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Desert Women's Care
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Leaders in MicroLaparoscopic Hysterectomy--
Single-Port, 8.5 mm, Total Laparoscopic Hysterectomy is now a practical reality using ConMed microlaparoscopic instruments. This is a new part of our out-patient hysterectomy program with over 700 cases to date done in Surgical Centers with immediate discharge to home.
https://youtu.be/GUrJsaE1T3g
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Dr. Demir just presented his data at AAGL, 2018, in Las Vegas.

In 2014 the US FDA put out a warning against mechanical morcellation suggesting an incidence of 1 / 350 of occult sarcoma in fibroids. Demir contends the FDA significantly over estimated the incidence of occult sarcoma in women undergoing hysterectomy for suspected benign indications. The warning lead to heightened patient anxiety and limited access through general unavailability of morcellation devices and policies against use of morcellation by many hospitals, surgical centers and insurers.

Data from Desert Women’s Care shows 0 / 1913 cases of sarcoma. Demir continues to use morcellation suggesting the risk benefit ratio is far in favor of the patient allowing even large fibroid tumors to be removed through small incisions during our routine, out-patient hysterectomy procedures.
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Dr. Demir will be speaking August 25, 2018, at the Women's Wellness and Wine Health Seminar. Your attendance is invited.
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Dr. Demir celebrates 30-year anniversary of Residency Graduation with his Chairman, Norbert Gleicher, MD, in New York City.
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At best physicians offer ersatz ERAS in academic hospitals. To move forward we must first agree that we do not need robots or hospitals to achieve the greatest cost savings in benign hysterectomy.

This article seeks only to "shorten" post-operative stays, I suggest we eliminate them entirely. We do not have to train nurses in early ambulation, immediate use of general diet, use of GI adjuvants and oral analgesic regimens. We simply need to discharge patients to home just as we do for other complex laparoscopic procedures. The results speak for themselves.
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Dr. Demir presented data at Society of Gynecologic Surgeons (SGS) on the first 420 Minimally Invasive Out-Patient Hysterectomies done in his program in Arizona. It is the coupling of Minimally Invasive Surgery, ERAS principals, immediate ambulation and home recovery that combine to yield optimal outcomes. Because patients return to normal functionality sooner and costs are lower, it is likely that this hysterectomy option will grow in prevalence over the next few years.
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Endometriosis can present in many ways. This is from a woman with years of bilateral pelvic pain and pain with intercourse. It turned out she had endometriosis is both fallopian tubes. Following surgery her pain has resolved.
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The only Pelvic Pain program serving women in Chandler and Sottsdale.
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Dr. Demir is attending the Annual AAGL Meeting in Washington, D.C.
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Learn about Stem Cell Therapy for female pelvic pain at Desert Women's Care.
https://www.youtube.com/watch?v=4JwrW7SYPwQ
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