Archive for the ‘surgery’ Category« Older Entries |
Tuesday, May 7th, 2013
At the time of Bernadeen Mitchell -Ghans’s post operative appointment today, she indicated the following with regard to her surgical experience: “This surgery ( laparoscopic hysterectomy ) was not what I imagined. I thought of a long recovery period and pain. However, Dr. Quartell’s expertise allowed me to have an almost pain free experience. I am extremely satisfied and happy with my surgical experience.”
Anthony C. Quartell, MD & Associates serves Livingston, N.J., Millburn, N.J., Short Hills, N.J., West Orange, N.J. and surrounding areas.
Thursday, April 25th, 2013
K.Charles, a patient of Dr. Quartell’s, commented on the surgery Dr. Quartell performed on her a few years ago. ” I had been experiencing intense cramping and bleeding during periods and I hadn’t seen the Doctor in a while for my regular exams. When Dr. Quartell examined me he knew instantly that it was a large fibroid causing the problems which he confirmed with tests. Consequently, he performed a robotic assisted laparoscopic myomectomy to remove only the fibroid. I was out of bed and walking around the next day. After only four days of being out of work, I was able to return to work feeling great! I had more energy and felt much better. I would recommend Dr. Quartell for this surgery.”
Anthony C. Quartell, MD & Associates serves Livingston, N.J., Millburn,N.J., West Orange, N.J., Florham Park, N.J. and surrounding areas.
Monday, April 15th, 2013
Lori is a forty three year old mother of two who came to see Dr. Quartell for the first time complaining of pelvic pressure and bleeding. Upon exam and ultrasound confirmation, Dr. Quartell found a seventeen week size fibroid that had been bothering Lori for a long time. Lori explained that she had finally “had it” and subsequently wanted it treated surgically as opposed to any other options.
Three weeks later Lori underwent a robotic laparoscopic supra cervical hysterectomy to remove the fibroid uterus and her pain and bleeding along with it. Upon Lori’s post operative visit, she told Dr. Quartell that this surgery was “the best thing that happened to her in a long time” and now because of it, she can return to her normally active life. “I have two kids and stopped going out because of it and I even refused to go on a trip a few months ago because of it. My life immediately improved after the surgery and I have Dr. Quartell to thank.” she lauged and added ” My kids have Dr. Quartell to thank.”
Anthony C. Quartell, MD & Associates serves Livingston,N.J., Millburn,N.J., West Orange, N.J. and surrounding areas.
Monday, April 8th, 2013
A total hysterectomy is when the entire uterus and cervix is removed. Additionally, a radical hysterectomy involves this and also removing the supporting structures around the uterus. Many times it is done to treat certain types of cancer.
A supracervical hysterectomy is the removal of the upper part of the uterus but leaving the cervix in place.
Anthony C. Quartell, MD & Associates serves Livingston, N.J., West Orange, N.J., Short Hills, N.J., Millburn,N.J., Verona, N.J. and surrounding areas.
Monday, March 25th, 2013
By the time women reach menopause, many - possibly up to 80% may have developed benign pelvic tumors or uterine fibroids. However, much of the time these fibroids may not cause any problems, therefore, the patient may have no symptoms- and the fibroids will actually decrease in size over time. Consequently, once the patient has been examined and tested to ensure that there is no malignancy, it may be feasible for her physician to utilize an observation approach, as opposed to a surgical one.
However, surgical management of the fibroid(s) may be indicated if the patient indicates she has any of the following symptoms: abnormal uterine bleeding that does not respond to other more conservative methods such as lupron injections or other treatments, an increase in size after menopause, pain that interferes with her quality of life, some chronic urinary issues. Also, there may be indication to perform surgery if the patient has had infertility issues related to endometrial abnormalities or tubal obstruction. Of course, malignancy must be ruled out as the first step regardless of the chosen treatment to pursue.
The first thing a woman should do if she suspects fibroids as a result of any of the above symptoms, is see her gynecologist for a thorough evaluation.
Anthony C. Quartell, MD & Associates serves the areas of Livingston,N.J., Short Hills, N.J., Millburn, N.J., West Orange, N.J. and surrounding areas.
Monday, March 11th, 2013
Females who complain of abnormal uterine bleeding should be evaluated by the obstetrician gynecologist who will perform an exam, ultrasound and other potential testing depending on the individual case. The physician will ask the patient how long she has been bleeding and where the bleeding appears to be coming from (in urine only, on tissue when wiping vagina or rectum). Other questions the physician will ask relate to the frequency and duration of the bleeding and the relation to her menstrual cycle. He will ask if she is sexually active and if there are any other associated symptoms , such as pain, as well as questions regarding medications. It would be helpful for the patient to know her family history as well.
