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Endometriosis Firefly Surgery
Treatment of Endometriosis
Dr. Bradley S. Douglas, M.D., F.A.C.O.G. brings to Boca Raton
the latest cutting edge technology for evaluation and treatment of Endometriosis
known as "Firefly".
After ongoing training from the New York University in Manhattan , Dr.
Douglas now utilizes this imaging and surgical technique to care for pelvic pain
and infertility patients suffering from endometriosis.
The "Firefly" treatment capitalizes on the fact that endometriosis
involves angiogenesis where there is the new and abnormal growth of small blood
vessels that proliferate to feed the endometriosis.
Endometriosis is the abnormal ectopic growth of endometrial glands on structures
such as the peritoneal lining of the abdomen and pelvis, bladder, fallopian
tubes, bowel, and other surfaces including the ovaries and uterus. The result
of endometriosis is inflammation and chemical reactions such as increased prostaglandins that
cause pain, adhesions that may stick together closing off structures like the
fallopian tubes, causing scarring, loss of motility of the fallopian tubes, and also rejection of pregnancy
implantation in the uterine cavity resulting in infertility.
involves the injection of a commonly used dye which lights up blood vessels with
the distinct neon color of green.
This is performed while viewing
the contents and lining of the abdomen and
pelvis laparoscopically with the da Vinci
Robotic assisted near infrared camera
thru a small incision in or near the umbilicus and while the
patient is under general anesthesia in an operating room. This florescence
imaging then facilitates identifying endometriosis more easily and more
thoroughly to then remove those lesions to promote the healing of normal tissue
and reduce the harmful effects of endometriosis. Since some of endometriosis are
not readily seen with conventional surgery or laparoscopy alone, this technique
appears to be a breakthrough in better identifying these abnormal areas.
The da Vinci
superior instrumentation is designed for the best visualization
because unlike conventional laparoscopy, it offers tenfold magnification and 3D
imaging to the surgeon rather than only three fold and 2d capabilities. Now with
the advent of "Firefly"
the surgical evaluation and treatment of endometriosis through the da Vinci has
taken another unique step forward to improve the treatment of this disabling
Dr. Douglas has performed numerous "Firefly"
procedures at Boca Raton Regional Hospital benefiting his patients.
He strives for excellence and ongoing education and training. He looks forward
to helping many more patients in in the future.
* References: da Vinci/ Novadaq - Imagining Illuminated Surgery links:
Treatment of Endometriosis
da Vinci-gynecology: Considering Endometriosis Surgery?