Mercy's Dr. Dwight Im Discusses His "Imsway" Approach For Treating Ovarian Remnant Syndrome
Mercy's Dr. Dwight Im with the da Vinci robot for gynecologic pelvic surgery
Sometimes, a woman has her ovaries removed only to find out the surgery didn't remove all of the tissue, which can cause some serious complications, including ovarian remnant syndrome.
"They can become a major problem in terms of pain and bloating. Small pieces of ovarian tissue is left behind and it grows back, and sometimes, into a big mass the size of an orange or even a grapefruit," said gynecologic oncologist Dr. Dwight Im, Director of the Gynecologic Oncology Center at Mercy.
According to Dr. Im, further surgery is the only way to correct ovarian remnant syndrome. He uses a robotic surgical alternative he calls "IMSWAY."
“IMSWAY is a robotic surgical alternative to traditional open and laparoscopic surgical approaches for addressing all manner of serious gynecologic conditions, including but not exclusive to, retroperitoneal hysterectomy, the removal of large fibroids, removal of severe endometriosis, surgical treatment of ovarian remnant syndrome, and other maladies involving the uterus.
“IMSWAY involves these elements: entering the retroperitoneal space using the infundibulopelvic ligament; the medial leaf of the peritoneum; skeletonization of the ureter, water under the bridge, arriving at the origin of the uterine artery – IMSWA,” Dr. Im explained.
Dr. Im demonstrated how he uses "the robot as a tool to enter the retroperitoneal space, identify all the vital organs, big blood vessels and veins, and remove the ovarian remnants without injuring those vital organs."
Women who have ovarian remnant syndrome will not have the usual post-menopausal symptoms associated with having their ovaries removed, like night sweats, hot flashes, insomnia and depression.
Founded in 1874 in downtown Baltimore by the Sisters of Mercy, Mercy Medical Center is a 183-licensed bed acute care university-affiliated teaching hospital. Mercy has been recognized as a top Maryland hospital by U.S. News & World Report; a Top 100 hospital for Women’s Health & Orthopedics by Healthgrades; is currently A-rated for Hospital Safety (Leapfrog Group), and is recognized by the American Nurses Credentialing Center as a Magnet Hospital. Mercy Medical Center is part of Mercy Health Services (MHS), the parent of Mercy’s primary care and specialty care physician enterprise, known as Mercy Personal Physicians, which employs more than 200 providers with locations in Baltimore, Lutherville, Overlea, Glen Burnie, Columbia and Reisterstown. For more information about Mercy, visit www.mdmercy.com, MDMercyMedia on Facebook, Twitter, or call 1-800-MD-Mercy.