Greg Marchand
Il Dr. Greg Marchand è un medico nordamericano, Ginecologo, Ostetrico e inventore di due tecniche chirurgiche. Una, per la sterilizzazione chirurgica femminile rimuovendo le tube di Falloppio e, quindi, ridurrendo il rischio di cancro ovarico.[1][2] La seconda è una tecnica per eseguire il cerchiaggio cervicale via laparoscopica per prevenire il parto pretermine.[3] Marchand, è Professore Associato di la Facoltà di Medicina presso l'Università di Medicina Osteopatica della University of Arizona a Glendale, AZ, e l'Università di Medicina Osteopatica di Mesa, AZ.[4][5]
Marchand è il detentore di tre record del mondo chirurgico nel campo della chirurgia mini-invasiva.[6][7][8][9][10][11][12][13][14]
Nei media più importanti, Marchand è apparso come esperto nel campo di Ostetricia e Ginecologia.[4][5][8] È stato ospite esperto di The Today Show[15] e Inside Edition[16] per le sue interessanti opinioni.
Biografia[modifica]
Marchand è originario di Johnston, Rhode Island, e ha studiato medicina presso l'Università Spartan di Scienze della Salute nei Caraibi.[17] Ha completato i suoi studi di speciallizzazione in Ostetricia e Ginecologia presso il Centro di Scienze della Salute dell'Università del Tennessee a Memphis, TN.[17]
Tecniche Chirurgiche Proprie[modifica]
La "Salpingectomia Marchand" è una tecnica chirurgica sviluppata dal Dr. Marchand, poco dopo l'American College di Ostetricia e Ginecologia aveva emesso il Parere del Comitato #620.[18] Il parere del comitato stava cambiando drasticamente la chirurgia ginecologica, raccomandando salpingectomia (asportazione delle tube di Falloppio) in circostanze in cui è stato consigliato legatura delle tube.[18] Marchand ha descritto e pubblicato la tecnica il 24 ottobre 2017 al Congresso Clinico dell'American College of Surgeons a San Diego, di California.[1][2]
I medici Richard Demir e Marchand hanno inventato una técnica, senza nome, per il posizionamento da cerchiaggio via laparoscopica, per prevenire la insufficienza cervicale e il conseguente parto pretermine. Il 20 giugno 2010, un video con la descrizione della tecnica é stato pubblicato durante il 32° Congresso Britannico Internazionale della Ostetricia e Ginecologia a Belfast, UK.[3][19]
La tecnica è stata aggiunta all'elenco pubblico delle competenze chiave della Rutgers University School of Medicine nel New Jersey nel 2018.[20]
Record Chirurgici[modifica]
Insieme con il Dr. Richard Demir, Marchand ha eseguito l'intervento di isterectomia laparoscopica completa l'utero più grande, nel 2007.[[21] L'utero pesava 3200 grammi ed il record del mondo è stato verificato e riconosciuto dal Guinness World Records nel 2008.[10] Più tardi, nella quarta edizione quatrimestrale del giornale della Società dei Chirurghi Laparoendoscopici da 2010, è stata pubblicata una sintesi dei dettagli della tecnica chirurgica.[22] Il record è stato interrotto nel 2009 dal Dr. Rakesh Sinha dell'ospedale BEAMS a Mumbai, in India, dove è stato rimosso un utero da 4100 grammi.[23]
Nel 2015, Marchand ha rimosso una massa ovarica di 17 centimetri inizialmente presumibilmente benigna.[8][6][7][11] La biopsia intraoperatoria ha mostrato che la massa era maligna e il dottor Snehal Bhoola, oncologo ginecologico, ha partecipato insieme a Marchand per completare l'intervento per la Stadiazione Chirurgica del Cancro dell’Ovaio, via laparoscopica. Questa è stata la massa ovarica maligna più voluminosa rimossa in un intervento di stadiazione per via laparoscopica. Questo record è stato verificato e riconosciuto dal 2017 dal World Records Academy.[11] Il record è stato criticato perché, anche se non c'era alcuna sicurezza di caratteristiche maligne della massa prima della sua rimozione, è stata rimossa utilizzando un morcellatore laparoscopico. Le tecniche di morcellazione hanno mostrato rischio di disseminazione intra-addominale del cancro.[24][25]
