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Camran Nezhat



Dr. Camran Nezhat, M.D., F.A.C.O.G., F.A.C.S. is an Internationally Renowned Laparoscopic Surgeon at Stanford University Medical Center in Palo Alto, California.

He is the pioneer and leading practitioner in the field of laparoscopic surgery, specializing in laparoscopic treatment of severe endometriosis involving multiple organs (such as the bowel, bladder and ureter), management of infertility and other pathologies. Amongst his other achievements he was the first surgeon in the world to treat and report surgical management of extensive pathology laparoscopically.

Contents

Surgical techniques

Dr. Nezhat has been called the father of modern day laparoscopy [[1]] due to his numerous innovations and inventions in the field of minimally invasive surgery. His techniques, foresight, innovations and courage are said to have revolutionized modern day endoscopic surgery, which has been called the most significant advancement in surgery since the discovery of antibiotics. [[2]]

Dr. Nezhat’s work moved the field of endoscopic surgery away from the established yet awkward “single eye” and mostly diagnostic laparoscopy to his method of operative laparoscopy, which has revolutionized modern day surgery. Also, his prediction and claim that almost all open surgeries could be and should be avoided is increasingly becoming a reality.

In 1993, at the 2nd European Congress in Gynecological Endoscopy in Heidelberg, Dr. Camran Nezhat unveiled his vision for the field of laparoscopy, namely that large incisions would eventually become obsolete. At this stage operative laparoscopy was still considered quite technically limited and dangerous.

Despite this technological lag, Dr. Camran Nezhat demonstrated via video footage that laparoscopic techniques could be integrated into therapy for the abdominal and pelvic cavity, heart, brain, lungs, vessels, endocrine system, and to every aspect of surgery where a cavity existed or a cavity could be created. For, in these situations, he found that the anatomy could be magnified and therefore better visualized.

Dr. Nezhat originally attracted numerous negative reviews, in the category of “medical heresy”[[3]]. His declaration that “almost all laparotomies can be avoided” was not popularly received at the time, but was eventually accepted.

Dr. Nezhat introduced the technique of operating in an upright position off the television monitor and on the images rather than in the tissue.

He is the forerunner of successful laparoscopic reparative management of many diseases of the pelvic and abdominal organs including laparoscopic bladder, ureter, bowel and diaphragm resection, laparoscopic paraortic lymph node dissection, radical hysterectomy, vesicovaginal fistulas, rectovaginal fistulas; and laparoscopic treatment of ovarian remnant.

Sacral colpopexy and laparoscopy during advanced pregnancy and repair of major vessels were also first reported by Dr. Nezhat and his team. This encouraged those in other surgical disciplines to approach almost all surgical pathologies laparoscopically[[4]].

Dr. Nezhat claims that the advantages of laparoscopic surgery when performed by an experienced surgeon are fewer complications and better results than laparotomy.

Dr. Nezhat has demonstrated that even the most advanced pelvic and abdominal pathologies including advanced stages of endometriosis involving bowel, bladder, ureter, diaphragm, and liver can be successfully treated by videolaparoscopy.

After achieving clinical success numerous times with videolaparoscopy[[5]], Dr. Nezhat stated early on, that “if advanced stages of endometriosis can be successfully treated by videolaparoscopy, with the results at least as good as [those of] laparotomy, we can perform practically all the surgical procedures by videolaparoscopy.” In his opinion, videolaparoscopy is the method of choice for an operation whenever a cavity exists in the body or when a cavity can be created.

Dr. Nezhat and his two brothers, who also are laparoscopic surgeons, were the forerunners to perform some the most advanced procedures laparoscopically. [[6]]

Quotes

In 1995, Dr. Mary Lake Polan, OB/GYN Department Chairman at Stanford said:

Nezhat’s contribution was and is unique. He has developed such facility with the technique in the operating room that he serves as a mentor for other physicians, challenging us to learn the new technique by showing us not only the art of the possible, but the tremendous advantage minimal access surgery offers. When you watch him operate, you have to cast off the excuse, ‘this procedure can’t be done using laparoscopy.’ The introduction of videolaparoscopy and videolaparoscopy by Nezhat allowed the involvement of the entire operating team in surgery. Camran along with his brothers not only performed these procedures elegantly, but he was also willing to teach any and everyone who expressed interest. They are very freely and unselfishly willing to share their experience and knowledge with the world.

