Gynecology

A new study finds promising evidence that a lung cancer drug, when combined with methotrexate, has potential to spare women with ectopic pregnancies from surgery.

The successful management of heavy menstrual bleeding with endometrial resection or ablation depends more on the surgeon’s skill than the technique used.

The use of an enhanced recovery pathway for perioperative care in complex gynecological surgery can reduce length of hospital stay, need for narcotic pain control, and costs.

Better communication between surgeons and pathologists will help to inform understanding of vaginal mesh complications.

The resection was not planned, consented to, or indicated, and this was enough reason to reach a settlement in this case rather than allow a jury to price it.

A screening protocol that takes into consideration CA-125 levels over time and results of transvaginal ultrasound (TVS) shows promise in early detection of ovarian cancer, according to a new report from investigators at the University of Texas MD Anderson Cancer Center. In a large, prospective study, the combination demonstrated excellent specificity and positive predictive value (PPV) in a group of women at average risk of ovarian cancer.

Enhanced recovery pathway (ERP) leads to earlier discharge, cost savings, better patient satisfaction, lower narcotic use, and more stable readmission rates in complex gynecologic surgery patients, according to a study recently published in Obstetrics & Gynecology.

There is little difference in the effectiveness and safety of laparoendoscopic single-site surgery and conventional laparoscopic surgery for the treatment of gynecological diseases.

An ob/gyn neglects to follow a molar pregnancy to its conclusion and the patient develops choriocarcinoma. A jury found in favor of the plaintiff.

Your guide to determining appropriate candidates and appropriate routes of hysterectomy for benign gynecologic conditions

After minimally invasive laparoscopic surgery, gum chewing has beneficial effects on bowel motility when used as an adjunct treatment in postoperative care, according to the results of a randomized controlled trial.

Pregnancy after bariatric surgery is associated with a reduced risk of having a large-for-gestational-age infant and an increased risk of having a small-for-gestational-age infant, concluded a matched cohort study of singleton deliveries in Denmark.

While one expert feels that the benefits for family balance outweigh potential risks, the other is concerned that sex selection will lead to a slippery slope.

Diagnosis and treatment involve ruling out bleeding disorders and determining the appropriate management modalities.

Medical treatment and expectant care are acceptable alternatives to routine surgery after a miscarriage, concluded an intervention review conducted by the Cochrane Pregnancy and Childbirth Group.

On June 13, the United States Supreme Court unanimously ruled that naturally occurring DNA cannot be subject to patent.

One incision is associated with better outcomes and potential cost savings.

Urodynamic studies prior to surgery in women with well-characterized stress urinary incontinence may be unnecessary, according to the findings of a recent study.

Positioning sutures away from an intervertebral disc at the promontory may help reduce the risk of disc-related sequelae after sacrocolpopexy, concluded a review of spinal MRIs of women undergoing surgical repair of pelvic organ prolapse.

Doing nothing is no longer an option, say the authors. Cervical length assessment should be provided to a larger population of women to identify and treat those with cervical shortening.

Having a hysterectomy with or without ovary removal in mid-life does not increase a woman's risk of cardiovascular disease compared to women who reach natural menopause, contrary to many previously reported studies.

The guidance you need for coding cervical screening from the SMFM Coding Committee.

Many women who undergo abdominal sacrocolpopexy for pelvic organ prolapse (POP) experience a recurrence of POP or urinary incontinence within 5 years of surgery.

The British Menopause Society (BMS) on May 23 released updated recommendations on hormone replacement therapy (HRT), claiming that they are finally providing clarity to this murky issue. The new guidelines appear in the society’s flagship journal, Menopause International. Developed by a panel of experts, the guidelines discuss how women can optimize their menopause transition, focusing in particular on lifestyle and diet and the pros and cons of complementary therapies.

Results of a study of more than 116,000 women, published online May 14 in Human Reproduction reveal a 39% lower risk of endometriosis in those who were morbidly obese than in women with normal body mass index (BMI).

Laparoendoscopic single-site surgery with hysterectomy (LESS-H) for benign disease with either a lateral or vaginal approach is a feasible procedure regardless of cesarean section history.

Many ob/gyns and nurse practitioners see vulvovaginal disease on a day-to-day-basis, but lack the knowledge to accurately diagnose and treat them. At ACOG’s 61st Annual Clinical Meeting, Hope Haefner, MD, Department of Obstetrics and Gynecology at the University of Michigan, and Lynette Margesson, MD, Adjunct Assistant Professor of Obstetrics and Gynecology and Surgery (Dermatology) at the Geisel School of Medicine at Dartmouth, presented tips to help clinicians identify common and rare vulvar diseases.

This surgical video shows resection of a 3-cm intracavity fibroid using minimally invasive surgical technology. The patient, a 40-year-old woman, presented with a 60-day history of abnormal bleeding.

This difficult defense-a young woman dying shortly after a routine tubal ligation-was further complicated by conflicting reports about who said what to whom and when.