A hysterectomy can often be an invasive procedure for a woman.

But now a Mesa doctor is being recognized for performing this major procedure with only a tiny incision.

Dr. Greg J. Marchand has been awarded a world record for performing a hysterectomy through the smallest incision ever!

The surgery involved removal of a uterus, ovaries and Fallopian tubes all through an incision the diameter of a AAA battery. The record was awarded after a lengthy verification process performed by the academy to verify the results.

Dr. Marchand performed the hysterectomy through an 11mm incision at the bottom of the belly button using a technique called “laparoscopic single-port hysterectomy.”

Although laparoscopic hysterectomy has been performed through a single incision before, this is believed to be the smallest incision that it has ever been performed through. The Academy reported that the Mayo Clinic and Cleveland Clinic had reported cases through a 15mm incision, which was believed to be the previous record.

The patient, Mary Coble, provided the Academy with pictures of her belly from 4 weeks after the surgery. There was no scar visible whatsoever. Ms. Coble had suffered from debilitating pelvic pain from endometriosis and adenomyosis for years before being recommended to have the hysterectomy after other conservative treatments for her pain were unsuccessful.

She assumed she would be having the hysterectomy through the same incision that she had her cesarean section went through, which was a lower abdomen horizontal incision, often referred to as the “bikini cut.” She says she was "surprised and delighted" to find that the procedure was able to be performed through only a tiny incision in her umbilicus.

“The recovery was really easy compared to my prior laparoscopic surgeries,” said Coble following the procedure. She pointed out that she has no scars at all from the surgery, as the only tiny scar present is on the bottom of her belly button, where it is effectively invisible. Coble has previously had both laparoscopic surgery and delivered her baby by cesarean section, so she is no stranger to recovering from surgery.

Marchand developed this technique and led the surgical team that performed the surgery. The procedure was a modified version of a laparoscopic hysterectomy, where the only incision used is in the patient’s umbilicus.

“A very novel part of our technique,” said Dr. Marchand, “is that because of the instrumentation we use, the incision is always going to be a reproducible 11 millimeters.”

“I think it’s a great advancement for minimally invasive surgery,” said Dr. Marchand, the lead surgeon. “When the incision shrinks from 15mm to 11mm, there are many benefits to the patient. There will be less postoperative pain, a quicker postoperative recovery, and a much lower chance of the incision causing a hernia later, which is a known complication of this type of surgery. My favorite part is that you can’t even see the incision on the patient.”

Not all hysterectomies can be performed in this manner. Some clinical scenarios involve worse pathology and may require a traditional laparoscopic or robotic-assisted laparoscopic hysterectomy in order to be completed. Marchand says the technique is a valuable weapon in a surgeon’s set of surgical skills but does not constitute a solution for every patient requiring a hysterectomy.

Information:Dr. Greg MarchandMarchand Institute for Minimally Invasive Surgery1520 S. Dobson #308Mesa, AZ 85202p: 480-999-0905f: 480-999-0801www.marchandinstitute.org

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