Nel 2018, Marchand eseguì un'isterectomia attraverso un unico portale, è stato il più piccolo portale mai riportato, di 11 mm.[13][14] Questo record è stato verificato e riconosciuto dal World Records Academy nel 2018. L'Accademia ha detto che il record precedente era di Cleveland Clinic con il portale 15 millimetri.[13]
Salute personale[modifica]
Nel 2010, Marchand è stato diagnosticato con un coriocarcinoma, un tipo aggressivo di cancro ai testicoli.[6] Ha subito eseguito interventi chirurgici e trattamenti durante quell'anno e il cancro è stato in remissione da quel momento.[7] Nelle sue interviste e pubblicazioni, Marchand cita la sua battaglia personale come ispirazione per lo sviluppo e la creazione di tecniche per curare il cancro.[9]
Morcellazione[modifica]
Due dei record mondiali di Marchand includono la morcellazione, una tecnica chirurgica che ha dimostrato, in alcuni studi, di avere il potenziale per diffondere le cellule tumorali nel paziente durante lo intervento.[[24] Marchand è stato criticato, soprattutto dopo il suo secondo record del mondo nel 2017 a causa de che la chirurgia è stata eseguita nel 2017, dopo che la FDA aveva avvertito dei rischi della procedura nel 2014.[26]
Publicaziones[modifica]
- Marchand, G; Kutteh, W (May 5, 2009). “Patient Selection Criteria for Outpatient Myomectomy via Mini-laparotomy”. The American College of Obstetricians and Gynecologists 2009 Annual Meeting, Poster Sessions, Chicago IL. DOI: 10.13140/RG.2.2.17296.92163
- Demir RH, Marchand GJ, Safe laparoscopic removal of a 3200 gram fibroid uterus., in JSLS, vol. 14, nº 4, 2010, pp. 600-2, DOI:10.4293/108680810X12924466008169.
- Marchand, G; Demir, R (June 20, 2010). “Video: Laparoscopic cervical cerclage in 18-weeks pregnant uterus.” Presented at Conference, 32nd British International Congress of Obstetrics and Gynaecology, (BICOG 2010) , Belfast, UK.
- Marchand, G; Demir, R (September 1, 2010). “Abstract: Laparoscopic Cervical Cerclage in 18-weeks Pregnant Uterus, Abstract 10.108, Presented at the 19th Annual Meeting of the Society of Laparoendoscopic Surgeons, New York, also included in Supplement issue of Journal”. Journal of the Society of Laparoendoscopic Surgeons. 14 (Suppl). DOI: 10.13140/RG.2.2.19420.28802
- Marchand, G; Butawan, D; Kutteh, W (May 2, 2011). “Cost-Effective, Outpatient-Safe, Minilaparotomy Myomectomy”. Presented at the 59th Annual Congress of the American College of Obstetrics and Gynecology, Washington D.C., DOI: 10.13140/RG.2.2.12263.75686
- Marchand, G; Demir, R (September 6, 2011). “Laparoscopic Supracervical Hysterectomy and Vagino-Cervico-Sacropexy”. Presented at the 20th Annual Congress of the Society of Laparoendoscopic Surgeons, and included in the Supplement to JSLS, 15 (3).
- Marchand, G; Demir, R (September 6, 2011). “Laparoscopic Hysterectomy and Vaginal Morcellation”. Presented at the 20th Annual Congress of the Society of Laparoendoscopic Surgeons, and included in the Supplement to JSLS, 15 (3).
- Marchand, G; Demir, R (October 26, 2011). “Outcome of 783 Consecutive Hysterectomies for Benign Indication-Likelihood of Competing a Minimally invasive Hysterectomy Based on Patient’s Body Mass Index”. Presented at the 97th Annual Clinical Congress of the American College of Surgeons, San Francisco, CA, DOI: 10.13140/RG.2.2.18974.64322.
- Marchand, G; Demir, R (Oct–Dec 2011). “Unnecessary Laparotomy Avoidance-Outcome of 257 Consecutive Adnexal Masses of 8-13cm on Pre-Operative Ultrasound Treated with laparoscopic Adnexectomy, Bagging and Colpotomy”. Journal of Minimally Invasive Gynecology,. 18 (6) : S132. DOI: 10.1016/j.jmig.2011.08.537.
- Marchand, G; Demir, R (November 6, 2011). “Laparoscopic Unilateral Salpingo-Oophorectomy, Bagging & Vaginal Morcellation”. Presented at the 2011 40th AAGL Global Congress of Minimally Invasive Gynecology, in Hollywood, CA.
