Excision of Endometriosis

By Barbara Page

 

Excision of Endometriosis

Endometriosis by itself is one of the most perplexing and painful disorders ever to be catalogued in the annals of medical history. Yet, making matters worse is the fact that there exist almost as many opinions on how to treat the disorder as there are specialists. Faced with such a bewildering array of often contradictory information, it is easy to understand how medical misconceptions can sometimes slip into the narratives and be mistaken as scientific fact or simply differences of opinion. Recently, however, there seems to have been an uptick in misleading claims being circulated on the internet, particularly concerning laser and excision surgery. Patients with endometriosis are already burdened with a devastating disease; yet now it seems they face even more hardship by having to navigate through a minefield of misinformation at a time when they are making some of the most critical medical decisions of their lives.

It was clearly time for an information intervention.

Considering that over 500 new articles on endometriosis are published each year, not to mention the thousands of others overflowing from archives, attempting to summarize such a vast and ponderous range of opinions and theories is, needless to say, quite difficult, if not impossible. Add to that the fact that so many lingering unknowns and enigmas are still limiting our understanding of endometriosis, then it becomes all the more clear that we have a colossal task before us in trying to find coherence amidst the confusion. All the same, here’s our best effort to provide unvarnished, jargon-free explanations to common misconceptions about the various surgical options for treating endometriosis. As the references demonstrate, the information is based on recommendations by national medical regulatory agencies and gynecological surgery’s most well-respected textbooks and medical journals.

Laser? Excision?

The great excision-laser showdown


CONTENTS

 
  • Education

  • Certification

  • Licensures

  • Citizenship

  • Memberships

  • Hospital Privileges

  • Committees

  • Awards

  • Editor

  • Teachings/Research Responsibilities

  • Accomplishments

  • Peer Reviewed Publications

  • Letters to the Editor

  • Book Chapters

  • Abstracts

  • Video Presentations

  • Lectures

  • EDUCATION

     

    FELLOWSHIP:

    Reproductive Endocrinology and Infertility
    Drs. Robert Greenblatt and Don Gambrell
    Augusta, Georgia

    1978-1980

    RESIDENCY:

    State University of New York at Buffalo
    Millard Fillmore Hospital
    Buffalo, New York
    Obstetrics and Gynecology

    1975-1978

    INTERNSHIP:

    State University of New York at Buffalo
    Millard Fillmore Hospital
    Buffalo, New York
    Obstetrics and Gynecology

    1974-1975

    MEDICAL SCHOOL:

    Tehran University School of Medicine
    Maryland

    1965-1972

    CERTIFICATION:

    American Board of Obstetrics & Gynecology, 1982
    Re-certification in Obstetrics & Gynecology, 1999
    Re-certification in Obstetrics & Gynecology, 2005

    LICENSURES:

    California

    CITIZENSHIP:

    U.S.A.

    MEMBERSHIPS:

    American Association of Gynecologic Laparoscopists
    American College of Obtreticians and Gynecologists
    American College of Surgeons
    American Medical Association
    American Society for Reproductive Medicine
    Association of the Adjunct Clinical Faculty, Executive Committee
    Minimally Invasive Robotic Association, Executive Committee
    Society of Laparoendoscopic Surgeons
    Society of Reproductive Surgeons
    OBGYN.net Editorial Advisor, Executive Advisory Board, Editorial Advisory Board

    HOSPITAL STAFF AND PRIVILEGES:

    Stanford University Medical Center
    Palo Alto, California

    1993-Present

    El Camino Hospital
    Mountain View, CA

    2006-Present

    El Camino Surgery Center
    Mountain View, California

    2009-Present

    Waverly Surgery Center
    Palo Alto, California
    2009-Present

    COMMITTEES

     

    Member, Stanford University Hospital Operating Room Committee 1993-2009

    Member, Care Improvement Committee

    Member, Medical Executive Committee, Stanford University Hospital

    Member, Executive Committee, Association of Adjunct Clinical Faculty, Stanford University School of Medicine

    Member, Executive Committee, Minimally Invasive Robotic Association

    AWARDS

     
    Endometriosis Foundation of America, 2010

    Honorary Chair
    AAGL 2009

    Movie Award
    Society of Laparoendoscopic Surgeons
    San Francisco, CA
    September 5-8, 2007
    Incisional Hernia on the Trocar Port Site After Laparoscopy Prevention, Recognition and Management

    Recipient of ACOG Fellowship Award in the History of American
    Obstetrics and Gynecology for 2005

    Recipient of Top 25 Volunteers in San Francisco Bay Area
    Points of Light Foundation
    State of California Senate
    December 12, 2005

    Movie Award
    The American College of Obstetricians and Gynecologists
    Laparoscopic Safe Abdominal Entry and Complications
    Philadelphia, Pennysylvania
    May 2004

    Movie Award
    The American College of Obstetricians and Gynecologists
    Endometriosis of the Bladder
    Philadelphia, Pennsylvania
    May 2004

    Movie Award
    The American College of Obstetricians and Gynecologists
    Laparoscopic Evaluation of Suspicious Retroperitoeal Mass
    Philadelphia, Pennsylvania
    May 2004

