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11.08.2011

Landmark Gynecologic Procedure Performed at University of Miami Hospital

Tarek Bardawil, M.D., M.B.A., assistant professor of obstetrics and gynecology, was the first physician in Miami-Dade County to perform a single incision laparoscopic myomectomy, according to a representative from Applied Medical, the company that provides the technology used in single incision laparoscopic surgery.

Up to 80 percent of women in childbearing years suffer from fibroids, benign growths in the uterus. When fibroids cause bleeding, abdominal pressure and pain, a myomectomy is recommended for removal of the fibroids. This procedure allows the physician to remove fibroids and preserve a woman’s uterus and fertility.

Single incision laparoscopic surgery provides the advantage of a single incision.

“Since the incision is no more than two centimeters in length and is made in the belly button, the patient will have virtually no scarring, minimal pain and will also experience a quicker recovery time,” said Dr. Bardawil.

During the surgery, Dr. Bardawil used the GelPoint surgical port, made by Applied Medical. The port is inserted via the belly button and is then used to introduce the laparoscope, a small camera, and surgical instruments into the abdomen. The patient was able to go home the same day of her surgery.

Karen Tang, M.D., M.P.H., assistant professor of obstetrics and gynecology, was co-surgeon and Nahida Chakhtoura, M.D., assistant professor of obstetrics and gynecology, assisted during the landmark procedure.

Traditionally, myomectomy was performed though a large incision in the abdomen, requiring the patient to remain hospitalized for a few days and experience a longer recovery period. Currently, most myomectomies are performed using laparoscopy or robotic surgery, in which multiple small incisions are made in the abdomen resulting in a faster recovery, less scarring and less pain. Single incision laparoscopic surgery further enhances those advantages.

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