Richard L. Heaton

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Laparoscopic myomectomy can be performed by most advanced laparoscopic gynecologic surgeons if they have appropriate mentoring. Despite this, it is still an underused procedure. In this article, we report our ten-year experience with laparoscopic myomectomy with focus on blood loss and hemostasis. From July 1999 to May 2009, forty-one patients from our(More)
Laparoscopic ureterolysis is a delicate procedure that requires advanced laparoscopic skills. We are reporting two cases of laparoscopic hysterectomy and salpingo-oophorectomy with severe adhesions to the pelvic sidewall that required ureterolysis and describing a modified technique suitable for the laparoscopic performance of this procedure. In more than(More)
INTRODUCTION Laparoscopic hysterectomy for large fibroid uteri is technically a difficult procedure. In this article, we report our experience with fibroid uteri >1 kg in weight. MATERIALS AND METHODS An intent-to-treat study. RESULTS From 2003 to 2009, 13 patients were successfully treated for large fibroid uteri with postoperative specimens weighing(More)
Endometriosis may in severe cases lead to obliteration of the anterior and/or posterior cul-de-sacs in the female pelvis. The anterior cul-de-sac is generally less commonly affected. This type of cases usually presents a challenge for the operating surgeon, whether via open route or through laparoscopy. In this paper, we present an illustrative case and(More)
Frequently, a fixed pelvis is encountered that is caused by a benign disease, either severe endometriosis or severe adhesions with or without fibroid uterus. We present two cases of nulligravida and multiparous women who had absolute frozen pelvises with no motion whatsoever of their pelvic structures on bimanual examination. Conventionally, these patients(More)
Approximately 600,000 hysterectomies are performed in the United States every year and are mostly done via the open route. For decades, abdominal hysterectomy has been the only available operation before the introduction of vaginal hysterectomy; and lately, laparoscopically assisted vaginal hysterectomy (LAVH) and total laparoscopic hysterectomy (TLH) have(More)
In this paper, we present our experience with cystoscopy and hydrodistension for the diagnosis of interstitial cystitis (IC) and association with endometriosis/adenomyosis. This is a retrospective study of 116 patients who have undergone cystoscopy and hydrodistension because of suspicion of interstitial cystitis as shown by elevated Pain Urgency and(More)