My Motto
First Do No Harm
I offer the full gamut of obstetrics and gynecologic services with respect, courtesy, and compassion. We give complete pre-natal care and manage all physical or psychological complications of pregnancies that were intended or accidental. We counsel our patients about contraception and make available to them all the safe contemporary options including Birth control pill, IUD’s (paragard and mirena), Implants( nexplanon), vaginal insert, and tubal ligation . I help my patients avoid unintended pregnancies. Knowing that no method is fail safe, we do not abandon our patients when they confront failures.
We resort to surgery only when all the conservative medical approaches have failed and only surgery will cure, relieve pain, or prolong life. And when surgery is necessary, I help patient make choices involving minimally invasive techniques that are safe, leave minimal scars, and have been proven to work in accordance with my philosophy. In other words, surgery must be needed, must work, and must be safe.
Most of the medical problems of women can be solved without major surgeries. That is the approach that people call Minimally Invasive Surgery. In our specialty there are two broad categories of minimally invasive techniques: Hysteroscopy and Laparoscopy.
Hysteroscopy– A small tube with a tiny light source and a camera, the size of a pencil, is introduced into the womb. My patient may be wide awake or may be put to sleep as desired. No cutting is involved. The cavity of the womb can be seen. Should any abnormal lesion be found, tumor, polyp, fibroid, or early changes of cancer, it can be rid of at the same time. Absent any complication, my patient can go home on the same day after a short observation.
The female problems that are can treated by hysteroscopy are:
Endometrial ablation which is burning the lining of the womb to completely stop the period.
Remove fibroid tumors inside the cavity of the womb.
Remove early changes in the lining of the womb ( Endometrial hyperplasia) that can lead to cancer.
Remove small growth inside the womb (polyp) that causes heavy and/or irregular vaginal bleeding.
Essure- technique used to tie the tubes.
Diagnostic hysteroscopy- just looking inside the womb to see what is causing the abnormal bleeding.
Laparoscopy– I make a 1/4 inch incision at the belly button and introduce again a small light source with a camera attached to it. All the organs of the abdomen and the pelvis can be seen including the womb, the tubes, and the ovaries. This is usually the way the tubes are tied and picture are taken to show my patient afterward. If there should be any abnormal finding such as endometriosis, fibroid, ovarian cyst, tumor, or scar tissue it is treated at the same time with the addition of one or two more 1/4 inch incisions. As after hysteroscopy referred to above, my patient can leave the office or the hospital after a short observation.
The female problems that can be treated by laparoscopy are:
Hysterectomy- removing the womb with or without the tubes and the ovaries
Removing ovarian tumors or cysts
Tubal ligation- tying the tubes to prevent future pregnancy
Treating ectopic pregnancy-removing pregnancy that has lodged in the fallopian tube.
Lysis of adhesions- removing scar tissue that is causing pain or infertility
Repairing the womb or the vagina that is falling out of the vagina.
Diagnosing the reason for infertility or to see whether the tubes are blocked.
Robotic Surgery– I have been trained in robotic surgery. In some occasions, this technique may be superior to plain laparoscopy.
Robotic surgery is the same as laparoscopy except that a million dollar robot holds the camera and
the instruments for cutting and retracting tissue. The surgeon is in the room sitting at a console to guide the robot.
It is more delicate and the movements are finer. Furthermore, the surgeon sees in three dimensions. Its takes
it takes much longer to do surgeries and it is two to three times more expensive than using just plain laparoscopy .
Is it for everybody? No. I help my patients navigate through these questions.
Hospital Affiliations Memorial Miramar Hospital 1901 SW 172nd Avenue Miramar, Florida 33029 Memorial West Hospital 703 N Flamingo Rd Pembroke Pines, Florida Office Location Memorial Miramar Office 1951 SW 172nd Avenue, Suite 200 Miramar, Florida 33029 Tel. 954-600-3744 My staff and I are available on a 24-hour basis to make appointment. My patients and potential patients can talk to me any time; I care.
Edouard Coupet, M.D., F.A.C.O.G. 