Endoscopy surgery Excised Endometriosis Recent release of an Egg Uterine Fibroid

  >  John P.A. George, M.D., Former Director, Gynecologic Endoscopy, Washington Hospital Center, Washington, DC
 
 
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St. Lucia Letter (PDF)

 

 

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Gyn Laparoscopy in the Caribbean
First St. Lucia, now Barbados----and with Fanfare!


CariGES Launch
 
(continued Page 2)

The Morning After - Doctors sharing smiles with a patient.
The Morning After
Photo (Left to right): Nurse Ramsay from Bayview hospital and  Dr. Bennett share smiles with the patient, center and mother, right and Dr. George.  The patient had traveled to St. Lucia for laparoscopic surgery.

Dr. Bennett and her colleague Dr. Geoffrey La Fond had formed the company CariGES in order to make this possible. Dr. Bennett had made comprehensive preparations that included Bayview hospital management and staff, the Government sector, the Insurance industry, medical supply houses, professional colleagues, friends and the media. And what better place to launch her project than the opulent setting at the Sandy Lane Hotel! 

I had sought the services of Karl Williams, a multitalented individual, skilled in all aspects of procurement, maintenance and use of laparoscopic equipment and instruments. His charge was to have all items in place and functional for the session, and that he did. 

With the exception of a few minor glitches, the entire week went as planned. Notwithstanding the fact that the operating staff has had some prior experience with laparoscopic cholecystectomy, (removal of the gall bladder by laparoscopy) their enthusiasm towards and dedication to this new venture were outstanding.  

Operating and turnover times were criticized as being excessive. However there are many reasons to be optimistic. Operating time is directly influenced by the skill of the surgeon and assistant, the availability of equipment and instruments and the cohesiveness of the “team”. Rapid strides are anticipated as the assisting physicians gain skill and experience and the team becomes more cohesive as the participants learn the intricacies of the new equipment and procedures.

Bayview Hospital Laparoscopic Case Summary, Nov. 3-6, 2009.

During the four day session, we operated on 11 patients while performing 25 procedures. The most common procedure was hysterectomy, 6 evenly distributed between supracervical, (3) and total, (3). There were 5 myomectomies (removal of fibroids) 5 excision of endometriosis, 5 lysis of adhesions, 3 salpingo-oophorectomies (removal of tubes and ovaries) and 1 ovarian cystectomy. Most common diagnoses were fibroids 11, endometriosis 5, and adhesions, 5. There were no conversions to laparotomy and no major complications. Patient origin was as follows – Barbados, 8; Trinidad, 2; and Antigua, 1.

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John P.A. George, MD Director of Gynecologic Endoscopy Bio Washington Hospital Center, Washington, DC.