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A Message From The Chairman Of The Department Of Obstetrics And Gynecology

image003Thank you for visiting the website of the Department of Obstetrics and Gynecology at Winthrop-University Hospital, Mineola, New York. The Department of Obstetrics and Gynecology at Winthrop-University Hospital maintains the missions of excellent patient care, education and research. In addition to the education of Stony Brook medical students, our department has an extremely strong, independent Ob/Gyn residency and a joint fellowship in Maternal-Fetal Medicine with Stony Brook. Our Department of Obstetrics and Gynecology offers a broad spectrum of women's health care, from annual examinations and preventive care to advanced laparoscopy, minimally invasive surgery, robotic surgery, gynecologic oncology, maternal-fetal medicine, including fetal surgery, and reproductive endocrinology and infertility. The Department of Obstetrics and Gynecology has the following six divisions: General Obstetrics and Gynecology, Maternal-Fetal Medicine, Gynecologic Oncology, Female Pelvic Medicine & Reconstructive Surgery (Urogynecology), Reproductive Endocrinology & Infertility and Minimally Invasive Gynecologic Surgery. Some of the highlights of the divisions are the following.

General Obstetrics and Gynecology

There are six full time faculty members and over 40 active private general obstetricians and gynecologists who perform approximately 4.500 deliveries, over 2,500 minor and over 1,000 major gynecologic surgeries per year. Approximately 20% of the deliveries, 25% of the minor and 60% of the major gynecologic surgeries are performed by the full time faculty.

Maternal-Fetal Medicine

Our board certified perinatal specialists provide state of the art care (3D/4D ultrasounds, Amniocentesis, Chorionic Villa Sampling (CVS) and cordocentesis) to patients with complicated pregnancies. This also includes the region's only Fetal Surgery program which allows in-utero treatment options which can be life saving under certain circumstances. These fetal procedures include: Needle aspiration of fetal compartment, Radio frequency ablation, Percutaneous fetal shunt placement, Fetal transfusion and Fetoscopic laser photocoagulation of placental/fetal/umbilical vessels for Twin to Twin Transfusion Syndrome (TTTS). Our physicians help develop care plans for the most complicated obstetrical issues to maximize the health of the mother and fetus. In addition, we perform pre-pregnancy consultations to mothers with prior complicated pregnancies to reduce the risk for future pregnancies. We provide this care using a hands-on team approach in collaboration with our referring obstetricians. We are patient centered and strive for excellence at every opportunity.

Gynecologic Oncology

The medical team of the Division of Gynecologic Oncology consists of four full-time faculty physicians, two physicians' assistants, research, nursing and support staff. These dedicated individuals collaborate in a coordinated fashion to deliver state-of-the-art gynecologic oncology care. Women with known or suspected gynecologic cancers are evaluated and have access to expertise in the use of DaVinci Si robot, single puncture laparoscopic surgery (SILS) and other methods of minimally invasive surgery. In addition, the Division provides the full scope of gynecologic cancer services, including radical and ultraradical procedures, delivery of chemotherapy, participation in research trials and activities supported by NCI through the Gynecologic Oncology Group and with Cold Spring Harbor Laboratory (an NCI-designated Cancer Center) and in-house research trials. Palliative care and extensive support services are also available. Every year, the Division performs over 600 gynecologic oncology surgical cases, evaluates over 1,000 new patients, and there are over 4,500 outpatient visits.

Urogynecology and Pelvic Reconstructive Surgery

The division provides a multidisciplinary approach to evaluation and treatment of female patients with a variety of pelvic floor disorders. Pelvic floor disorders include urinary and fecal incontinence, overactive bladder, pelvic organ prolapse, recurrent urinary tract infections, interstitial cystitis, and urethral syndrome. We have state of the art multichannel urodynamic testing unit, and perform diagnostic evaluations for all pelvic floor disorders. Conservative options are offered along with surgical including minimally invasive pelvic surgery, vaginal reconstruction, neuromodulation and laparoscopic/robotic surgery.

Reproductive Endocrinology and Infertility

In our Reproductive Endocrinology and Infertility service, we offer the most advanced facility for assisted reproduction. Our comprehensive range of services include pelvic ultrasounds, on-site semen analysis, endocrine lab evaluation, intrauterine insemination (IUI), on-site IVF retrievals and embryo transfers (Day 3 and Day 5/blastocyst), intracytoplasmic sperm injection (ICSI), assisted hatching (AH), pre-implantation genetic diagnosis/screening (PGD/PGS), egg donation, and gestational surrogacy. Programs for fertility preservation with state-of-the-art technology are now available. Each year, we perform approximately 1,000 IVF cycles and 4,000 IUI cycles. We also treat endocrine disorders such as irregular menses, hypothyroidism, hyperthyroidism, hirsutism, polycystic ovarian syndrome (PCOS), and luteal phase defects. Our services also include diagnosing and treatments for recurrent pregnancy loss, uterine malformations (including septum, bicornuate, didelphic, and unicornuate), and surgeries (for the treatment of leiomyomas/fibroids, uterine septum/polyps, endometriosis, and tubal repair). Our primary goal is to help our patients achieve a healthy pregnancy.

Minimally Invasive Gynecologic Surgery

The Division of Minimally Invasive Gynecologic Surgery consists of two faculty members and several other surgeons from the voluntary staff. Both benign and malignant disorders of the female pelvis are treated by a variety of minimally invasive surgical techniques including laparoscopic, robotic, vaginal, and mini-laparotomic surgical approaches. The division is actively involved in the education of residents, fellows, and medical students and in on-going research projects designed to further improve patient outcomes. The Division is directed by a world renowned pioneer in laparoscopic and robotic surgery, Dr. Farr Nezhat.

Anthony Vintzileos, M.D.
Professor and Chairman,
Department of Obstetrics and Gynecology
Winthrop-University Hospital
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