Co-Director of Ohio State’s Center for Advanced Robotic Surgery
John G. Boutselis Chair of Gynecologic Oncology
Director, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology
Chief of Staff, Ohio State’s James Cancer Hospital and Solove Research Institute, 2007-2009
Professor of Gynecologic Oncology, The Ohio State University
Clinical Background & Robotic ExpertisePatient OutcomesScholarly PublicationsPresentations on Robotic SurgeryPress CoverageContact Information
Clinical Background and Robotic Expertise
Years in Practice: 18
Board Certified: Yes
Medical School: Northwestern University, (Chicago)
Residency: The Ohio State University, Columbus, OH
Fellowship: (Gynecologic Oncology) UCLA School of Medicine and Cedars-Sinai, Los Angeles, CA
Past Appointment: Assistant (1991-1996), then Associate Professor (1996-1997), Department of Obstetrics and Gynecology, Division of Gyn Oncology, University of Minnesota Hospital and Clinic, (Minneapolis)
Current Appointment: Associate Professor and Director (1997-2002), then Professor (2002-present) Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Medical Center, Columbus, OH
Robotics Training: The Ohio State University Medical Center
Clinical Interests: Gynecologic oncology, radical pelvic surgery, minimally-invasive surgery, pelvic reconstruction, robotic surgery and clinical trials in gynecologic oncology.
Annual number of robotic procedures performed: 125-150
Doctors Jeffrey Fowler, and David Cohn, have been performing robotic surgery since January 2006. The Gynecologic Oncology Division at The James was one of the early adopters of robotic surgery and remains one of the busiest services in the country. They perform robotic hysterectomies, radical hysterectomies and lymph node dissections for endometrial, cervical and ovarian cancer. They also perform robotic surgery for complicated benign gynecologic problems. Five members of the gynecologic oncology service are performing advanced robotic procedures which translates into 6-10 gynecologic oncology robotic cases per week at OSU.
Dr. Fowler completed his residency in Obstetrics and Gynecology at OSU in 1989. After that he was a fellow in Gynecologic Oncology at UCLA from 1989 to1991. As an attending physician at the University of Minnesota, Dr. Fowler was one of the first gynecologic oncologists in the United States to perform advanced laparoscopic procedures for gynecologic malignancies. Dr. Fowler has extensive expertise in the latest surgical techniques including radical pelvic surgery, pelvic reconstruction and minimally invasive laparoscopic and robotic surgery. He has taught these techniques to other surgeons locally, nationally and internationally.
Dr. Fowler was recruited to OSU in 1997 to become the Division Director of Gynecologic Oncology. Dr. Fowler has been recognized nationally and internationally for his clinical research skills. As a member of the National Comprehensive Cancer Network’s Guidelines for Treatment of Cancer panel on ovarian, endometrial and cervical cancers, Dr. Fowler helps establish the standard of care in the treatment of these diseases.Dr. Fowler has published several papers on the subject of robotic surgical treatment of gynecologic cancers, including a recent paper outlining the advantages of robotic surgery over laparoscopic surgery for treating endometrial cancer. Prior to the work and research done by Dr. Fowler and his colleagues at OSU, little data existed to confirm the benefit of minimally invasive robotic-assisted surgery for patients with endometrial cancer.
The Division of Gynecologic Oncology at OSU has one of the largest series of studies published in the peer-reviewed literature of patients diagnosed with endometrial cancer undergoing robotic surgery. Important benefits to women undergoing definitive surgical management of endometrial cancer via the robotic approach include the ability to complete comprehensive staging in a larger portion of patients as compared to laparoscopy. The probability of converting to laparotomy is much lower via the robotic approach as compared to laparoscopy. The median length of stay in the hospital is one day and average blood loss is less than 3.5 ounces with a lower blood transfusion rate when compared to laparotomy or laparoscopy. The most significant benefit of the robotic approach is noted in obese women with endometrial cancer. This group of patients has a higher risk of surgical complications in general. When compared to laparotomy, women at OSU undergoing robotic surgery have a significant decrease in hospital stay (1 day vs. 3), wound infection (2% vs. 17%), blood transfusion (2% vs 9%) and overall complications (11% vs. 27%).
