Francisco Garcini, co-founder and attending physician at Partners in Obstetrics & Women’s Health, has a special interest and expertise in minimally invasive gynecologic surgery, as detailed on his website, garcinigyn.com. One example of a minimally invasive surgical procedure that Francisco Garcini is familiar with is a robotic hysterectomy.
A robotic hysterectomy, also known as a robotic-assisted laparoscopic hysterectomy, is done by a trained surgeon who uses a computer to control the surgical instruments needed for the procedure. The advantage of having a robot is that its movements are smoother and more accurate than a human’s, and are better suited to operating in smaller spaces. The surgeon also gets a better view of the operation with the computer. A hysterectomy is usually recommended for women who experience symptoms like cancerous or non-cancerous tumors, uterine prolapse, or endometriosis. A robotic-assisted laparoscopic hysterectomy may be recommended to reduce the size of the incisions, cause the patient less pain post-surgery, and provide an easier and less risky recovery.
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A member of the American Association of Gynecologic Laparoscopists, Francisco Garcini, MD, is an attending physician at Partners in Obstetrics and Women’s Health in New Lenox, Illinois. Focusing much of his practice on minimally invasive surgeries, Dr. Francisco Garcini offers a range of advanced robotic and laparoscopic procedures, including myomectomy for uterine fibroids.
Myomectomy is a procedure that removes fibroids, which are benign growths in the uterus. Also called leiomyomas, these tumors typically occur during childbearing years and can cause infertility, heavy menstrual bleeding, and pelvic pressure. During a myomectomy procedure, the physician excises the fibroids and reconstructs the uterus. Patients often undergo the surgery not only to relieve pain and heavy periods but also to increase their chances of getting pregnant. The size, location, and number of fibroids determine which method of surgery is used. A laparotomy is an open surgical procedure that may be necessary if numerous or large fibroids are present. In cases of smaller or fewer fibroids, a laparoscopic myomectomy is the preferred procedure. This surgery requires a few small incisions in the abdominal wall. A small tube with a camera is inserted into one incision, and the surgeon performs the procedure by inserting precision instruments into the other incisions. Alternatively, the surgeon may perform a robotic myomectomy, which is the same as a laparoscopic procedure except the instruments are controlled remotely. Both the laparoscopic and robotic myomectomies cause less pain and bleeding than the open surgery, allowing patients to heal and return to normal activities faster. Board certified in obstetrics and gynecology, Francisco Garcini, MD, practices his specialty in New Lenox, Illinois. He earned his MD from the Miller School of Medicine at the University of Miami and was appointed a fellow of the American College of Surgeons. Dr. Francisco Garcini is proficient at dealing with menopause and conditions such as interstitial cystitis, also known as bladder pain syndrome (IC/BPS).
There are several conditions included under the IC/BPS umbrella. Their causes are largely unknown, and the disorder is usually diagnosed as the result of a process of eliminating other possible conditions. The symptoms include discomfort or pain, generally recurring, in the bladder and the surrounding area. The severity and specific locations of the pain vary from one patient to the next, and sometimes even within the same individual. Other symptoms include frequent or severe urges to urinate, and sometimes both. The level of pain often changes relative to how full the bladder is. Although no longer thought to be primarily a disorder of women in menopause, IC/BPS affects twice as many women as men. While some of the symptoms resemble bacterial infection, no bacteria have been discovered in patients’ urine, and the condition does not respond to antibiotic treatment. Because many people with IC/BPS also have fibromyalgia, irritable bowel syndrome, or other inflammatory conditions, researchers are exploring a possible link with those other conditions. Another school of thought gaining popularity within the research community is that IC/BPS may have a hereditary component, but there is no strong evidence to date that the condition runs in families. There is no known cure for IC/BPS, which can adversely affect one’s quality of life. However, some medications and other therapies have shown promise in terms of controlling symptoms and diminishing the severity of the pain. |
AuthorDr. Francisco Garcini applies his medical expertise to caring for his patients at Gynecologic Surgery & Menopause Solutions in New Lenox, Illinois. Archives
January 2018
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