    Honorary Award
    Naples, Italy
    November 30, 2002

    Honorary Award
    La Sociedad Chilena de Obstetricia y Ginecologia
    Santiago de Chile
    November 14, 2002

    Movie Award
    American Fertility Society
    San Diego, California
    October 2000

    Best Video Award: Open Category
    American Society of Reproductive Medicine/Canadian
    Fertility and Andrology Society
    Conjoint Annual Meeting
    Toronto, Ontario, Canada
    September 25-30, 1999

    First Place Award for Video Presentation
    American Society for Reproductive Medicine 53rd Annual Meeting
    Cincinnati, Ohio
    October 20, 1997

    American Fertility Society
    San Francisco, California
    November 11-16, 1989

    Winthrop Award for Best Paper
    International Society of Reproductive Medicine
    Rancho Mirage, California
    November 1986
    College Award
    American College of Obstetrics and Gynecology
    New Orleans, Louisiana
    May 1984

    Syntex Award
    International Society of Reproductive Medicine
    Hilton Head, South Carolina
    October 1980

    American College of Surgeons Award
    Atlanta, Georgia
    October 1980

    EDITOR

     
    Nezhat's Operative Gynecologic Laparoscopy and Hysteroscopy. Nezhat C, Nezhat F, Nezhat CH, Cambridge University Press, New York, NY, third edition July, 2008.

    Operative Gynecologic Laparoscopy: Principles and Techniques. Nezhat C, Siegler AM, Nezhat F, Nezhat CH, Seidman DS, Luciano AA. McGraw Hill, New York, NY, second edition 2000.

    Endometriosis: Advanced Management and Surgical Techniques. Nezhat C, Siegler AM, Nezhat F, Nezhat CH. Springer Verlag, New York, NY, 1995

    Operative Gynecologic Laparoscopy: Principles and Techniques. Nezhat C, Nezhat F, Luciano AA, Siegler AM, Metzger DA, Nezhat CH. McGraw Hill, New York, NY, first edition 1995.

    Prevention and Management of Laparoendoscopic Surgical Complications. Wetter P, Kavic M, Levinson C, Kelley W, McDougall E, Nezhat C Society of Laparoendoscopic Surgeons, second edition 2005.

    Nezhat's History of Endoscopy: Let There be Light: A Historical Analysis of Endoscopy's Ascension Since Antiquity. Nezhat C, Wetter P Society of Laparoendoscopic Surgeons. Available online at www.sls.org.

    Editor: Journal of Minimally Invasive Gynecology

    Associate Editor: Journal of the Society of Laparoendoscopic Surgeons

    Ad Hoc Reviewer: Editorial Advisory Board
    Journal of Society Laparoendoscopic Surgeons
    Fertility and Sterility
    Journal of Robotic Surgery
    Various other peer-reviewed medical journals.

    TEACHING & RESEARCH RESPONSIBILITIES

     
    Director of Post-Graduate Endoscopy Courses September 1983- present
    Has been teaching endoscopic meetings around the world annually since September of 1983. In total, approximately more than 10,000 surgeons have been involved in these post-graduate meetings.

    Endoscopy Fellowship Director 1987-present
    Has been the director of endoscopic fellowship, which has trained many surgeons all over the world in endoscopic surgery.

    Clinical Professor of Gynecology, Obstetrics, and Surgery (adj)
    Stanford University Medical School, Stanford University, Palo Alto, CA

    Clinical Professor of Gynecology & Obstetrics
    University of California at San Francisco, San Francisco, CA

    Research Interests:

    Endoscopic related treatment of pelvic pathologies such as endometriosis, myoma of the Uterus, and infertility related disorders. Several investigations with IRB approval are presently in progress as well.

    New 3-dimensional and "third eye" vision cameras

    The only endoscopic surgeon involved in the development of the new "third eye" endoscopic video camera.

    Development of new instrumentation for surgery

    Involved in developing new instruments for endoscopic surgery, for example new methods for sealing vessels.

    LapCap

    Developed a new method for safe laparoscopic abdominal entry.
    Robotic Assisted Surgery

    One of the first surgeons involved in the development of DaVinci Robot (while it was still in an investigational phase at Stanford Research Institute with robotic pioneers, Drs Ajit Shah and Phil Green).

    ACCOMPLISHMENTS

     
    Dr. Camran Nezhat has been called the "Father of modern operative laparoscopy." He has pioneered and developed numerous methods and techniques in operative laparoscopy, such as the technique of Videolaparoscopy which revolutionized modern day surgery. (Nezhat C. Videolaseroscopy: a new modality for the treatment of diseases of the reproductive organs. Colposc Gynecol Laser Surg 1986; 2: 221-4). He also proved that some of the most difficult pathologies could be successfully (and with better results) managed laparoscopically. For example, laparoscopic management of extensive endometriosis of bowl, bladder, ureter, diaphragm, radical hysterectomy, paraaortic and pelvic node dissection were all reported for the first time by Dr. Camran Nezhat and his team.

    Some of the procedures either performed or reported for the first time by Dr. Camran Nezhat and his team:

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