Gynecology

A collegial debate on robotic versus laparoscopic hysterectomy highlighted the difficulties in researching the efficacy of robotics and whether it had a place in gynecologic surgery.

Von Willebrand disease (VWD) is the most common inherited bleeding disorder. Approximately 90% of women being treated at hemophilia centers in the United States carry the diagnosis of VWD. Because women experience the hemostatic bleeding challenges of menstruation and childbirth, they are disproportionately affected by VWD.

A woman sues her ob/gyn claiming that 3 miscarriages occurred because of an IUD that the ob/gyn believed had been expelled shortly after implantation, but was subsequently found using abdominal x-ray. Plus more cases.

Dr Greenberg reports his thoughts on the Sureglide device and preventing lacerations during cesarean, Überlube and helping women with vaginal dryness and dyspareunia, and TruClear ULTRA Mini tissue removal device for mechanical morcellation.

A study looks at who is being tested for BRCA mutations as testing becomes more common. Also, a look at the impact of Zika virus on birth defects using benchmark data. Plus: How is the United States doing with infant mortality?

Give this to your patients who have questions about the role of ultrasound with cfDNA.

The society's recommendations for women who are undergoing both ultrasound and cfDNA screening.

Can adopting quality measures decrease the cesarean rate? Plus: The Government Accountability Office issues a report on power morcellators and the FDA's system of evaluation. Also, does the volume of one type of heart fat indicate the risk of heart disease?

The data, say the authors, support counseling post-reproductive women undergoing hysterectomy about the risks and benefits of retaining their fallopian tubes.

An analysis looks at the impact of diet on bone mineral density. Also, an examination of which antidepressants in pregnancy may increase the risk of birth defects. Plus: Is the mortality rate of cervical cancer underestimated?

This supplement will review the technology, data and clinical experiences using the MyoSure® Hysteroscopic Tissue Removal System (Myosure Tissue Removal System).

With incidence of this birth defect on the rise, ob/gyns need to understand how best to spot and deal with it.

67% of residency directors reported that a lack of faculty expertise in medical ethics was a significant barrier to their attempts to provide a more comprehensive educational process. I have a proposal for a solution to these problems: Teaching about the “house of ethics” in ob/gyn, as we do at Vanderbilt University.

Fibroids are extremely common in women of reproductive age. One large study reported that 70% of Caucasian and 80% of African-American women had at least one ultrasound- or pathology-confirmed fibroid by the end of their reproductive years. While many of these women experience no negative effects of fibroids on their reproductive function, a significant number are at increased risk of infertility, miscarriage, or poor obstetric outcomes.

Find out how to do the Z technique in ultrasound while looking for an IUD.

The 2016 Annual Global Congress for ACOG featured new insights, lively debates, and more. Here's a sample of what the Contemporary OB/GYN staff overheard during the meeting.

2016 was a year of change and new challenges. Find out what the top news stories of 2016 were.

A Phase II study examines the efficacy of a urine-based test in screening for cervical cancer. Also, a study looks at whether cost is the reason why some patients do not adhere to breast cancer medications.

The 25th annual Ultrasound Update for Clinical Practice program took place December 1–4 in Fort Lauderdale, Florida. The meeting was dedicated to Drs John Hobbins, Ilan Timor, and Stuart Campbell, well-known figures in ultrasound who are all celebrating their 80th birthdays.

A small feasibility study of a new containment bag for power morcellation shows that it may be reliable for even a large specimen. The findings, about the Espiner EcoSac 230, were presented at the 45th AAGL Global Congress in Orlando, Florida.

Olympus America Inc announces that the company has received 510(k) clearance from the US Food and Drug Administration (FDA) for the company’s next-generation laparoscopic PK Morcellator, a system for laparoscopic tissue containment and extraction.

A study looks at whether myomectomies were also impacted by the FDA safety communication. Also, chronically ill mothers may be more likely to give birth to children with heart disease. Plus: Can antenatal steroids reduce mortality in extreme prematurity?

A 34-year-old Ohio woman was under the care of her longtime family physician, who had minor privileges to deliver uncomplicated pregnancies at a specific hospital, for her pregnancy. The woman is diagnosed with eclampsia in her third trimester and is immediately given a cesarean. After delivery, she is unresponsive having died from a massive intracranial hemorrhage. The physician is sued for fraudulently representing her abilities in obstetric care. What's the verdict?

In this chapter, Ceccaroni and colleagues set the stage for performing minimally invasive procedures by focusing on the anatomy of the pelvis.