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some,” he says. “This just gobbles up
the fibroid. It’s a neat little procedure.”
Some fibroids are too large and too
deeply embedded in the uterine wall for
TruClear, but for those there is another
new technology that Dr. Bohrer calls
very much on the cutting edge”: bipolar
cautery. As noted, traditional fibroid
removal uses an electrical current to
remove tissue. “In the past, the elec-
tricity ran through the wire loop and
the patient served as the ‘ground,’” Dr.
Bohrer explains. “In bipolar cautery, the
probes have both electrical poles, so
the electricity does not run through the
patient.” This reduces the small risk that
the electric current might damage adja-
cent tissues. “It’s safer and allows us to
go deeper into the uterine wall than we
can with the wire loop,” he says.
As a reproductive specialist, Dr.
Bohrer also appreciates the technol-
ogy afforded by the CARES Surgicenter
for treating women’s pregnancy issues.
Improving fertility is what I am most
interested in, and here we can fix Fallo-
pian tube diseases or damage that can
adversely affect chances of pregnancy,”
he says. “By removing damaged tubes,
we help prepare the pelvis to optimize
the success rates of pregnancy.” In
other instances, ovarian cysts or endo-
metriosis can impair fertility, and Dr.
Bohrer uses laparoscopic equipment,
including lasers, to remove these uterine
growths. “The laparoscopic equipment
at the CARES Surgicenter is excellent,
and I can use laparoscopy in cases
where, at other centers, I would need to
perform major open surgery.”
Dr. Mileto also touts another proce-
dure that treats excessive menstrual
bleeding, also known as menorrhagia,
which occurs in one in five women in
the United States. Until recently, hys-
terectomy—removal of the uterus—was
the only effective option for relieving
menorrhagia, but now physicians like
Dr. Mileto use a technique called hydro-
thermal ablation. This treatment employs
water heated almost to a boil (90 degrees
Celsius), which is circulated through the
uterus to destroy the lining. “It spares
women major surgery,” he says.
Of course, some women still require
hysterectomy. For them, new laparo-
scopic techniques used at the CARES
Surgicenter make the procedure quicker,
safer and easier to recover from than it
was just a few years ago.
All of the procedures mentioned here
require special training on the part of the
entire surgical team, and the physicians
at the CARES Surgicenter appreciate
what the staff there brings to the table.
The nurses and anesthesiologists at
CARES are very adept at patient man-
agement and postoperative care,” says
Dr. Mokrzycki. “They offer personalized,
one-on-one attention. The whole center
is very patient-friendly.”
WE CAN TREAT
AND THE PATIENT
THE SAME DAY.”
MARK MOKRZYCKI, M.D.
Mokrzycki, M.D., and
colleagues in the