Laparoscopic Hysterectomy – An Introduction

Keith Reisler, MD, has cared for patients as an obstetrician and gynecologist (OBGYN) for more than 30 years. Experienced in laparoscopic hysterectomy and other minimally invasive procedures, Dr. Keith Reisler shared his knowledge of such therapies in an interview with the Wall Street Journal.

Traditionally, hysterectomy has involved removal of the uterus through an abdominal incision of 6 to 12 inches in length. It is a major abdominal surgery and requires approximately six weeks of recovery time. Recently, however, advancements in medical technology have allowed some surgeons to perform the procedure laparoscopically.

The laparoscopic-assisted vaginal hysterectomy, or LVAH, has now been an option for patients for more than 25 years. It involves the use of a thin surgical tube that allows surgeons to perform part of the procedure intra-abdominally, but with fewer and smaller incisions, while the remainder of the procedure takes place through the vaginal canal. The total laparoscopic hysterectomy, though similar in its use of the laparoscope, is performed entirely intra-abdominally while only the tissue removal takes place transvaginally.

Experts advise patients who may be candidates for laparoscopic hysterectomy to consult with an experienced physician. The procedure is both sensitive and delicate and, as such, requires a skilled hand.

Playing Tennis in the Heat

An accomplished physician with many years of experience in the field of obstetrics and gynecology, Dr. Keith Reisler currently owns and operates his own practice in Plano, Texas. Aside from his work as an OB/GYN, Keith Reisler, MD, has enjoying coaching and playing tennis with his daughters. His twin daughters are now on their way to play college tennis.

In hot climates such as that of Texas, it is important to bring the proper equipment to a tennis match and follow simple health guidelines. First and foremost, you must stay hydrated. Drink plenty of fluids throughout the day, and be sure to take frequent water breaks throughout your tennis session. You may also consider adding some salt to your diet, which can ward off cramps.

Pre-match meals should be high in carbohydrates, moderate in protein and low in fat. Examples are pasta, bread, fresh fruit, granola bars, energy bars and sports drinks. Pre-match meals should be eaten 3-4 hours prior to competition and pre-game snacks 1-2 hours prior. It is important to consume 17 to 20 oz of fluid within 2 hours pre-match and avoid caffeinated beverages especially right before and after match play. Waiting to consume fluid until you fell thirsty during match play is too late.

In terms of equipment, light-colored clothing made of a breathable material can have a significant impact on body temperature. If you tend to sweat a lot, bring an extra shirt for when your first shirt becomes saturated in sweat. Many tennis players also choose to wear a hat or visor, which keeps their head cool and prevents sunburn.

Identifying and Treating Ovarian Cysts

 

Menopause pic

Gynecology
Image: drreislerobgyn.com

An OBGYN physician practicing in Plano, TX, Dr. Keith Reisler offers a full range of services, including annual pap smears and abnormal menstrual bleeding. Keith Reisler MD, also diagnoses and treats women who have developed ovarian cysts. A relatively common health issue, cysts in the ovaries are experienced by most women once or more in their life.

Typically symptomless, ovarian cysts are often revealed during a routine pelvic exam and involve fluid-filled sacs test can form on one of the ovaries when the follicle, or egg sac, fails to dissolve after breaking open and allowing the egg out at the completion of a cycle. The sac can reseal and refill with fluid, which results in a corpus luteum cyst.

The majority of ovarian cysts are benign and simply go away untreated after a period of a few weeks. In cases of recurrent ovarian cysts, oral contraceptives are often effective in preventing new cysts and in minimizing the chances of ovarian cancer. Small cysts that persist can be removed surgically through laparoscopy, while large cysts require a laparotomy or large abdominal incision and removal.

Gynecologic Recommendations for Women and Girls Under 21

 

American College of Obstetrics and Gynecology pic

American College of Obstetrics and Gynecology
Image: acog.org

A diplomate of the American Board of Obstetrics and Gynecology, Keith Reisler, MD, provides comprehensive women’s care in Plano, TX. At his clinical practice, Dr. Keith Reisler examines patients of all ages.

