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Office GoalThis site is devoted to the presentation of techniques in nerve sparing gynecologic surgery pioneered by Dr. Dary Samimi, M.D., F.A.C.O.G. These techniques are done as an outpatient surgical procedure sometimes under local anesthesia. These techniques and the medical device(s) used to assist with the procedure, were created and patented by Dr. Dary Samimi, M.D., F.A.C.O.G., research-Invention, of Fountain Valley, California, USA. [US Patent for the 'Bladder Saver Retropublic Ligature Carrier Device'] ... read more... |
Office Location: P.O. Box 9870 Fountain Valley, Ca. 92728-9870 1-888-4Female Fax (714) 754-4401 |
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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 Hausers 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:
1. 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.
2. Franken Hauser plexus in the uterosacral ligaments is extensive and contains nerve fibers passing primarily to the uterus, cervix, urinary bladder, and vagina.
3. Removing the entire endocervical canal and T zone is helpful for prevention of future cervical cancer.
4. It is a bloodless technique.
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