Women’s Health and Interventional Radiology Services at Portsmouth Regional Hospital

Women’s Health and Interventional Radiology Services at Portsmouth Regional Hospital


– Yeah I wanted to touch on some of the other things we
do outside the room. And that includes CT-guided
biopsies, lung biopsies of pulmonary nodules or liver lesions are something we commonly
perform everyday. We have procedures like
that in the department. We do a lot of breast biopsies. One of the biggest areas of
contention this last year on the news has been the
whole issue of mammography. And I won’t use this forum to
discuss mammography at length but I will say that screening mammograms on women 40 and over will
reduce the number of women who die of breast cancer
by almost 35 percent and for all the problems
mammography has it does save lives. The biggest challenge
is the false positive and that’s why we’ve really,
over the last 10 years minimized the intervention
of the breast biopsy. We’ve gone from open surgical biopsies to very minimally-invasive needle biopsies which are done by basically a robot arm under stereotactic guidance. Patients tolerate these
procedures almost universally without difficulty and
with our pathologists we get the answer back
usually the next day. This is another area where
I think our department has really been a good
service to the community and allowed us to find many cancers in an early treatable state. Probably a good example
of a problem that patients seek us out more often
than they are sent to us by a referring provider
is fibroid embolization. As many of you are aware
fibroid disease is very common. Over 20 percent of women in their 20s have at least one fibroid by the time you get to age 40 40 percent of women
will have some fibroids. Having a fibroid isn’t necessarily a big problem or a bad thing but if it’s causing issues or symptoms like anemia from prolonged
bleeding with menstruation or some mass effect issues related to pressing on the bladder or constipation by placing on the rectum. These are areas where patients
can have a dramatic benefit by removing the bulge
symptoms of the fibroids. And increasingly popular is the procedure of fibroid embolization. And it’s a procedure that we’ve had here in the Portsmith Regional Hospital for probably over 10 years with Dr. Pierce specializing in some of these
gynecologic interventions. With an excellent track record we’ve had this procedure done on several of our friends, family members, employees and it’s rare for us to
have a person afterwards who wasn’t satisfied with their results. And by and large these patients were able to avoid a hysterectomy. That doesn’t mean it’s a
solution for every problem. There are patients who
we evaluate and decide that they’d be better served by our highly skilled surgical colleagues doing a hysterectomy. But given a choice I find
that many women prefer to have have themselves kept whole
without losing their uterus and or ovaries and most
often we’re looking at one day turnaround between
the procedure being performed and getting home with their families. Another gynecologic
procedure which we perform in concert with our
gynecologist colleagues is fertility work for
the histocell pictogram. To assess the uterine patency
and the fallopian tube patency which is a test where
we actually put contrast or xray dye into the
uterus in order to check to make sure everything’s okay inside the uterine cavity
and the fallopian tubes. Usually done for patients who
are having trouble conceiving and this is not an
infrequently performed test. It’s best done in a room like this or one of our fluoroscopic
rooms where we have high-quality imaging. And in certain circumstances in the past we’ve been able to actually,
Dr. Pierce and myself both have experiences
where we were able to take a blocked tube and using the
same catheters and guidewires open up the tube in order to help people with future pregnancies. That’s just something people
need to know is out there. There are other techniques now to help with infertility as well but it’s part of a work up
and one of the things we do. (thoughtful music)

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