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Background

The laparoscopic hysterectomy is a minimally invasive surgical alternative to the open abdominal hysterectomy. The 2005 nationwide inpatient sample survey concluded that nearly 70 percent of hysterectomies done for benign (non-cancerous) indications are performed through the open abdominal method using a large vertical incision or a C-section scar.  The open abdominal hysterectomy can be performed safely and effectively, and is currently the standard of care. However alternatives such as vaginal and laparoscopic hysterectomy are available.

If you have been told that you are not a candidate for these procedures, you should seek a second opinion.  In skilled hands, virtually any patient is a candidate for a minimally invasive hysterectomy regardless of the size and shape of the uterus, presence of endometriosis, or prior surgeries.  The laparoscopic hysterectomy is an excellent alternative which offers all of the benefits of minimally invasive surgery.

Through his Epicenter Dr. Farnam has trained most of the physicians in El Paso and surrounding community on the robotic hysterectomy technique. El Paso now leads the nation in offering a minimally invasive option for most women. The open hysterectomy rate in 2013 was estimated at 19 percent. Nationally the estimated rate for open hysterectomy was 50 percent, according to Intuitive Surgical internal data.

Procedure

The Laparoscope is placed through a ¼ inch incision in the umbilicus (belly button) to view the internal organs.  The images of the operative field are displayed on an HD television screen.  Then two other small incisions are made on the abdomen and are used to pass telescopic precision surgical instruments. The surgeon manipulates these laparoscopic instruments to complete the removal of the uterus using surgical dissection, electrocautery, and Laser energy.Depending on the indication, the procedure can be completed with or without removal of the cervix, tubes and ovaries.

The procedure can be done on an outpatient basis, allowing the patient to have a hysterectomy without spending a single night in the hospital. Dr. Farnam was trained by Dr. Ahluwalia, one of the world’s experts in laparoscopic hysterectomy, during his fellowship at St. Elizabeth’s in New York. Dr. Farnam has performed more than 1,000 laparoscopic hysterectomy procedures.  He has given numerous presentations at local and national conferences on the safety and benefits of the procedure.

Dr. Farnam's Surgical Experience

  • Has performed more than 2,500 minimally invasive surgeries 
  • Has performed more than 1,000 Laparoscopic Hysterectomy procedures 
  • Has performed more than 1,000 robotic surgeries 
  • Performs more than 300 major MIS and urogynecologic surgeries per year 
  • First Physician in Texas to Perform a Single Incision Laparascopic Hysterectomy
  • First Gynecologist in the United States to Perform a Single Incision Robotic Hysterectomy 
  • One of the first five gynecologists in the nation selected to launch the Vespa Single Site Robotic Platform.

Dr. Farnam Robotic Hysterectomies vs Average

* Magrina. J. Separating the O from the G. AAGL 42nd Global Congress
**Intuitive surgical El Paso data 2013. Data on file

Dr. Farnam Robotic Hysterectomy Complication Rate

*Garry R. et al. The eVALuate study: two parallel randomised trails, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ 2004; 328:129. Laparascopic average adjusted for conversion to laparotomy.
**Texas Institute for Robotic Surgery surgical database 2011-2013.  Data on file


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