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Dr. Dary Samimi, M.D., F.A.C.O.G. Pioneer of Techniques in Nerve Sparing Gynecologic Urogynecologic Surgery |
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Dr. Samimi Daryoosh Samimi, M.D., F.A.C.O.G. Director of US Women Institute P.O. Box 9870 Fountain Valley, Ca. 92728-9870 Phone: 1-888-4Female (888-433-6859) Fax 1-714-754-4401 |
Performing a Bloodless, Nerve Sparing, Total Abdominal Hysterectomy without Disturbing the Pelvic Support System
BACKGROUND:
This is a report of a new technique and experience regarding improved methods for performing hysterectomy.
OBJECTIVE
The purpose of this operation is to describe the prevention of injuries to the Franken Hauser’s nerve plexus, ganglion, vaginal nerve, cavernous nerves of the clitoris, urethral nerve, vesical nerve plexus, and the nerve fibers belonging to erectile tissue of the vestibular bulbs. In the meantime protecting pelvic support system and prevention of cervical cancer.
METHOD
Hysterectomy is utilized for benign and malignant diseases. The goal of the operation is to remove the uterus through the pelvic cavity. This procedure can be done in several ways: Traditional abdominal, vaginal, or LAVH, and lastly, the subtotal or superacervical hysterectomy that has been criticized in medical literature due to the number of patients developing cancer in cervical stump leading to patient fatality.
The new Bloodless TAH (Total Abdominal Hysterectomy) keeps the cardinal, uterosacral ligament and vaginal apex safe and secure, without cut. In the meantime, the entire endocervical canal and T zone with uterus are removed, but the function part of cervical stroma is left.
RESULTS
Many Cases have been performed with no complications, ages between 35-67, EBL during surgery minimum, with follow-up of 2-16 months. Post-operative care and patients' improvement was excellent.
CONCLUSION
The unique features of the new technique are:
- Absence of cardinal, uterosacral and vaginal fornix dissection. Cardinal ligament provide the major support of the uterus and cervix. Uterosacral ligament is composed primarily of nerve bundles. These ligaments serve as a role in the anatomic support of the cervix.
- Franken Hauser plexus in the uterosacral ligaments is extensive and contains nerve fibers passing primarily to the uterus, cervix, urinary bladder, and vagina.
- Removing the entire endocervical canal and T zone is helpful for prevention of future cervical cancer.
- It is a bloodless technique.
Talk to your physician or call Dr. Samimi's office.
| Dr. Samimi's Specialties |
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Board Certified Gynecologist Womens Health Care Physician Noted Inventor Lecturer Renown Surgeon |
| Publications |
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Burch-Sling Bloodless, Nerve Sparing Abdominal Hysterectomy Samimi's Simplified Surgical Correction of Massive Uterovaginal Prolapse |
| Lectures |
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Burch-Sling Bloodless, Nerve Sparing Abdominal Hysterectomy New Method for Breast Cancer Detection |
| Patient Education |
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Detecting and Treating Breast Problems Early Breast Cancer Detection Exercise & Fitness Hormone Therapy Revised Cervical Cancer Screening Guidelines Urinary Incontinence Your Gynecologist: Your Partner in Health Care |