Laparoscopic Hysterectomy

Monday, November 28th, 2011

At the 11/5/11 Saint Barnabas Ob/gyn department seminar on Advanced Gynecologic Surgery; The Laparoscopic Hysterectomy, which was coordinated by Anthony C. Quartell, MD and the Ob/gyn department staff, Dr. Quartell’s objectives included the need to examine the rationale for the choice of laparoscopic hysterectomy, to compare the potential advantages of laparoscopic supracervical hysterectomy (lsh), abdominal hysterectomy and vaginal hysterectomy, to identify the indications and contraindications for LSH and finally, to describe the surgical technique for performing laparoscopic hysterectomy.  The response to this topic was received extremely well by an audience comprised of more than 80 physicians from all over the state of New Jersey.  These highly skilled physicians and surgeons  showed great  interest in The Laparoscopic Hysterectomy and its many benefits to the female population they treat.

Anthony C. Quartell, MD serves the areas of Livingston, N.J., Florham Park, N.J, East Hanover, N.J., Whippany, N.J. and surrounding areas.

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Quality of Life is significantly better for LSH patients

Monday, November 21st, 2011

As part of the Saint Barnabas Medical Center Department of Ob/gyn and Dr. Anthony Quartell’s  Advanced Gynecologic Surgery symposium on November 5, 2011 at Saint Barnabas Medical Center, a comparative study of Laparascopic Supra Cervical Hysterectomies versus the Total Laparoscopic Hysterectomy revealed that post op quality of life for the Laparoscopic supra cervical approach is significantly higher than that of the total  approach.  The quality of life indexes include physical functioning, bodily pain, general health, vitality, social functioning, emotional and mental health. (Einarsson, et.al. 2011, AJOG).  This study included 122 women undergoing LSH (comprised of 71 TLH and 51 LSH patients) for benign disease during the period of February 2008- January 2010).  Anthony C. Quartell, MD was the Course Director and described to an audience consisting of more than 80 physicians the benefits of the laparoscopic supra cervical hysterectomy compared to  the other types of hysterectomies currently being performed.

Anthony C. Quartell, MD serves the essex county, morris county , union county, passaic county, hudson county and surrounding areas.

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The Laparoscopic Approach

Monday, November 14th, 2011

When comparing laparoscopic supracervical hysterectomy and total abdominal hysterectomy outcomes, physicians and patients applaud the advantages of the laparoscopic approach over the abdominal approach.  Some reasons for this include a shorter hospital stay, reduced post-operative pain and a decreased need for narcotics, a quicker return to work and to normal physical activities, an improved cosmesis and reduced wound complications associated with large scars, a signicantly lower wound infection rate and finally, the magnification of anatomy and pathology.  In addition, there is a cost benefit to this approach as well.  The shorter hospital stay and decreased nosocomial infections rate contributes to the hospital cost savings and the decreased need for disability and sick leave lend to the employer cost savings.  Compared to the 6 week recovery period for the total abdominal hysterectomy, the laparoscopic approach typically enables the patient to return to work within one week of surgery thereby, forgoing the need for extended time off.  Finally,  the shorter recovery period requires minimal replacement of child care and/or household services during recovery than the six week period of required recovery for the abdominal hysterectomy.

These are some benefits to this approach, which is why Dr. Anthony Quartell started performing these surgeries more than 5 years ago, before most physicians even comtemplated performing this method of hysterectomy.

Anthony C. Quartell, MD & Associates is the Director of Minimally
Invasive Gynecological Surgery at St. Barnabas Medical Center in Livingston, N.J and he  serves the tri state area including Livingston, N.J., Short Hills, N.J., West Orange, N.J., Millburn, N.J. and surrounding areas.

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Laparoscopic Surgery and the 21st Century

Monday, November 7th, 2011

Presently 85% of gall bladders are removed laparoscopically and 90% of appendectomies are laparoscopic and yet only 20% of hysterectomies are minimally invasive. However, the pendulum is now shifting.  At one time, the majority of Ob/gyns had minimal or no laparoscopic training.and in fact, physicians who graduated between 1975 and 2005 were not qualified to perform a laparoscopic hysterectomy while these same physicians would care for most of the women who could benefit from a laparoscopic approach to their hysterectomies.  Presently, in 2011, more ob/gyns are beginning to seek laparoscopic surgical training and Dr. Anthony Quartell is the experienced surgeon they are often turning to for help.

Dr. Anthony C. Quartell, the Director of Minimally Invasive Gynecological Surgery at Saint Barnabas Medical Center  led the OB/GYN Department’s Advanced Gynecological Surgery symposium on November 5, 2011 where four other leading physician experts spoke on the subject to an audience of more than 80 physicians.  Dr. Quartell warned that the laparoscopic surgical slope is steep and slippery and requires careful and extensive training in order to avoid any potential patient harm.

Anthony C. Quartell, M.D. serves Livingston, N.J., Millburn, N.J., West Orange, N.J., West Caldwell, N.J., and surrounding areas.

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