- Demir RH, Marchand GJ, Adnexal masses suspected to be benign treated with laparoscopy., in JSLS, vol. 16, nº 1, 2012, pp. 71-84, DOI:10.4293/108680812X13291597716069.
- Marchand, G; Demir, R (Nov–Dec 2012). “Effect of Improved Vaginal Manipulator on Laparoscopic Sacrocolpopexy”. Journal of Minimally Invasive Gynecology, 19 (6) : S77. DOI: 10.1016/j.jmig.2012.08.590.
- Marchand, G; Demir, R (September 5, 2012). “Irrelevance of Traditional De-Selectors for Minimally Invasive Hysterectomy”. Journal of the Society of LaparoEndoscopic Surgeons, Presented at the 2012 Conference, Boston, MA, DOI: 10.13140/RG.2.2.11424.89601.
- Marchand, G; Sainz, K (April 12, 2015). “Laparoscopic Single Port Hysterectomy through a blunt 12mm Trochar – Testing the limits of Minimally Invasive Surgery”. Journal of the British College of Obstetrics and Gynecology, Presented at the RCOG 2015 Meeting, Brisbane, Australia. DOI: 10.1111/1471-0528.13375.
- Marchand, G; Sainz, K; Weeden, A; Citrin, A (October 19, 2016). “MEDUSA PROTOCOL – Minimising the blood loss and Maximising the efficacy of Oxytocin Sensitive Dilation and Curettage procedures”. Australia and New Zealand Journal of Obstetrics and Gynecology, Presented at 2016 RANZCOG Meeting, Perth, Australia. 56 (suppl. – 1) : 28–66. DOI: 10.1111/ajo.12550.
- Marchand, G; Sainz, K; Rials, L (March 20, 2017). “Marchand Salpingectomy – a new and exciting 5 minute laparoscopic technique for sterilization and reducing the risk of ovarian cancer”. British Journal of Obstetrics and Gynecology, Presented at RCOG World Congress 2017, Cape Town, South Africa. 124 (suppl. – 1) : 4–199. DOI: 10.13140/RG.2.2.16458.06088
- Marchand, G; (October – December 2017). Opinion Article on “Choosing Wisely” Regarding Minimally Invasive Surgery. AAGL Newscope, Volume 31, No. 4, October – December 2017.
- Marchand, G; Pile, R (October 3, 2017). “Successful Complete Laparoscopic Staging of Ovarian Cancer in a Patient with a 17cm Malignant Ovarian Tumor”. Presented at 4th International Conference on Gynecology & Obstetrics, Barcelona, Spain.
- Marchand, G; Sainz, K (October 24, 2017). “Video: “A Five Minute Procedure That Decreases the Risk of Ovarian Cancer for a Lifetime”. Presented at the American College of Surgeons Clinical Congress 2017, San Diego, CA, DOI: 10.13140/RG.2.2.17087.20641.
- Marchand, G; Ware, K; King, A (March 10, 2018). “Salpingectomy at time of Cesarean Section without Power Device or Suturing, a Novel Technique”. Presented on March 10th 2018, 26th Congress of the European Board and College of Obstetrics and Gynecology, Paris, France, DOI: 10.1016/j.ejogrb.2018.08.573.
- Marchand, G; Rials, L; Pile, R; Sainz, K – (July 16, 2018) “Heterotopic pregnancy: A Decision-Making Algorithm for the Rare Case.“ July 16th 2018, World Congress On Gynecology, Obstetrics & Reproductive Health, Bangkok, Thailand. DOI: 10.13140/RG.2.2.20329.19046/2.
