natural. So why, after 24 hours of contractions and a tired patient was I not ready to switch to plan B and take her to the OR for a Cesarean Delivery? Well, due to some co-factors with her health that I'm not at liberty to state here, a Cesarean Delivery would be problematic, especially in the post operative weeks. Not impossible or undoable, just problematic. A vaginal delivery would be significantly safer for her. So I put on my Patient Advocacy hat and began defending her from the nay-sayers who were free with their un-solicited opinions. My patient listened to her options, listened to my counsel and without a blink of the eye tucked herself in for a longer hall. She and her husband were terrific. By early the next morning she was almost completely dilated. By noon she had made it...10cms. She pushed like a champ and at 1:30 that afternoon gave birth to her precious son, with a minimal episiotomy that was easily repaired. Because of her fantastic patience, faith in God as well as faith in her Doctor, she was able to avoid a Cesarean and the specific health challenges it would have brought to her. Patient advocacy is one of the most important roles I have as your physician. Early on in my relationship with you, I establish a partnership with you. That is the ideal bond between physician and patient so that she can contribute mind, body and soul into her health care.
So let's high five my patient for her patience, as well as for her precious new son.
George Branning, M.D. |
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Last Updated on Wednesday, 26 October 2011 15:23 |
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