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Gynecologic Cancer and Pelvic Surgery, L.L.C.
Gynecologic Oncology Education and Research, P.C.
Serving as a regional referral center for gynecologic oncology
as well as reconstructive pelvic surgeries and gynecologic
diagnostic dilemmas, the Division (through its clinical entity,
Gynecologic Cancer and Pelvic Surgery, LLC) continues to attract
patients throughout New Jersey and the surrounding tri-state
area. Thad R. Denehy, M.D. and Robert R. Taylor, M.D. are
board-certified in Gynecologic Oncology as well as Obstetrics
and Gynecology and are nationally recognized gynecologic oncologists
and pelvic surgeons.
Longtime partners James L. Breen, M.D. and Caterina A. Gregori
M.D. recently retired in good health after serving as Chairman/Vice
Chairman of the Department of Obstetrics-Gynecology at Saint
Barnabas Medical Center for over 33 years. Both were named "Surgeons
of the Year" by the Society of Gynecologic Surgeons and
Dr. Breen was the President of the American College of Obstetricians
and Gynecologists from 1984-85. Drs. Denehy and Taylor sorely
miss their personal and professional association and strive
to continue their tradition of surgical expertise and resident
education.
Drs. Denehy and Taylor treat patients with conditions in three
areas: gynecologic malignancies, pelvic reconstruction and
complicated benign conditions. In addition, the Division
fosters innovative clinical research in gynecology cancer
through its research arm, Gynecologic Oncology Education
and Research, P.C., to provide patients with the most advanced
early detection and modern treatment options.
The gynecologic oncology aspect of the Division provides a
comprehensive range of services necessary for the proper
treatment of gynecologic malignancies. These include highly
specialized radical cancer surgeries, cytoreduction (reduction
of the tumor mass through aggressive surgery), bowel and
urologic surgery, lymphadenectomies (excision of the lymph
nodes), implantable vascular ports, laser and laparoscopic
surgeries as well as the latest in multi-agent chemotherapeutics
in selected disease entities. The Division manages the full
spectrum of gynecologic malignancies of vulvar, vaginal,
cervical, endometrial, uterine, ovarian, and gestational
trophoblastic (molar) origin. Physicians are experts in the
diagnosis, management and treatment of the abnormal Pap smear
as well as preinvasive disease of the cervix, vagina, and
vulva. Consultations for hereditary gynecologic cancer syndromes
are also available.
Another major function of the Division is the role of a regional
referral center for reconstructive pelvic surgery. The entire
spectrum of various pelvic support defects (hernias), such
as posthysterectomy vaginal vault and uterine prolapses,
cystoceles, rectoceles, or enteroceles (vaginal herniations
of the bladder, rectum or small bowel), as well as urinary
incontinence, are expertly and comprehensively treated. Through
their over 20 year association with mentors Drs. Breen and
Gregori, Drs. Denehy and Taylor have trained to accomplish
their reconstructive surgeries without an abdominal incision,
which has become crucial given the aging population. This
affords a markedly lower complication rate. Additionally,
through publications, lectures and practice, the Division
has championed the resurgence of a minimally invasive procedure
(LeFort colpocleisis) for the treatment of symptomatic severe
pelvic organ prolapse in medically compromised elderly women.
This year, the Division has introduced a new treatment (Transvaginal
Tension-free Tape - Obturator) in its management of stress
urinary incontinence. This procedure provides the same support
and excellent outcome as the older procedure, Tranvaginal
Tension-free Tape, but with a markedly less chance of serious
complications.
The Division also repairs extensive perineal lacerations occurring
after childbirth that may be associated with incontinence
of feces and/or urine as well as marked vaginal or pelvic
relaxation. These procedures are also performed transvaginally,
resulting in minimal discomfort and a shorter hospital stay.
Urologic/rectal fistulas associated with incontinence of
urine, stool, or flatus and their drastic effect on patients’ quality
of life are diagnosed and managed. Chronically painful incisions
with neuromas that may accompany perineal lacerations or
may occur after hysterectomies are also addressed by Drs.
Denehy and Taylor.
Many physicians and surgeons around the region refer their
technically challenging, medically compromised and high risk
patients to the Division for surgical and medical management
of both benign and malignant gynecologic conditions. The Division
prides itself in cautious medical conservativism with appropriate
expeditious surgical intervention via a team approach with
minimal morbidity in these medically compromised patients.
The Division has expertise in the surgical management of severe
endometriosis and other benign gynecologic conditions complicated
by a history of multiple prior surgeries. In these situations,
the surgery may be difficult due to the development of adhesions
(abnormal scar tissue). The Division physicians employ a team
approach in these difficult cases. Patients benefit from the
shared surgical expertise that optimizes outcome.
Lastly, the Division is also a well-known national referral
source for the management of young women with congenital anomalies
of the vagina and uterus such as vaginal agenesis (women born
without a vagina and/or uterus), vaginal septae and obstructed
uteri.
The Division enjoys a close working relationship with the
Departments of Radiation Oncology and medical oncologists
as well as other highly regarded physicians and surgeons.
Regular multidisciplinary conferences and tumor boards are
held to insure patients receive state of the art care with
keen attention to the individualization of their medical
care. The Division also participates in ongoing clinical
and basic science research with a current focus on determining
the sensitivity of tumor cells to chemotherapy agents.
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