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Greg J. Marchand

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Greg J. Marchand
BornMay 17th 1978
EducationSpartan Health Sciences University, La Salle Academy, Providence
Known forSurgical World Records, Laparoscopic Surgery
Medical career
Sub-specialtiesLaparoscopic Surgery, and Morcellation

Greg J. Marchand is an American obstetrician, gynecologist and inventor of two surgical procedures, the first for removing the fallopian tubes to sterilize women and reduce their risk of ovarian cancer,[1][2] and the second a technique for placing a laparoscopic cervical cerclage.[3] Marchand serves as an associate professor of Medicine at Arizona College of Osteopathic Medicine in Glendale, AZ. As a proponent of the field of surgical morcellation, Marchand has been the focus of criticism surrounding morcellation techniques.[4][5]

Marchand is holder of two surgical world records in the field of minimally invasive surgery.[6][7][8][9][10][11][12]

Biography[edit | edit source]

Marchand is originally from Johnston, RI, and attended medical school at Spartan Health Sciences University in the Caribbean.[13] He completed training in Obstetrics and Gynecology at the University of Tennessee Health Science Center in Memphis, TN.[13]

Invented surgical techniques[edit | edit source]

The "Marchand Salpingectomy" surgical technique was developed by Marchand shortly after the American College of Obstetrics and Gynecology released Committee Opinion #620.[14] The committee opinion dramatically changed gynecologic surgery by recommending salpingectomy (removal of the fallopian tubes) in instances where tubal ligation (tying the fallopian tubes) previously would have been recommended.[14] Marchand originally described and published the technique at the October 24, 2017 Clinical Congress of the American College of Surgeons in San Diego, CA.[1][2]

Dr. Richard Demir and Marchand authored an unnamed technique for the laparoscopic placement of a cervical cerclage to prevent cervical insufficiency leading to preterm births. A video describing this technique was later published at the 32nd British International Congress of Obstetricians and Gynecology, in Belfast, UK on June 20, 2010.[3][15] This technique was added to the published list of core competencies at the Rutgers University New Jersey School of Medicine in 2018.[16]

Surgical records[edit | edit source]

Marchand, along with Dr Richard Demir removed the largest uterus ever removed via a completely laparoscopic hysterectomy in 2007.[17] The uterus was 3200 grams and the world record was verified and recognized by Guinness World Records in 2008.[10] An abstract describing the surgical technique and details was later published in the 4th quarter issue of the 2010 Journal of the Society of Laparoendoscopic Surgeons.[18] This record was later broken in 2009 by Dr. Rakesh Sinha of the BEAMS Hospital in Mumbai, India with a 4100 gram uterus.[19]

In 2015, Marchand removed a 17 centimeter ovarian mass from a patient that was initially presumed to be benign.[8][6][7][11] Intraoperative pathology showed the mass to be malignant, and Dr. Snehal Bhoola, gynecologic oncologist, assisted Marchand in completing the entire Ovarian Cancer Staging Surgery by laparoscopic means. The combination of the removal of the very large mass and the complete staging procedure was the largest Ovarian Mass to ever receive Surgical Staging by completely laparoscopic means. This record was verified and recognized by the World Record Academy in 2017.[11] The record received significant criticism because although the mass was not known to be cancerous prior to removal, it was removed using laparoscopic morcellation, which has been shown increase the risk of spreading a cancer throughout the abdomen.[20][21]

Personal health[edit | edit source]

In 2010, Marchand was diagnosed with a choriocarcinoma, an aggressive testicular cancer.[6] Marchand underwent surgery and treatments that year and reports that he has been in remission since that time.[7] Marchand cites his own personal battle as his inspiration for creating surgical techniques to treat cancer in interviews and publications.[9]

Morcellation[edit | edit source]

Both of Marchand's records involve morcellation, a surgical process that has been shown in studies to have to potential to spread cancerous cells throughout the patient.[20] Marchand received significant criticism following his second world record in 2017, as this record, unlike the first, was performed after the FDA warning on morcellation was issued in 2014.[22]

References[edit | edit source]