- Marchand, G; Ware, K; Rials, L; Sainz, K – (September 14th 2018,) “Is there an Endometrial Ablation “Sweet Spot?” – Are Novasure Endometrial Ablations Lasting Between 30 and 119 Seconds More Likely to be Successful than Others?” September 11-16th 2018, American Association of Gynecologic Laparoscopists, 2018 International Conference, Beijing, China. DOI: 10.13140/RG.2.2.30960.10241
- Marchand, G; Anderson, S, – (September 22nd 2018) “A Case of Renal Obstruction Due to Endometriosis and a Brenner Tumor,” E-Poster, 2018 Arizona American College of Surgeons Chapter Symposium, Saturday, September 22, 2018, Tucson, AZ, USA. DOI: 10.13140/RG.2.2.18900.65926
- Marchand, G; Rials, L, – (September 22nd 2018) “An Unusual Case of Postmenopausal Bleeding,” E-Poster, 2018 Arizona American College of Surgeons Chapter Symposium, Saturday, September 22, 2018, Tucson, AZ, USA. DOI: 10.13140/RG.2.2.29733.76009
- Marchand, G; Leblanc, M, – (September 22nd 2018) “Organ Harvesting following failure of Therapeutic hypothermia in a Pregnant Patient,” E-Poster, 2018 Arizona American College of Surgeons Chapter Symposium, Saturday, September 22, 2018, Tucson, AZ, USA
- Marchand, G; Murphy, M, – (September 22nd 2018) “Fertility Sparing Surgery in a 25 Year Old Patient with Extremely Large Endometriomas,” E-Poster, 2018 Arizona American College of Surgeons Chapter Symposium, Saturday, September 22, 2018, Tucson, AZ, USA
- Marchand, G; Cieminski, K, – (September 22nd 2018) “Novel Clean-Up Technique Following Ovarian Dermoid Cystectomy,” E-Poster, 2018 Arizona American College of Surgeons Chapter Symposium, Saturday, September 22, 2018, Tucson, AZ, USA. DOI: 10.13140/RG.2.2.28364.05765
- Marchand, G; Ware, K; Rials, L; Sainz, K – (November 2018) Journal Abstract: “A Simple and Novel Technique for Cleaning Up after the Ovarian Cystectomy of a Dermoid Cyst” Journal of Minimally Invasive Gynecology 25(7) :S239-S240, DOI: 10.1016/j.jmig.2018.09.617. (full text)
- Marchand, G; Ware, K; Rials, L; Sainz, K – (Presented November 15th 2018,) “A Simple and Novel Technique for Cleaning Up after the Ovarian Cystectomy of a Dermoid Cyst” November 11-15th 2018, American Association of Gynecologic Laparoscopists, 47th Global Congress, Las Vegas, Nevada, USA.
- Marchand, G; Ware, K; Rials, L; King, A; Cieminski, K – (Presented December 6th 2018,) “Better than Blood: An Aggressive Pharmacologic and Surgical Protocol for Avoiding Transfusion in treating Molar Pregnancy” December 6-7th 2018, Royal College of Obstetricians and Gynaecologists, 2018 National Conference, Birmingham, England. Also Published in BJOG Supplemental Issue 2018. DOI: 10.1111/1471-0528.15493
- Marchand, G; Ware, K; King, A; Sainz, K – (Presented December 8, 2018) “Incidence of Chlamydia, Gonorrhea, and Azithromycin Resistant Chlamydia in an Adolescent Population.” December 6-8th 2018, European Council on Excellence in Pediatrics, Annual Meeting, Prague, Czech Republic. DOI: 10.13140/RG.2.2.34919.96168/2
- Marchand, G; Wolf, H; Cieminski, K; Rials, L; King, A; Presented on May 9th 2019, “Technique of Vaginal-Cervical Tension to Complete Two-Port Laparoscopic Trachelectomy without Ureteral Stents” May 8th- 10th 2019, 15th AAGL International Congress on Minimally Invasive Gynecologic Surgery, Florence, Tuscany, Italy. DOI: 10.13140/RG.2.2.28587.49445
- Marchand, G; Vallejo, J; Wolf, H; Cieminski, K; Ware, K; King, A; (Accepted for presentation on September 5th 2019,) “The Cutting Edge of Minimally Invasive Surgery – Total Laparoscopic Hysterectomy and Lysis of Adhesions through a Single 11mm Bluntly Created Umbilical Incision”, Society of Laparoendoscopic Surgeons Annual Meeting, September 4th – September 7th, New Orleans, Louisiana, USA.
- Marchand, G; Vallejo, J; Wolf, H; Cieminski, K; Ware, K; King, A; (Accepted for presentation on September 5th 2019,) “Ultra Minimally Invasive Two-Port Laparoscopic Trachelectomy without Ureteral Stents”, Society of Laparoendoscopic Surgeons Annual Meeting, September 4th – September 7th, New Orleans, Louisiana, USA.
Note[modifica]
- ↑ 1,0 1,1 Marchand Salpingectomy - an new and exciting 5 minute laparoscopic technique for sterilization and reducing the risk of ovarian cancer, Royal College of Obstetrics and Gynecology (RCOG), 20 March 2017. URL consultato il 10 March 2018.
