Gynecology

Laparoscopy for ruptured ectopic pregnancy and massive intra-abdominal bleeding was associated with shorter operative time and less intraoperative blood loss than laparotomy.

Surgeons who perform a high volume of hysterectomies each year are less likely to injure the lower urinary tract during surgery.

A low-cost instrument that an auto mechanic invented to ease assisted vaginal delivery is being tested by the World Health Organization (WHO). If proven safe and effective, the Odon Device would be the first innovation in operative vaginal delivery since the forceps and vacuum extractor.

Babies born to women who have undergone bariatric surgery for weight loss were more likely to be premature and to be small for gestational age.

This was the question posed by Javier F. Magrina, MD, in his presidential address at the opening ceremony of the 42nd AAGL global congress on minimally invasive gynecology on November 11. His answer to this question (which of course referred to obstetrics and gynecology) was a resounding "yes," and he backed up this conviction with statistics and anecdotes that illustrated the need for specialized training in minimally invasive gynecologic procedures.

Outpatient hysteroscopic metroplasty with bipolar electrode is an effective treatment in patients with infertility related to septate uterus.

Data show that maintaining surgical proficiency results in better outcomes for laparoscopic hysterectomy. The magic number for maintenance: 20 procedures a year.

An ob/gyn continues to fill prescriptions for HRT despite a patient's breast cancer diagnosis.

Uterine fibroids can have a significant impact on the health, workplace performance and quality of life of women-particularly African-American women-according to a new study published in the American Journal of Obstetrics and Gynecology.

The Endocrine Society's new clinical practice guideline on polycystic ovary syndrome (PCOS) recommends diagnosis based on two of three key features of he condition. The advice, published in the Journal of Clinical Endocrinology and Metabolism, is aimed at reducing the need for ultrasound or hormone tests in patient evaluation.

Fertility treatment isn’t linked to an increased risk of ovarian cancer, according to a National Cancer Institute (NCI)-supported study spanning nearly two decades and published in Fertility and Sterility.

Accelerated approval of Perjeta (pertuzumab) was granted by the FDA as part of a complete treatment regimen for patients with early stage breast cancer before surgery.

The use of ice packs is an effective but nonstandard method of pain control after open abdominal surgery, and an experimental prolonged drug delivery system using nanotechnology is in the works.

A new retrospective study published in Obstetrics & Gynecology shows that robotics don’t improve benign hysterectomy outcomes and, in fact, increase cost of the surgery.

Robotic-assisted laparoscopic myomectomy and abdominal myomectomy to manage uterine fibroids were equally effective in improving symptoms, but each procedure has its own benefits.

Clear, consistent steps for each specific surgical procedure should be adopted so that team members can become familiar with each procedure with repetition. Procedural steps for a robotic hysterectomy are shown in the video.

Employing a separate 5-mm conventional laparoscope via the assistant port allows for safe placement of robotic ports and instruments under direct laparoscopic visualization. The robotic ports are generally placed such that they are in a straight line to minimize arms clashing. The ports are generally placed at the level of the umbilicus. They should, however, be adjusted cephalad, to accommodate complex surgical cases such as large fibroids, obese patients, or para-aortic lymph node dissection.

We all know that American healthcare technology is expensive. But is it worth it?

Electrosurgical instruments aid skilled surgeons in performing safe cutting-edge procedures.

The surgeon's guide to positioning, port placement, safety, efficiency, and payment.

Three surgeons discuss the pros and cons of the two methods.

A plan for determining if intrauterine growth restriction is present, then monitoring and delivering when and how it's best for mother and infant.

Compared with hysterectomy, GNRHa is an effective treatment of uterine fibroids and has an equivalent effect on sexual function.

The actual measurements of the total and core diameters of laser fibers used for urological surgery do not conform to the advertised measurements, a new study found.