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  • Is Hormonal Suppression Efficacious in Treating Functional Ovarian Cysts?
    not follow up for a study population of 75 Of these 75 29 women had a history of endometriosis and 12 were treated with ovulation induction within 6 months of inclusion Group I 24 received no treatment and served as a control Group II 15 took oral contraceptives OCP containing 35 mgr g ethinyl estradiol and 1 mg norethindrone Group III 23 received OCP s with 50 mgr g ethinyl estradiol and 1 mg norethindrone and Group IV 13 took danazol 800 mg day All medications were taken continuously for 6 weeks Patients were then re evaluated by pelvic examination and transvaginal ultrasound If the cysts persisted the patient was scheduled for diagnostic and possible operative laparoscopy Complete resolution of cysts was found in Group I 14 58 Group II 6 40 Group III 15 65 and Group IV 7 54 Of the 33 women with persistent cysts 28 underwent videolaparoscopy The results were as follows Group I 42 five functional two endometriomas one hydrosalpinx and one benign paraovarian serous cyst Group II 60 three functional one endometrioma and one benign simple cyst Group III 35 two functional five endometriomas and one loop of bowel and Group IV 46 four

    Original URL path: http://www.nezhat.org/camran/reference_library/44.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Is Hormonal Treatment Efficacious in the Management of Ovarian Cysts in Women with Histories of Endometriosis?
    III oral contraceptives 50 ug ethinyl oestradiol and 1 mg norethindrone group IV danazol 800 mg day Serum CA 125 concentrations were measured in 32 women All medications were taken continuously for 6 weeks Subjects were re evaluated by pelvic examination and transvaginal ultrasound Those with persistent cysts were offered diagnostic and possible operative laparoscopy As 11 patients did not complete the study and five did not follow up the

    Original URL path: http://www.nezhat.org/camran/reference_library/45.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Laparoscopic Adhesiolysis and Relief of Chronic Pelvic Pain
    pain relief RESULTS We found that after 2 to 8 weeks 39 of patients reported complete near complete pain relief 33 reported significant pain relief and 28 reported less than 50 or no pain relief Six months to one year postlaparoscopy 49 of patients reported complete near complete pain relief 15 reported significant pain relief and 36 reported less than 50 or no pain relief Two to five years after

    Original URL path: http://www.nezhat.org/camran/reference_library/46.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Laparoscopic Amputation of a Noncommunicating Rudimentary Horn After a Hysteroscopic Diagnosis: A Case Study
    Abstract This report describes the diagnosis and management of a noncommunicating rudimentary horn complicated by severe pelvic pain and associated endometriosis This condition was diagnosed by simultaneous laparoscopic and hysteroscopic examinations The hysteroscopic evaluation was significant in the diagnosis as the noncommunicating horn was not recognized during a previous laparoscopy The laparoscopic removal of the horn afforded complete long term resolution of pain coupled with speedy postoperative recovery PMID 8180771

    Original URL path: http://www.nezhat.org/camran/reference_library/47.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Laparoscopic Appendectomy in Patients with Endometriosis
    endometriosis in a tertiary referral center DESIGN Patient database with retrospective chart review Canadian Task Force classification II 3 SETTING University ambulatory endoscopic surgery center tertiary referral center PATIENTS Two hundred thirty one women INTERVENTIONS Appendectomy during laparoscopic surgery for endometriosis MEASUREMENTS AND MAIN RESULTS We reviewed the medical records of 231 patients who underwent appendectomy during laparoscopic treatment of endometriosis performed from January 1994 through July 2004 Of the

    Original URL path: http://www.nezhat.org/camran/reference_library/48.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Laparoscopic Appraisal of the Anatomic Relationship of the Umbilicus to the Aortic Bifurcation - Departments of Obstetrics and Gynecology, Standford University School Medicine, California, USA.
    location of the common iliac vessels and course of the left common iliac vein were identified in 68 women MEASUREMENTS and MAIN RESULTS The position of the aortic bifurcation ranged from 5 cm cephalad to 3 cm caudal to the umbilicus in the supine position and from 3 cm cephalad to 3 cm caudal in the Trendelenburg position In the supine position the aortic bifurcation was located caudal to the umbilicus in only 11 of patients compared with 33 in the Trendelenburg position This difference was statistically significant for the total study population p 0 0001 and for the nonoverweight group p 0 01 In both positions no significant correlation was found between the distance from the aortic bifurcation to the umbilicus and body mass index Mean SD distance of the aortic bifurcation from the umbilicus in the supine position was 0 1 1 2 cm for the nonoverweight group 0 7 1 5 cm for the overweight group and 1 2 1 5 cm for the very overweight group Respective values in Trendelenburg position were 1 0 1 1 0 4 1 2 and 0 2 1 3 cm The common iliac artery was caudal to the umbilicus in

