Dr. Farr Nezhat, MD, FACOG, FACS, was among the first surgeons to apply minimally invasive surgical techniques to the treatment of gynecological malignancies. He demonstrated safety and efficacy of these techniques, and his work resulted in several groundbreaking peer-reviewed publications, books and book chapters, on the laparoscopic and robotic management of cervical, uterine and especially ovarian cancer. He is frequently invited to national and international congresses, speaking about and demonstrating surgical techniques for treating gynecological cancer. Dr. Nezhat’s clinical practice is a surgical referral center welcoming women from across the United States and abroad for consultations in the New York, NY, metropolitan area, with offices in downtown Manhattan and Valley Stream, Long Island.
Cervical cancer originates in the cervix, which is the lower part of the uterus that connects to the top of the vaginal canal.
Most cervical cancers are squamous cell carcinoma, which begins in the cells lining the outer par of the cervix which projects into the vagina. Adenocarcinoma begins in the glandular cells lining the cervical canal.
It currently affects 13,000 women per year in the U.S.
Cervical cancer most often affects women between the ages of 35 and 45, but more than 15% of cases are found in women over age 65.
The cause of almost all cases of cervical cancer is known to be HPV (human papillomavirus), a persistent longstanding infection that develops into cancer.
Vaccination is available for girls and women aged 9 to 26. This reduces the risk of cervical cancer and is most effective if administered before becoming sexually active.
The risk of cervical cancer is greatly reduced by using screening tests such as Pap smear and HPV testing, enabling detection of high-risk strains of HPV, early treatment and improved outcome.
Dr. Nezhat specializes in the application of minimally invasive surgical techniques to treat cervical cancer. He performs all the standard procedures historically performed via open surgery, but he does so through small incisions.
These procedures include radical trachelectomy (removal of the cervix and surrounding tissues but leaving the uterus intact), simple hysterectomy (removal of the uterus and cervix without removal of additional tissue on the side of the cervix or any vaginal tissue), radical hysterectomy (removal of the uterus, cervix, some of the tissue surrounding the cervix and a small portion of the vagina), lymph node dissection (or sentinel node dissection), and removal of ovaries (if indicated).
For very early cancer or precancerous cervical changes, cervical conization may be performed via vaginal approach. This involves cutting a wedge from the endocervical canal.
Dr. Nezhat offers surgical options that preserve fertility, consistent with the tenets of minimally invasive surgical interventions.
Sometimes open surgery is required, but the ultimate goal is to utilize the smallest incisions to remove all visible signs of disease and optimize outcome.
Dr. Nezhat has published extensively on the utility, safety and efficacy of minimally invasive surgery for gynecological malignancies.
A listing of over 210 of Dr. Nezhat’s research articles can be found at the PubMed search engine, which pulls references and abstracts from the U.S. National Library of Medicine (NLM) database maintained at the National Institutes of Health (NIH).