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LaproMission in the Caribbean
John George, MD
6323 Georgia Avenue N.W., Suite 201
Washington, DC 20011
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LaproMission
(Video) - This special episode of CaribNation is
dedicated to Dr. Trona Bennett who died tragically in January 2009.
It was
her cutting edge philosophy that brought advanced laparoscopy to St.
Lucia, and the Eastern Caribbean. In an era when many are guided by
the pursuit of selfish goals, her’s was selfless. Her legacy will
live on…. Dr. John George
(A "Special Thanks" to Dr.
Trona Bennett, CaribNation Television, Patients, and Dr. John
George for this heartwarming interview –
Like it on YouTube.)
LaproMission in St. Lucia, Eastern Caribbean from
lapscope on Vimeo.
Question: I
went to the doctors today she tell me
I have a cyst on my right uterus 2.2 cm. I have a bicoenuate uterus.
I would like to know can I remove the cyst in one of my uterus by
surgery?
Answer: The cyst is most likely in the ovary and at
that size most probably is normal or benign. It therefore is likely to
resolve without surgical intervention. Check with the doctor to
determine that it is in the ovary and not the uterus.
- JP George
Question: I am a 20 year old and I was diagnosed
with fibroids and I have excessive bleeding and clots.
Answer:
A competent Gyn Endoscopist may be able to
manage that by hysteroscopy. While medical treatment may decrease
bleeding, surgical resection is the best option. -
JP George
Question: I have a nabothian cyst and I have small
fibroids. I would like to know if a total hysterectomy is needed to
remove this cyst or keep it away? My age is 47.
Answer:
A Nabothian cyst on the cervix is a very common
and innocuous finding that rarely needs to be treated. -
JP George
Question: Does fibroid pain change with your
monthly cycle? For example, the week before I get my period I start
getting lower back pain. As my period gets closer and while I have the
pain gets worse and worse, when my period is done the pain reduces.
The pain never goes away but it seems connected to my cycle. It
also seems to more on my right side. Does the sound like uterine
fibroid pain or something else?
Answer: Cyclic menstrual pain in patients with
fibroids is most commonly due to endometriosis. - JP George
Question: I have just been told I have two
fibroids I'm 63 and at my age the doctor says is rare. I only took HRT
for about eighteen months when I first started the menopause age 50.
How rare is this? I'm in constant pain and have a lot of the symptoms
of fibroids but no bleeding. I'm waiting to see a gyn consultant. I
have had an ultra sound; are there any other tests which would confirm
the fibroids?
Answer: It is not likely that fibroids are the
cause of the painful symptoms this far into menopause. A thorough
gynecologic evaluation should be conducted and other sources of the
pain must be explored including the ovaries and intestines.
- JP George
Question:
I have one very large fibroid on a stalk and several small ones
in the uterus. Can you help me keep my uterus and get rid of the
fibroids?
Answer: The actual size and number of the fibroids
are helpful criteria in determining whether outpatient laparoscopic
removal is feasible. The fact that the largest fibroid is on a stalk
is good for a laparoscopic approach. If "several" refers to less than
ten (10), the procedure may also be feasible by laparoscopy. There is
wide variation in the selection of patients for laparoscopy primarily
based upon the skill of the operator. Few gynecologists perform
laparoscopic myomectomy. I set the limit for laparoscopic removal at
an overall size of 20 weeks and less than ten (10) fibroids. - JP George
Question: I have a 7.5 cm
intramural fibroid with a submucosal component. I have had sonograms
and also a Contrast MRI. Then, I had an HSG, fallopian tubes are
normal, but radiologist said there is a triangular polyp or scar
tissue in my uterus. It is a different radiologist than who saw the
MRI and they didn't have the MRI images to look at. One Dr said
it is not the fibroid but a polyp or scar tissue. Another Dr said it
is probably the submucosal fibroid part. Should I get a
Hysteroscopy to see?
Answer: Hysteroscopy can not only identify the
pathology, polyp or fibroid but can facilitate removal of the polyp.
If removal of the fibroid is indicated, that can be achieved by
laparoscopy at the same time.
- JP George
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