The obstetrician gynecologist will review her answers, examine her and if necessary he or she may order an ultrasound or other tests to confirm whatever suspicions he or she may have. Some of the causes the doctor may suspect could include fibroids, polyps, adenomyosis, anovulation, disorder of hemostatsis, neoplasia or some kind of trauma or infection. Of course, the only way for the doctor to find his way to any conclusive answer is for the patient to schedule an appointment first!
Anthony C. Quartell, MD & Associates serves Livingston, N.J. , West Orange, N.J., Caldwell, N.J., Whippany, N.J. and surrounding areas.
Friday, February 15th, 2013
Upon Miriam’s post operative visit last week, this 48 year old patient indicated that she couldn’t be happier with the results from her recent laparoscopic supra cervical hysterectomy (LSH) performed by Dr. Anthony Quartell and his first assistant Marisa Hamrah, Nurse Practitioner.
“I did not expect to be back at work so quickly.” Miriam told our staff nurses when she came in for her post operative appointment a week after the surgery. ” I figured I would have to miss more work but I feel so good I’m even going to the gym tomorrow.”
Miriam had a large fibroid that her previous physician had tried to treat non-surgically but failed. Consequently, he referred her to Dr. Quartell for this laparoscopic surgery that he has been successfully performing on patients for more than five years.
Anthony C. Quartell, MD & Associates serves Livingston, N.J., Short Hills, N.J., Millburn, N.J., and surrounding areas.
Tuesday, February 12th, 2013
At 36 weeks of pregnancy, one of our patients, Melissa, was admitted to the hospital and subsequently delivered fraternal twins. Although her son was kept in the neonatal intensive care unit for an extended stay, he is now at home with his new family, including his twin sister.
Upon talking with Melissa recently, she informed our office that she and the twins are doing very well and that she is extremely grateful to Dr. Quartell for the thorough and comprehensive care he gave her during her pregnancy and delivery.
Good things do really come in small packages and in this case, two very special, beautiful packages!
Anthony C. Quartell, MD & Associates serves Livingston, N.J., Florham Park, N.J., Millburn,N.J., West Orange, N.J. and surrounding areas.
Monday, January 28th, 2013
According to Linda, a post surgical patient who underwent Laparoscopic Laser surgery in order to remove endometriosis lesions, she has never felt better. More than two weeks ago Dr. Anthony Quartell performed surgery on this patient who had come to him complaining of chronic pelvic pain. She had lost faith that anything would ever eliminate the pain she had been having for years due to endometriosis. “I am already feeling better” she exclaimed ” and to be honest I did not expect this. I believed this would just be another unfulfilled promise by another over optimistic doctor, but I was wrong”.
Linda is now confident that she will be able to live a normal life, minus the pain that had prevented her from performing so many routine activities that she had once loved, such as working out at the gym and running. The CO2 laser is the best method for removing the entire lesions, as opposed to other traditional methods where there is increased risk of leaving part of the lesions behind.
Anthony C. Quartell, MD & Associates serves Livingston, N.J., Millburn,N.J., West Orange, N.J. , Verona, N.J. and surrounding areas.
Monday, January 21st, 2013
Since the CO2 laser is able to vaporize undesired tissue, such as endometriosis, without creating carbonization that results from charring or searing tissue with heat- as seen in other cases where the laser is not used, it is considered to be the best surgical instrument for the treatment of endometriosis. There is mimimal risk of lateral thermal damage and minimal desiccation (or drying up ) of treated tissue. When those complications that otherwise result from other types of treatments for endometriosis rise, such as burn or thermal damage, desiccation of tissues and damage to surrounding tissues, the tissue may heal poorly or scar and there would be more inflammation with increased post operative pain.
For a good long term prognosis, the endometriosis lesions must be COMPLETELY removed. Regardless of the depth or size of the endometriosis affected tissue, the CO2 laser is able to ablate all of the tissue with minimal tissue damage, as opposed to manual cutting or excision of the lesions. Think of the way plastic surgeons use the same laser to remove skin scars, wrinkles and other forms of damaged skin. This method produces the best cosmetic results as well, so it does make sense that it would be as useful in treating other types of damaged tissue.
Anthony C. Quartell, MD & Associates serves Livingston,N.J., West Orange,N.J., Millburn,N.J., Verona, N.J. and surrounding areas.