Macquarie University Hospital Performs It’s First Hysterectomy Robotically

With twenty years of experience treating gynaecological cancers laparoscopically, Dr Felix Chan has begun to offer the same procedure using the da Vinci robotic system. Trained in the US to use the da Vinci System, Dr Felix Chan says that even though he is performing the same operations robotically, as he did laparoscopically, the new approach represents a major medical advance. “Robotic surgery is a ‘quantum leap’ ahead”, said Dr Chan, a gynaecological surgeon at Macquarie University Hospital. “The precision of the instruments, the clarity of vision, the definition of tissue and the access to the small vessels and nerves means that, from a surgeon’s point of view, one can perform complex surgeries with great accuracy.”

While Dr Chan will use the da Vinci primarily to treat gynaecological cancers, the system can also be used for other complex gynaecological operations such as complex gynaecological surgery in pelvic floor reconstruction, uro-gynaecology and pelvic endometriosis. “The system also has broad application,” said Dr Chan. “In the US, utilising this technology is standard when performing hysterectomies and fibroid removals. Indications are that Australia is heading in the same direction.” In his opinion patients having had a hysterectomy robotically seem to recover faster, require a shorter stay in hospital due to less bleeding and less damage to nerves and tissue.

“At Macquarie University Hospital, it is not just about performing the operation,” said Dr Chan. “A patient at this hospital also has access to a remarkable set of other important services, including oncological services, research programs and unique imaging services. It’s all in one place. In addition, wards are aesthetically pleasant and administrative services are electronically advanced.”

To make an appointment with Dr Felix Chan at Macquarie University Hospital please call 9812 3860.

Dr Felix Chan

Guest Bloggers – from time to time MUH invites our specialists to provide content on our MUH Blog. Please note that with all guest bloggers the views and opinions expressed in these articles are those of the individual and are not necessarily the views of Macquarie University Hospital.

 

Tuesday, May 21, 2013/Author: SuperUser Account/Number of views (349)/Comments (0)/
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Tuberous/Constricted Breast Deformity: A common but often unrecognised breast condition

A relatively common, but often unrecognised, breast condition in young women is “tuberous” or “constricted” breast deformity, a congenital condition in which the breast fails to develop fully during puberty; the breasts may develop unusual shapes as well as develop differently to each other.

Although the cause is not understood, plastic surgeons believe tuberous/constricted breast is caused by an underlying restriction of the normal growth of the breast during puberty, particularly the lower half. As the breast continues to grow, it is restricted in the lower half, pushing excess breast forward beneath the areolar region. This causes a “tuberous” (an elongated shape), where the breast is often narrow and long, with a puffy and wide areolar shape. Because the lower breast doesn’t develop properly, the upper breast collapses down, giving a droopy breast. The two breasts are often affected to different degrees, so major asymmetries may also exist.

Having breasts develop like this can cause significant embarrassment and social problems, however surgery can usually offer major improvements.

The surgical treatment for tuberous/constricted breast deformity is to release the constricted breast tissue, either through an incision around the areola or from below the breast, to allow the breast to splay out naturally. To improve the breast volume, or to correct asymmetries, a breast implant is often placed beneath the breast to enhance its shape. Often, the areolar circle is made smaller at the same time, and the fold under the breast lowered. If the breast is drooped, a breast lift is done at the same time. In severe cases, more complex reconstructive plastic surgery is required to stretch the skin and existing breast tissue prior to insertion of the final implant.

As a fully qualified plastic surgeon, Dr Merten is experienced in these complex breast conditions. To see some of Dr Merten’s work with tuberous/constricted breast deformity and breast asymmetries, please click here


For more information about this or any other plastic and cosmetic surgery procedure, please contact Dr Merten at Macquarie Cosmetic & Plastic Surgery at:

www.mcps.com.au, Email: info@mcps.com.au, or call for an appointment on 02 9812 3890

Dr Steve Merten

Guest Bloggers – from time to time MUH invites our specialists to provide content on our MUH Blog. Please note that with all guest bloggers the views and opinions expressed in these articles are those of the individual and are not necessarily the views of Macquarie University Hospital.

 


Tuesday, May 21, 2013/Author: SuperUser Account/Number of views (210)/Comments (0)/
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