Joseph Buchman Center of Gynecology and Obstetrics
Gynecology literally means the study and science of women, and focuses primarily on the health of the female reproductive system, to include the uterus, vagina, and ovaries. For almost 4000 years, physicians have dedicated their lives to understanding the mysteries of women’s reproductive issues.
There is perhaps no more miraculous accomplishment in human physiology than a woman’s ability to reproduce. Some would say it’s one of God’s greatest gifts to mankind. With that in mind, the highly trained, personable, and compassionate staff at the Joseph Buchman Center of Gynecology and Obstetrics wants to welcome you our caring hands. We take a sincere and sensitive interest in the outcome of treatment, from simple gynecological infections to unusual bleeding and ovarian issues, on through obstetrics and healthy childbirth.
In addition, the department provides therapies for treating infertility, making use of innovative approaches to artificial insemination, as well as treatment for complications of pregnancy in the first and second trimesters (up to 24 weeks).
The Department’s approach is to accept women before and after gynecological operations. We perform a very broad spectrum of surgical procedures, to include minimally invasive laparoscopic surgery, surgeries requiring a wide incision in the abdominal wall (laparotomy), as well as operations via intrauterine access. Diagnosis is provided as soon as possible to facilitate timely treatment. This enables us to manage the disease effectively, minimizing any required hospitalization. Our goal is to get our patients home quickly, back to family and friends.
Our gynecologists, obstetricians, nurses, and support staff have extensive knowledge in their respective fields of practice.
Specialists from the Joseph Buchman Center of Gynecology and Obstetrics take an active role in consultations, ensuring the highest level of personal patient care. Our department collaborates with other departments within Chaim Sheba Medical Center, allowing patients access to a full range of care, including medical geneticists, Ultrasound experts, physicians from the Department of Preterm Infants, endocrinologists, dietitians, counselors from various related medical fields, imaging specialists (CT, MRI, x-ray), internists, cardiologists, surgeons, gastroenterologists, hematologists, orthopedists, specialists in chronic wounds, pain management and many others.
The Center for Treatment of Endometriosis in the Chaim Sheba Hospital provides a wide range of medical services for women - from one-time professional advice prior to surgery to treatment of systemic disorders within the body. This is the only medical institution in all of Israel that coordinates its treatment efforts with practitioner-gynecologists, family physicians, district clinics for infertility, as well as research departments of other Hospitals and Universities. Our number one focus is to help ALL women suffering from this devastating disease, not just our own patients.
Endometriosis is a disease in which the cells from the tissue lining the inside of the uterus (called the endometrium) proliferate outside of the uterus. The same processes that are common for the normal endometrium occur in this "misplaced" endometrial tissue. Among them are monthly inflammation in the surrounding tissues that cause the main symptoms of endometriosis, such as light bleeding, pain in nearby organs, and infertility. In rare cases, extra-genital endometriosis can occur in organs far from the pelvis, such as the lungs and brain.
The American Academy of Family Physicians estimates that 5-10% of healthy women of childbearing age experience symptoms similar to the manifestation of endometriosis (i.e., severe pain during menstruation, chronic pelvic pain, pain during sexual intercourse or problems with pregnancy).
On the other hand, endometriosis is diagnosed in 25-60% of women suffering from infertility. The overlapping of endometriosis symptoms with routine female difficulties experienced by some women can unfortunately delay an accurate diagnosis of the disease. This means that by the time endometriosis disease is diagnosed, it may already be at an advanced stage.
Endometrial tissue responds to hormonal changes occurring in the female body during the menstrual cycle. During menstruation, the endometrium is peeled from the uterine wall and leaves the body with bleeding. A similar process occurs outside the uterus in endometriosis, leading to internal bleeding that has no way to flow out. This leads to the development of a local inflammation resulting in the formation of scar tissue and adhesions in the damaged organs. Sometimes the damaged area is encapsulated as a cyst, called an endometrioma.
Symptoms can appear in many guises and at different stages of the disease. One of the most common symptoms is severe pain during the menstrual cycle. In approximately 70% of patients who complain of pain in the pelvis, endometriosis is detected. Internal scarring and adhesions lead to dysfunction of the damaged organs, so there may be problems in the urinary and digestive systems. Endometrial disturbances may affect the functioning of the gastrointestinal tract (diarrhea, constipation) or generate pain in the anus that coincides with the menstrual cycle, sometimes even bleeding from the rectum during menstruation. In addition, the symptoms can include painful urination or incontinence, which are aggravated during menstruation.
In many cases, the disease eventually leads to infertility. Therefore, the diagnosis of this disease should be excluded in problems related to conception or infertility. Complications of endometriosis, such as endometrioma rupture or intestinal obstruction, often require urgent surgery. Patients diagnosed with this disease must be on constant observation.
The final diagnosis of endometriosis can only be done using laparoscopy -- a low risk surgical procedure that provides the physician with a clear view of any organ damage in the abdominal cavity, helping to determine the severity and extent of the disease. Laparoscopy also allows the physician maximum ability to remove pockets of diseased tissue and thus, greatly relieve the painful symptoms of this disease. Currently, treatment of endometriosis combines surgical and hormonal methods, including hormones that suppress ovulation for a relatively long period and that can lead to remission of the disease.
The Center for Treatment of Endometriosis is composed of a compassionate team of specialists who are professionals in various fields of medicine, including experts on Chinese medicine and management of chronic pain, high-level experts in the fields of gynecology, endocrinology and infertility, and laparoscopic surgery. Our staff follows strict procedures to ensure the highest quality of care and to expedite patient recovery. We will do everything in our power to cure endometriosis successfully and without complications.