Facing Gynecologic Surgery While Experiencing Infertility

Posted by Brigham and Women's Hospital April 21, 2015

Antonio Gargiulo, MD, Medical Director, Center for Robotic Surgery

Today’s post is written by Antonio Gargiulo, MD, Medical Director, Center for Robotic Surgery and a fertility expert in the Center for Infertility and Reproductive Surgery (CIRS) at Brigham and Women’s Hospital in Massachusetts and the Center for Reproductive Care at Exeter Hospital in New Hampshire.

Often my patients experiencing infertility need gynecologic surgery because certain conditions can either cause infertility or impair infertility treatments. Most of these conditions can be treated through minimally invasive surgical techniques, resulting in fewer complications and quicker recovery.

The following post provides information about conditions requiring gynecologic surgery and your treatment options. I recommend that all women of reproductive age that need gynecologic surgery should consult a reproductive surgeon (infertility specialists who practice gynecologic surgery). These physicians have received highly specialized surgical training, which is critical in successfully treating gynecologic conditions that may affect your fertility. I also remind patients that obtaining a second opinion before agreeing to any surgical plan is an essential step in their care.

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Getting Surgical Experience – without a Patient

Posted by Brigham and Women's Hospital October 24, 2013

The new robotic surgery simulator is an important tool for physicians new to robotic surgery and experienced robotic surgeons.

The console is identical to the units used in BWH operating rooms, but instead of operating on human patients, surgeons operate in a virtual environment. It’s available to surgeons 24 hours a day, every day, in BWH’s STRATUS Center for Medical Simulation, a facility dedicated to helping health care professionals build their skill sets in simulated environments.

Working with 3-D images that mimic human tissue, surgeons sitting at the simulation console are able to get an accurate visual representation of their proficiency with using the robotic arms and tools. The simulator also records and analyzes a surgeon’s performance throughout a virtual procedure, providing both real-time feedback and a performance report to examine after the procedure.

“Safe robotic surgeons must become one with their operative console, so that the patient-side robot truly functions as an extension of their own body,” says Antonio Gargiulo, MD, Medical Director of the Center for Robotic Surgery at BWH. “This state-of-the-art simulator should give our patients confidence that their surgeon is always a technically competent robotic surgeon.”

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Lasers, Robots, and a Cast of Thousands

Posted by Brigham and Women's Hospital January 4, 2013

Dr. Gargiulo demonstrates his robotic technique to an audience of more than 1,000 surgeons.

Dr. Antonio Gargiulo, Medical Director of Robotic Surgery at the Brigham and Women’s Hospital (BWH), has performed hundreds of computer-assisted laparoscopic surgeries, but the one he performed on October 22, 2012, was very special.

The surgery, a robotic myomectomy to remove a uterine fibroid tumor in a 29-year-old patient, was beamed live from Brigham and Women’s Faulkner Hospital (BWFH) to an audience of more than 1000 fertility surgeons attending the 68th Annual Meeting of the American Society for Reproductive Medicine (ASRM) meeting in San Diego, California. Over the course of two hours, Dr. Gargiulo narrated the ongoing surgery while answering a steady stream of questions from the audience via three moderators.

Dr. Gargiulo and members of the robotic team at the Center for Infertility and Reproductive Surgery (CIRS)  were chosen by ASRM to broadcast the procedure based on their innovative work in robotic reproductive surgery, such as performing the first single incision robotic myomectomy in 2012.

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Is Robotic Surgery Here to Stay?

Posted by Blog Administrator March 2, 2012

Dr. Antonio Gargiulo; Sophia, Anna, and David Watson

Dr. Antonio Gargiulo; Sophia, Anna, and David Watson

Technological innovation can be intoxicating. We’re fascinated by the ability to do something that we’ve never done before – to start a faucet without touching a handle, to take a picture without using film, or to accumulate hundreds of friends without the hassle of talking to them.

But it’s a whole new ballgame when new technology becomes a part of the health care decision-making process. We’re no longer talking about matters of enhanced convenience or new forms of amusement. We’re talking about our bodies, our minds, and perhaps our mortality, and, thus, our fascination becomes tempered by uncertainty. We’re enticed by the potential advantages that a new technology can bring, but we’re also comforted by the reliability of medical practices that are tried and true.

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