Seamon, L., Cohn, D., Valmadre, S., Richardson, D., Jayjohn, L., Jenseon, C., Lee, K., Travis, J., Nickerson, E., & Fowler, J. Robotic hysterectomy and lymphadenectomy for endometrial cancer: The Ohio State University method. J Robotic Surgery 2008 110: 269
Seamon, L., Cohn D., Richardson, D., Valmadre, S., Carlson, M., Phillips, G., Fowler, J. Robotic hysterectomy and pelvic-aortic lymphadenectomy for endometrial cancer. Obstet Gynecol 2008; 112:1207-13
Seamon, L., Cohn, D., Henretta, M., Kim, K., Carlson, M., Phillips, & G., Fowler, J. Minimally invasive comprehensive surgical staging for endometrial cancer: robotics or laparoscopy? Gynecol Oncol 2009; 113:36-41
Seamon, L., Fowler, J., Richardson, D., Carlson, M., Valmadre, S., Phillips, G., Cohn, D.. A detailed analysis of the learning curve: robotic hysterectomy and pelvic-aortic lymphadenectomy for endometrial cancer. Gynecol Oncol 2009. In press.
Seamon, L., Cohn, D., Richardson, D., Hurt, J., Nickerson, E., & Fowler, J. Robotic pelvic and aortic lymphadenectomy for endometrial cancer: the console surgeon’s perspectives on surgical technique and directing the assistant. Submitted.
Kim, K., Seamon, L., Fowler, J., & Cohn D. Initial experience with abdominal, laparoscoic and robotic endometrial cancer staging surgery: a single surgeon’s experience at the beginning of the learning curve. In preparation.
Seamon, L., Bryant, S., Rheuame, P., Kimball, K., Huh, W., Fowler, J., Phillips, G., & Cohn, D. Comprehensive surgical staging for endometrial cancer in obese patients: Comparing robotics and laparotomy. Obstet Gynecol 114 (1): 16-21, 2009
Seamon LG, Fowler JM, Richardson DL, Carlson MJ, Valmadre S, Phillips GS, Cohn DE. A detailed analysis of the learning curve: Robotic hysterectomy and pelvic-aortic lymphadenectomy for endometrial cancer. Gynecol Oncol 114: 162-167, 2009
Seamon LG, Cohn DE, Richardson DL, Hurt JD, Nickerson EC, Fowler JM. Robotic pelvic and aortic lymphadenectomy for endometrial cancer: The console surgeon’s perspectives on surgical technique and directing the assistant. J Minim Invasiv Gynecol 17(2): 180-185, 2010
Presentations on Robotic Surgery
2006 World Robotic Urology Symposium, The Ohio State University, Columbus, January 2007. “Robotic application in gynecologic oncology surgery”
Columbus Ob/Gyn Society, Columbus, January 2007. “Minimally invasive surgery and robotics in Gyn Oncology”
OSU CME Program, Farmington, PA, May 2007. “BEWARE – Robots are taking over my OR!”
Koran Society of Obstetrics and Gynecology annual Meeting, Seoul, South Korea, October 2007. “Robotics in Gyn Oncology”
Wheeling, W VA, September, 2008. “Robotics in Gyn Oncology”
International Gynecologic Cancer Society, Bangkok, Thailand, October 2008. “Robotics in Gyn Oncology”
University of Minnesota, Minneapolis, November 2008. “Robotics in Gyn Oncology”
Covenant Hospital, Saginaw, MI, December 2008. “Robotics in Gyn Oncology”
Society of Gynecologic Oncologists Winter meeting, Squaw Creek, CA, March 2009. “Robotic surgery in the obese patient”
World Robotic Symposium – Advanced Approaches to Gynecology, Orlando, FL, April 2009. 1) “Robotics in Gyn Oncology,” 2), Robotic hysterectomy/lymphadenectomy & radical hysterectomy for endometrial and cervical cancers – Partial techniques and clinical outcomes” and 3) “Difficult robotic surgeries (masses, endometriosis, adhesions, leiomyomata)” … a robotic round table video tutorial
Asan University, Seoul, South Korea, April 2009. “Robotic surgery in Gyn Oncology”
Society of Gynecologic Oncology Winter Meeting. February 2010. “Robotics in Gyn Oncology”
Ohio State University CME Conference: What’s New in Robotic Surgery Across Specialties Conference “Robotics in Gyn Oncology”
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