According to the American Congress of Obstetricians and Gynecologists (ACOG), girls should schedule their first ob-gyn visit between the ages of 13 and 15. In this visit, patients can establish relationships with their doctors and discuss issues relating to development, the menstrual cycle, and body image.

If needed, the physician may discuss the HPV vaccine and contraception. Following the initial visit, ACOG recommends yearly visits through age 21.

According to ACOG, women and girls under 21 who are sexually active should receive screenings for the sexually transmitted infection chlamydia. Because no more than two girls per million test positive for cervical cancer every year, ACOG does not recommend Pap smears for patients between the ages of 15 and 20. Breast cancer is also rare in this population, prompting ACOG not to recommend breast exams for girls under 20 years of age.

Using a Hysteroscope to Remove Fibroid Tumors in the Uterus

 

Uterine Fibroids pic

Uterine Fibroids
Image: drreislerobgyn.com

A residency-trained OB-GYN, Dr. Keith Reisler stays up-to-date as a professional by being part of organizations like the American College of Obstetrics and Gynecology. Keith Reisler, MD, uses technologies like the hysteroscope to carry out minimally invasive treatment of fibroid tumors at his Plano, TX-based private medical office.

Fibroid tumors can grow in the uterus and cause problems like pain, abnormal bleeding, and difficulties becoming pregnant. Surgery, one option available to women with fibroid tumors, can excise fibroids without harming healthy uterine tissue, meaning patients can go on to have children.

In the past, doctors performed uterine fibroid surgery via a lengthy incision, but thanks to developments in surgical technology, that’s no longer necessarily the case. Instead, surgeons can leverage the hysteroscope, a long, thin instrument, to gain access to the uterus and remove the fibroids through the cervix. In this case, surgeons do not make any incision at all.

A prime benefit of hysteroscopic treatment is reduced recovery time, with most patients going home a few hours after the procedure and recovering entirely within a couple days.

Becoming a Fellow of the American College of Obstetrics and Gynecology

 

 American College of Obstetrics and Gynecology pic

American College of Obstetrics and Gynecology
Image: acog.org

Since 1988, Keith Reisler, MD, has practiced as an ob-gyn in Plano, TX. Board certified by the American Board of Obstetrics and Gynecology, Dr. Keith Reisler also maintains status as a fellow of the American College of Obstetrics and Gynecology.

A fellow of the American College of Obstetrics and Gynecology (FACOG) is an ob-gyn who has completed advanced training and achieved a high level of professional and ethical standing. To become an FACOG, a doctor must have earned both an undergraduate and a four-year medical degree, then successfully undertaken an accredited four-year residency in obstetrics and gynecology. The final steps require a doctor to secure and continue to maintain board certification from a qualifying medical board, such as the American Board of Obstetrics and Gynecology. He or she must also hold an unrestricted medical and surgical license.

Upon meeting these guidelines, a practitioner interested in garnering the FACOG distinction should complete an application and submit it along with proof of his or her credentials. The college may take as long as four months to process the application. Patients who consult with an FACOG can rest assured in the confidence that their doctor will provide the highest level of ob-gyn care possible.

Permanent Birth Control – Essure

Dr Keith Reisler pic

Dr Keith Reisler
Image: drreislerobgyn.com

An OB/GYN practicing in Plano, TX, Keith Reisler, MD, completed his OB/GYN residency training at the University of Texas Southwestern Medical School. Dr. Keith Reisler provides minimally invasive women’s health treatments like the Essure procedure.

A noninvasive, non-surgical, and non-reversible way for women to prevent pregnancy, the Essure procedure is a highly effective permanent birth control solution. Other birth control strategies may require doctors to make incisions or to use electrical current to sterilize patients. Essure requires neither of these methods. Doctors can perform Essure in roughly 10 minutes without the need to administer general anesthesia.

During the Essure procedure, a physician places flexible inserts into the fallopian tubes. Over time, the body fuses with the inserts, creating a “wall” that stops sperm from fertilizing eggs. Once the inserts have been put in place, it takes about 3-6 months for the wall to fully form. Doctors then confirm the success of Essure, and following this confirmation, women can stop using other methods of birth control without fear of becoming pregnant.