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da Vinci Surgery - Camran Nezhat , M.D., FACOG, FACS - Gynecology
da Vinci Surgery - Camran Nezhat, M.D., FACOG, FACS - Gynecology
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  Nezhat Medical Center: Patients - Laparoscopy Myths
Nezhat Medical Center: Patients - Laparoscopy Myths
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Dr. Camran Nezhat

Camran Nezhat, M.D., FACOG, FACS is a laparoscopic surgeon at Stanford University Medical Center in Palo Alto, California. He is the Deputy Chief of the Department of OB/GYN,[1][not in citation given] Clinical Professor of Surgery and Clinical Professor of OB/GYN at Stanford University Medical Center in Palo Alto, California.[2][unreliable source?] He is also the Clinical Professor of OB/GYN at the University of California in San Francisco, California [3][unreliable source?] and the Director for the Center for Special Minimally Invasive and Robotic Surgey in Palo Alto, California. He is a leading practitioner in the field of laparoscopic surgery, specializing in laparoscopic treatment of severe endometriosis involving multiple organs (such as the bowel, bladder and ureter), management of infertility and other pathologies. He was the first surgeon in the world to treat and report surgical management of extensive pathology laparoscopically.[4][unreliable source?] [5][not in citation given]

[edit] Surgical techniques

Dr. Nezhat has been called the father of modern day laparoscopy [6][dead link][unreliable source?] due to his numerous innovations and inventions in the field of minimally invasive surgery. His techniques, foresight, innovations and courage have revolutionized modern day endoscopic surgery, which has been called the most significant advancement in surgery since the discovery of antibiotics. [7][dead link][unreliable source?]

Dr. Nezhat’s work moved the field of endoscopic surgery away from the established yet awkward “single eye” and mostly diagnostic laparoscopy to his method of operative laparoscopy, which has revolutionized modern day surgery. Also, his prediction and claim that almost all open surgeries could be and should be avoided is increasingly becoming a reality.[citation needed]

In 1993, at the 2nd European Congress in Gynecological Endoscopy in Heidelberg, Dr. Camran Nezhat unveiled his vision for the field of laparoscopy, namely that large incisions would eventually become obsolete. At this stage operative laparoscopy was still considered quite technically limited and dangerous.[citation needed]

Despite this technological lag, Dr. Camran Nezhat demonstrated via video footage that laparoscopic techniques could be integrated into therapy for the abdominal and pelvic cavity, heart, brain, lungs, vessels, endocrine system, and to every aspect of surgery where a cavity existed or a cavity could be created. For, in these situations, he found that the anatomy could be magnified and therefore better visualized.[citation needed]

Dr. Nezhat originally attracted numerous negative reviews, in the category of “medical heresy”[8]. His declaration that “almost all laparotomies can be avoided” was not popularly received at the time, but was eventually accepted.[citation needed]

Dr. Nezhat introduced the technique of operating in an upright position off the television monitor and on the images rather than in the tissue.[citation needed]

He is the forerunner of successful laparoscopic reparative management of many diseases of the pelvic and abdominal organs including laparoscopic bladder, ureter, bowel and diaphragm resection, laparoscopic paraortic lymph node dissection, radical hysterectomy, vesicovaginal fistulas, rectovaginal fistulas; and laparoscopic treatment of ovarian remnant.[citation needed]

Sacral colpopexy and laparoscopy during advanced pregnancy and repair of major vessels were also first reported by Dr. Nezhat and his team. This encouraged those in other surgical disciplines to approach almost all surgical pathologies laparoscopically[9].

Dr. Nezhat claims that the advantages of laparoscopic surgery when performed by an experienced surgeon are fewer complications and better results than laparotomy.[citation needed]

Dr. Nezhat has demonstrated that even the most advanced pelvic and abdominal pathologies including advanced stages of endometriosis involving bowel, bladder, ureter, diaphragm, and liver can be successfully treated by videolaparoscopy.[citation needed]

After achieving clinical success numerous times with videolaparoscopy[10], Dr. Nezhat stated early on, that “if advanced stages of endometriosis can be successfully treated by videolaparoscopy, with the results at least as good as [those of] laparotomy, we can perform practically all the surgical procedures by videolaparoscopy.” In his opinion, videolaparoscopy is the method of choice for an operation whenever a cavity exists in the body or when a cavity can be created.[citation needed]

Dr. Nezhat and his two brothers, Dr. Farr Nezhat with Gynecological Associates at St. Luke's Roosevelt Hospital in New York and Dr. Ceana Nezhat who is the Director of the Nezhat Medical Center in Atlanta, Georgia, who also are laparoscopic surgeons, were the forerunners to perform some the most advanced procedures laparoscopically. [11][not in citation given][not in citation given]

Dr. Nezhat is the past president of the Society of Laparoendoscopic Surgeons.[12][not in citation given]

He has published more than 500 articles, book chapters, abstracts, letters to the editor, and video presentations. He is co-author of 3 textbooks and has won numerous awards and honors from prestigious societies like the American Society for Reproductive Medicine, American College of Surgeons, and the Excel Award from the Society of Laparoendoscopic Surgeons and American College of Obstetrician Gynecologists.[13][not in citation given]

[edit] References

  1. Biography of Camran Nezhat, MD, FACOG, FACS
  2. Newsweek October 13, 1986 pg 95 "Conquering Endometriosis" Clark, Matt, Carroll, Ginny
  3. MarketWatch February 7, 2005 "Robots as surgical enablers" Gerencher, Kristen
  4. The San Francisco Examiner May 26, 2005 "Fertility surgery nets success 10 years later" Wein, Josh
  5. Journal of the Society of Laparoendoscopic Surgeons Presidents Corner "Operative Endoscopy will replace almost all open procedures" 2004;8 2):103-107
  6. Mountain View Voice Volume 14 No 7 February 10, 2006 "A baby at all costs" Sadoughi, Marjan
  7. Conceive Magazine Spring 2006 Vol 3 Issue 1" Dayna's Story: From endometriosis to happy ending" Sherwood, Sarah
  8. The Wall Street Journal December 13, 2005 Section D1 "What you should know before you start IVF" Westphal, Sylvia Pagan
  9. OBGYN.net- Advisory Board: Camran Nezhat,M.D.
  10. Nezhat Medical Center: About Us
  11. Stanford News
  12. Nezhat Medical Center: Exonerated (pdf)
  13. Emory Caselaw: 11ca



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