In 2000, Kurt Semm, the German Pioneer who performed the first laparoscopic appendectomy said:

Dr. Camran Nezhat widened the operative field, creating new techniques, employing new instruments, and appartuses. In my opinion, with the cooperation of his brothers, Camran enriched the entire field of surgical laparoscopy. On June 30, 1980, I performed a laparoscopic appendectomy, which ultimately opened the door to surgeons to perform endoscopic surgery, especially since the appendix was a holy grail of surgery. Today, Dr Nezhat’s book opens a new door to a whole new era od endoscopic surgery.

In 1995, Alan DeCherney, MD then the Chairman of the Department of Obstetrics and Gynecology, UCLA, and now Chairman of the Department of OB/GYN at the National Institutes of Health said:

In the past decade, gynecologic surgery, because of endoscopic surgery, has undergone a tremendous revolution. There are few cases in the gynecologist’s surgical armamentarium that cannot be carried out through an endoscopic approach. Many of these changes are due to courage, innovativeness, and technical skill of Dr. Camran Nezhat. He opened up unimagined vistas to endoscopic surgeons all over the world.

Charitable work

Dr. Nezhat has traveled to many developed and underdeveloped countries and communities to promote and teach the technology of minimally invasive surgery. Dr. Nezhat has also donated hundreds of thousands of dollars and personal time to charitable foundations. (See www.parsacf.org)

Dr. Nezhat continues to contribute to the Art and Science of Surgery. He is the past president of the Society of Laparoendoscopic Surgeons, is the Director of the Center For Special Minimally Invasive Surgery, and is Clinical Professor of Surgery and OB/GYN at Stanford University School of Medicine, also Clinical Professor of OB/GYN at University of California at San Francisco.

He has published more than 500 articles, book chapters, abstracts, letters to the editor, and video presentations. He is co-author of 2 textbooks and has won numerous awards and honors from prestigious societies like the American Society for Reproductive Medicine, American College of Surgeons, and the Excel Award from the Society of Laparoendoscopic Surgeons and American College of Obstetrician Gynecologists.

Press and Publications

    1. Biography of Camran Nezhat, MD, FACOG, FACS
    2. The Career Woman's Disease. TIME Magazine 1990
    3. Newsweek February 12, 1990pg 58-59 "Hanging up the Knife", Cowley, Geoffrey
    4. Newsweek October 13, 1986 pg 95 "Conquering Endometriosis" Clark, Matt, Carroll, Ginny
    5. Business Week September 27, 2004 pg 121-122 "Women's surgery: Less of an ordeal" Cropper, Carol Marie
    6. MarketWatch February 7, 2005 "Robots as surgical enablers" Gerencher, Kristen
    7. The San Francisco Examiner May 26, 2005 "Fertility surgery nets success 10 years later" Wein, Josh
    8. Journal of the Society of Laparoendoscopic Surgeons Presidents Corner "Operative Endoscopy will replace almost all open procedures" 2004;8 2):103-107
    9. Mountain View Voice Volume 14 No 7 February 10, 2006 "A baby at all costs" Sadoughi, Marjan
    10. Conceive Magazine Spring 2006 Vol 3 Issue 1" Dayna's Story: From endometriosis to happy ending" Sherwood, Sarah
    11. The Wall Street Journal December 13, 2005 Section D1 "What you should know before you start IVF" Westphal, Sylvia Pagan
    12. OBGYN.net- Advisory Board: Camran Nezhat,M.D.
    13. Nezhat Medical Center: About Us
    14. Stanford News
    15. Nezhat Medical Center: Exonerated (pdf)
    16. Emory Caselaw: 11ca
     
    This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Camran_Nezhat". A list of authors is available in Wikipedia.
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