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BackTable / OBGYN / Podcast / Episode #41
Laparoscopic Myomectomy: Tips & Tricks
with Dr. Sarah Cohen Rassier
In this episode of BackTable OBGYN, Dr. Mark Hoffman is joined by Dr. Sarah Rassier, a minimally invasive gynecologic surgeon and Director of the Fibroid Clinic at Mayo Clinic, to discuss the multiple treatment modalities of fibroids with a focus on laparoscopic myomectomy.
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BackTable, LLC (Producer). (2023, December 21). Ep. 41 – Laparoscopic Myomectomy: Tips & Tricks [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Sarah Cohen Rassier
Dr. Sarah Cohen Rassier is a minimally invasive gynecologic surgeon at Mayo Clinic in Rochester, Minnesota.
Dr. Amy Park
Dr. Amy Park is the Section Head of Female Pelvic Medicine & Reconstructive Surgery at the Cleveland Clinic, and a co-host of the BackTable OBGYN Podcast.
Dr. Mark Hoffman
Dr. Mark Hoffman is a minimally invasive gynecologic surgeon at the University of Kentucky.
Synopsis
Drs. Hoffman and Rassier discuss the various factors they consider when deciding on the most suitable approach for a myomectomy. Specifically, they touch on pre-surgical patient optimization, the use of laparoscopic techniques in surgery, and the significance of efficient incision planning and closure. Dr. Rassier also highlights the practice of using preventative measures, such as iron infusions and Lupron, in certain patients to manage fibroids before surgical intervention. The conversation wraps up with a discussion about how future developments could potentially revolutionize fibroid management.
Timestamps
00:00 - Introduction and Overview of the Podcast
03:32 - Discussion on Fibroids and Their Different Treatment Options
06:40 - The Future of Fibroid Treatment
09:17 - Patient-Centered Decision Making in Fibroid Treatment
11:40 - Preparation and Approach for Myomectomy
13:18 - Discussion on the Use of MRI in Fibroid Treatment
15:55 - The Role of Laparoscopy in Myomectomy
29:00 - Umbilicus vs. Suprapubic Approach
32:04 - Cosmetic Considerations in Surgery
32:27 - - C-sections After Myomectomies?
34:51 Instruments and Techniques for Fibroid Removal
36:28 - Minimizing Blood Loss in Surgery
38:47 - The Importance of Efficient Closure in Surgery
44:46 - Tissue Extraction Techniques
49:02 - The Future of Myomectomy
Transcript Preview
[Dr. Sarah Rassier] I think patients sometimes still try to push me in terms of like, "Well, what would you do if it were you?"
I tend to reply with anecdotes where it's sort of like, "Well, if you're the kind of person who really prioritizes recovery time, getting back to work, getting back to working out, maybe you want one of these non-invasive or interventional shrinking procedures. If you really want to do something that's more aggressive, definitive, lower risk of recurrence, then here's where we're thinking," and try to counsel people that way. I've also noticed lately that even if fertility is not a priority, a lot of patients are really interested in uterine conservation. Even when we're in the mid to late 40s, perimenopausal timeframe, I'm seeing a lot more myomectomy patients in that group too.
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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