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Endometriosis and infertility: Expert answers to 6 questions to help pinpoint the best route to pregnancy

Although endometriosis and infertility are clearly linked—in life as well as the medical literature—no causal relationship has been established. Nevertheless, data suggest that 25% to 50% of infertile women have endometriosis, and that as many as 30% to 50% of women who have endometriosis are infertile.1 Among the mechanisms that have been proposed to explain this link are: distorted pelvic anatomy

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Endometriosis and pain: Expert answers to 6 questions targeting your management options

Endometriosis has always posed a treatment challenge. Take the early 19th Century, for example, before the widespread advent of surgery, when the disease was managed by applying leeches to the cervix. In fact, as Nezhat and colleagues note in their comprehensive survey of the 4,000-year history of endometriosis, “leeches were considered a mainstay in treating any condition associated with menstruation.”1

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Nezhat Brothers Shed New Light on Ancient Disease, Endometriosis

Endometriosis has affected women for millennia, its symptoms sometimes causing them to fall to the ground and writhe with pain. In this disease, tissue that is similar to uterine lining grows outside of the uterus, building up and then bleeding with every menstrual cycle. Besides extreme pain, endometriosis can cause infertility, entanglements among various abdominal organs, and many other problems.

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The Dilemma of Myomectomy, Morcellation, and the Demand for Reliable Metrics on Surgical Quality – Ceana Nezhat, MD

In late 2013, a public awareness campaign was initiated after electromechanical morcellation (EMM) of a uterus with presumed benign leiomyoma, which in fact was leiomyosarcoma (LMS). Over the past year, the focus of the medical community has been on the incidence of occult LMS, specifically related to EMM. The risk of intracorporeal tissue dissemination by EMM resulted in some manufacturers

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Dr. Nezhat’s Tissue Extraction Technique

Intracorporeal power morcellation is used during minimally invasive gynecologic procedures, including total hysterectomy, supracervical hysterectomy, and myomectomy. Two current alternatives—­laparoscopic-assisted minilaparotomy and tissue extraction through a posterior colpotomy—show promise in minimizing the risks of tissue dissemination. In this article, Dr. Nezhat describes contained transvaginal tissue extraction through a posterior colpotomy in the setting of laparoscopic myomectomy. A video of Dr. Nezhat’s

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Uterine Fibroids

Uterine fibroids (myomas) are noncancerous tumors that grow from the smooth muscle cells inside the uterus. Although single fibroids do occur, usually there are multiple tumors. Fibroids can cause heavy bleeding during menstrual cycles, prolonged menstrual cycles (7 days or more), pelvic pressure or pain, urinary and bowel symptoms and infertility. Fibroids are the most common benign tumors in women

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What You Need to Know About Morcellation

Morcellation is a surgical technique used to reduce the size of tissue specimens before they are removed during surgery. This technique is often used during minimally invasive surgery, and can be accomplished manually (for example using a scalpel) or with the use of a power morcellator (also called electromechanical morcellation). Dr. Nezhat and others have been reporting on potential problems

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New Publications by Dr. Ceana Nezhat

Several prestigious medical journals, including the Journal of the American Medical Association, and websites have recently highlighted and published Dr. Nezhat’s manuscripts and educational videos. A brief list follows.     Pelvic and extragenital endometriosis: a review of the surgical management of deeply infiltrating lesions. Erica Dun, Friedrich Wieser, Ceana Nezhat Journal of Gynecologic Surgery 2013; 29(3): 118-127.    

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OBG Management publishes Dr. Ceana Nezhat’s video on vaginal morcellation

Dr. Ceana Nezhat was recently featured in OBG Management online with a video demonstration of his technique of protected transvaginal morcellation, an alternative to intracorporeal, power morcellation. Please click here to watch the video.

Atlanta & Co. interviews Dr. Ceana Nezhat

  Christina Pullara of 11 Alive’s Atlanta & Co. recently interviewed Dr. Ceana Nezhat on his innovative use of mini-laparoscopy. Please click here to watch the video.

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