- ↑ 2,0 2,1 Two Port Laparoscopic Salpingectomy A Five Minute Procedure That Decreases the Risk of Ovarian Cancer for a Lifetime, Society of Elite Laparoscopic Surgeons, 24 October 2017. URL consultato il 19 March 2018.
- ↑ 3,0 3,1 Laparoscopic Cervical Cerclage in 18-week Pregnant Uterus, Society of LaparoEndscopic Surgeons Channel, 1º September 2010. URL consultato il 4 April 2018.
- ↑ 4,0 4,1 Doc revives controversial procedure, 2 August 2017. URL consultato il 2 December 2017.
- ↑ 5,0 5,1 Controversial procedure for removing tumors, 7 August 2017. URL consultato il 29 November 2017.
- ↑ 6,0 6,1 6,2 Mesa Doctor Breaks World Record for Largest Tumor Removal and It's Kind of Gross, August 4, 2017. URL consultato il 16 April 2018.
- ↑ 7,0 7,1 7,2 EV doctor sets world record for removal of tumor, 9 September 2017. URL consultato il 16 April 2018.
- ↑ 8,0 8,1 8,2 Mesa doctor sets world record in tumor-removal surgery, 7 July 2017. URL consultato il 16 April 2018.
- ↑ 9,0 9,1 Arizona Surgeon Survives Cancer to Invent and Perform Record-Setting Cancer Surgery, in Medical Imaging Business Week, NewsRX LLC, p. 2316. URL consultato il 17 April 2018.
- ↑ 10,0 10,1 Local Docs Enter Record Books With Largest Uterus Ever Removed. URL consultato il 10 April 2018.
- ↑ 11,0 11,1 11,2 Laparoscopic Ovarian Cancer Staging Surgery on the Largest Tumor: Arizona doctors set world record (VIDEO), su worldrecordacademy.com, 7 January 2017. URL consultato l'11 April 2018.
- ↑ Arizona Surgeon Removes Enormous Cancer Tumor Through a Cut the Size of a Dime, Setting a New World Record, 13 August 2017. URL consultato il 12 April 2018.
- ↑ 13,0 13,1 13,2 Total Hysterectomy Performed Through The Smallest Incision: world record set by Dr. Greg Marchand, su worldrecordacademy.org, 22 August 2018. URL consultato il 12 December 2018.
- ↑ 14,0 14,1 Mesa doctor recognized for smallest-ever incision made during hysterectomy, 12 September 2018. URL consultato il 27 November 2018.
- ↑ Police seek DNA in investigation into comatose woman’s birth, January 10, 2019. URL consultato il 10 January 2019.
- ↑ Doctor Says Woman Who Gave Birth in Vegetative State Likely Felt Pain, January 9, 2019. URL consultato il 12 January 2019.
- ↑ 17,0 17,1 Arizona Medical Board, su gls.azmd.gov.
- ↑ 18,0 18,1 Committee Opinion #620: Salpingectomy for Ovarian Cancer Prevention, Committee on Gynecologic Practice, January 2015. URL consultato il 12 April 2018.
- ↑ Video: Laparoscopic cervical cerclage in 18-weeks pregnant uterus, in Presented at Conference, British International Congress of Obstetricians and Gynecology, Belfast UK, June 20, 2010.
- ↑ Rutgers University New Jersey Medical School - List of Core Competencies in Obstetrics and Gynecology, in Rutgers University Department of OBGYN, New Brunswick, NJ.
- ↑ Record-Breaking Uterus, 13 December 2008. URL consultato il 12 July 2014.
- ↑ Safe Laparoscopic Removal of a 3200 Gram Fibroid Uterus, in Journal of the Society of Laparoendoscopic Surgeons, vol. 14, nº 4, Oct-Dec 2010, pp. 600–602, DOI:10.4293/108680810X12924466008169.
- ↑ Doc removes 4.1-kg uterus, makes it to Guinness records, 4 November 2009. URL consultato il 4 April 2018.
- ↑ 24,0 24,1 FDA Warns Against Surgery That Can Spread Uterine Cancer, 14 December 2017. URL consultato il 14 April 2018.
- ↑ YBLTV Meets “In-Bag” Morcellation Technique Pioneer, Dr. Greg Marchand MD, 29 August 2017. URL consultato il 2 January 2018.
- ↑ Immediately in Effect Guidance Document: Product Labeling for Laparoscopic Power Morcellators; Guidance for Industry and Food and Drug Administration Staff; Availability, Food and Drug Administration, 25 November 2014.
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