  1. 1.0 1.1 "Marchand Salpingectomy - an new and exciting 5 minute laparoscopic technique for sterilization and reducing the risk of ovarian cancer". Eposters Online. Royal College of Obstetrics and Gynecology (RCOG). 20 March 2017. doi:10.13140/RG.2.2.16458.06088. Retrieved 10 March 2018.
  2. 2.0 2.1 "Two Port Laparoscopic Salpingectomy A Five Minute Procedure That Decreases the Risk of Ovarian Cancer for a Lifetime". Youtube (SELS Channel). Presented at American College of Surgeons Clinical Congress 2017, San Diego, CA: Society of Elite Laparoscopic Surgeons. 24 October 2017. doi:10.13140/RG.2.2.17087.20641. Retrieved 19 March 2018.
  3. 3.0 3.1 "Laparoscopic Cervical Cerclage in 18-week Pregnant Uterus". Youtube. Presented at the 19th Annual Meeting of the Society of Laparoendoscopic Surgeons, New York, NY: Society of LaparoEndscopic Surgeons Channel. 1 September 2010. doi:10.13140/RG.2.2.19420.28802. Retrieved 4 April 2018.
  4. Ames, Charlotte (2 August 2017). "Doc revives controversial procedure". WTAJ News. Retrieved 2 December 2017.
  5. Fillmore, James (7 August 2017). "Controversial procedure for removing tumors". WJMN News. Retrieved 29 November 2017.
  6. 6.0 6.1 6.2 Longman, Molly (August 4, 2017). "Mesa Doctor Breaks World Record for Largest Tumor Removal and It's Kind of Gross". Phoenix New Times. Retrieved 16 April 2018.
  7. 7.0 7.1 7.2 Brown, David (9 September 2017). "EV doctor sets world record for removal of tumor". East Valley Tribune. Retrieved 16 April 2018.
  8. 8.0 8.1 Cline, Kathy (7 July 2017). "Mesa doctor sets world record in tumor-removal surgery". KTAR News. Retrieved 16 April 2018.
  9. 9.0 9.1 "Arizona Surgeon Survives Cancer to Invent and Perform Record-Setting Cancer Surgery", Medical Imaging Business Week, NewsRX LLC: 2316, 2017-02-16, retrieved 17 April 2018
  10. 10.0 10.1 Stern, Ray. "Local Docs Enter Record Books With Largest Uterus Ever Removed". Phoenix New Times. Retrieved 10 April 2018.
  11. 11.0 11.1 11.2 "Laparoscopic Ovarian Cancer Staging Surgery on the Largest Tumor: Arizona doctors set world record (VIDEO)". World Record Academy. 7 January 2017. Retrieved 11 April 2018.
  12. Simpson, Victoria (13 August 2017). "Arizona Surgeon Removes Enormous Cancer Tumor Through a Cut the Size of a Dime, Setting a New World Record". RateMDs.Com. Retrieved 12 April 2018.
  13. 13.0 13.1 "Arizona Medical Board". Website of the Arizona Medical Board. Retrieved 15 March 2015.
  14. 14.0 14.1 "Committee Opinion #620: Salpingectomy for Ovarian Cancer Prevention". American Congress of Obstetrics and Gynecology. Committee on Gynecologic Practice. January 2015. Retrieved 12 April 2018.
  15. Marchand, G; Demir, R (June 20, 2010). "Video: Laparoscopic cervical cerclage in 18-weeks pregnant uterus". Presented at Conference, British International Congress of Obstetricians and Gynecology, Belfast UK.
  16. "Rutgers University New Jersey Medical School - List of Core Competencies in Obstetrics and Gynecology". Rutgers University Department of OBGYN, New Brunswick, NJ.
  17. "Record-Breaking Uterus". NBC Chicago. 13 December 2008. Retrieved 12 July 2014.
  18. Greg J. Marchand MD; Richard H. Demir MD (Oct–Dec 2010). "Safe Laparoscopic Removal of a 3200 Gram Fibroid Uterus". Journal of the Society of Laparoendoscopic Surgeons. 14 (4): 600–602. doi:10.4293/108680810X12924466008169. PMC 3083059. PMID 21605532.CS1 maint: Date format (link)
  19. "Doc removes 4.1-kg uterus, makes it to Guinness records". Times of India. 4 November 2009. Retrieved 4 April 2018.
  20. 20.0 20.1 Urciuoli, Brielle (14 December 2017). "FDA Warns Against Surgery That Can Spread Uterine Cancer". CureToday.Com. Retrieved 14 April 2018.
  21. Valainis, Erik (29 August 2017). "YBLTV Meets "In-Bag" Morcellation Technique Pioneer, Dr. Greg Marchand MD". YBLTV. Retrieved 2 January 2018.
  22. "Immediately in Effect Guidance Document: Product Labeling for Laparoscopic Power Morcellators; Guidance for Industry and Food and Drug Administration Staff; Availability". FederalRegister.Gov. Food and Drug Administration. 25 November 2014.

External links[edit | edit source]

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