    Original URL path: http://www.nezhat.org/camran/reference_library/49.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Laparoscopic disk excision and primary repair of the anterior rectal wall for the treatment of full-thickness bowel endometriosis
    pain and menstrual cramping Second look laparoscopy was offered to all patients and so far two have accepted These procedures were performed 6 weeks postoperatively At that surgery we found that the anastomotic site had healed completely with filmy adhesions between the posterior aspect of the uterus and the rectosigmoid colon in one patient The second woman had undergone extensive adhesiolysis at the first surgery and these adhesions recurred however

    Original URL path: http://www.nezhat.org/camran/reference_library/50.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Why Patients have better outcomes with Dr. Nezhat - Testimonials
    for making this miracle happen to us We were planning to go back to IVF after recovering from the surgery but I got pregnant even before that He has given us the greatest gift we could ever get He is a truly benevolent and divine person he radiates a sense of bliss While being treated by him I felt a sense of total security like I was being taken care of by a higher being and all would be well because of him He is an exceptionally skilled doctor My recovery was very easy and I could walk within two days of the surgery I also want to thank his excellent team of extremely nice and caring doctors with heartfelt thanks to Dr Miller She was with me all through the surgery and called me every day for a week after to find out if I was fine She was the one I asked all my questions and worries and was exceedingly patient with all my concerns Dr Nezhat is truly a miracle worker He made the impossible come true for me not just because of his superb skill and experience but also because of his dedication and benevolence Thank you Dr Nezhat and all of your staff You guys are miracle doers Review from Krystina P Downey CA Dr Nezhat and his wonderful medical staff are AMAZING I was referred by my hometown ob gyn to see Dr Nezhat for a large uterine fibroid I was thoroughly examined spoken with and the entire team went out of their way to make sure I had all the answers I wanted needed and that I understood them I opted to have a partial hysterectomy and underwent the 5 hour procedure to remove my fibroid within a month of our first meeting At 30 years old that was a BIG decision but I knew it was the right one Dr Nezhat was confident in MY decision and did not try to sway me I was told after surgery that it was a good decision as the fibroid was soft and it would have been very difficult to try and remove only the fibroid The hospital staff at Stanford was excellent and I had a fantastic anesthesiologist as well Everyone worked together and made me as comfortable as possible It has been a little over 3 months since the procedure and I could not be happier I have felt fantastic had minimal pain after surgery and was functioning quite well all things considered after a month I will admit that I was a little terrified about seeing Dr Nezhat having read some information on the internet While I do not know anything about that situation I do know mine and I would not hesitate to see Dr Nezhat or his team again I have stage IV endometriosis and been trying to deal with this disease for past 20 years Review from S W Fairfax VA Managing pain not just with menses but every single day has been a normal part of my life Before I became Dr Nezhat s patient I got 2 laparoscopic surgery and in between I had a son Last year I suddenly became immobilized due to right hip pain I started to use wheelchair and tried to manage pain by lying in bed very still 24 7 which did not stop the pain I started with orthopedist and saw a lot of specialists over the following 2 3 month period Nothing helped with the pain had to take time off from work for 3 months None of the imaging showed anything none of the specialists could tell anything My regular doctors did not suggest any type of surgery because of the risks involved one GI doctor was even too scared to do colonoscopy on me When everything else was ruled out I saw Dr Nezhat and he promised me that he would make me 80 better but he made me 100 better It was the best surgery experience I was diagnosed with stage IV endometriosis one of my ovaries and appendix were removed adhesion were cleaned and I am doing great I can walk stand up straight and I am pain free He even fixed a hernia that was caused by the previous laparoscopic procedure which helped a lot in reducing my pain and complexities in my life He is also very good at salvaging anything he can which helps to keep your chances open if you would like to have kids The surgery center was amazing they do not start pushing you out as soon as you wake up they make sure you are okay before you leave The staff both at the office and the surgery center is very nice helpful If you have endometriosis no matter where you live it is worth to travel to have him operate on you for the best possible laparoscopic experience I truly believe that he is the only one in the world who can do what he has been doing with endometriosis patients Dr Nezhat was the third and final doctor I met with Review from Megan P Chico CA I had severe endometriosis a bi cornuate uterus 3 major cysts and a fallopian that decided to tie itself in a knot I was told by the previous doctors that natural conception is impossible Being a 25 year old that was the last thing I wanted to hear It turned my world upside down After having a surgery by Dr Nezhat and his team I am able to conceive naturally and I virtually no pain I am only one month post op and I have never felt so healthy and great His staff is kind knowledgable and accomodating I live 5 hrs away from his office and they have never made scheduling an issue twice I was having severe pain and they got me in that same day I owe my happy future and current health to him and his

    Original URL path: http://www.nezhat.org/camran/testimonials_1.php (2016-04-24)
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