Gynecology

In patients with an American Fertility Society class V or class VI septate uterus, hysteroscopic metroplasty is associated with a significant improvement in reproductive performance.

Total delivery costs are lower-and rates of vaginal delivery higher-when external cephalic version (ECV) is done with versus without neuraxial anesthesia. So say the results of a study by Stanford University researchers published online in Anesthesia & Analgesia.

This patient presented with 18 months of secondary infertility following a second trimester dilation and extraction.

The use of a postoperative levonorgestrel-releasing intrauterine device reduces the recurrence of painful periods in women with endometriosis.

Women with endometriosis who undergo surgery to treat the condition are less likely to have ovarian cancer develop later in life.

In a groundbreaking procedure, robotically assisted, ultrasound-guided laparoscopic surgery was performed successfully to tighten an incompetent cervix.

The risk of postoperative endometritis is reduced when a vaginal preparation of povidone-iodine is administered immediately before cesarean delivery.

A study focusing on gender-based differences in gynecologic knowledge among college students has found that college men have less gynecologic knowledge than do college women.

To optimize treatment and prevent sequelae of STIs in adolescents, screening and diagnosis must be tailored to their unique needs.

These cases are interesting in that they were both defense verdicts and the issues were proving when the retained foreign object was left in the abdomen and what the object was.

Oral estrogen therapy for menopausal women is associated with an increased risk of gallbladder surgery, according to the results of a large-scale study conducted in France.

The use of robotically assisted hysterectomy for women with benign gynecological disease offers little short-term benefit and has significantly greater costs than laparoscopic hysterectomy, according to the results of a large US cohort study.

A meta-analysis of two Gynecologic Oncology Group (GOG) clinical trials shows a clear long-term survival benefit for intraperitoneal (IP) therapy over intravenous (IV) treatment of ovarian cancer. The results were presented at the 2013 Society of Gynecologic Oncology Annual Meeting on Women’s Cancer in Los Angeles.

There is no evidence that plastic adhesive surgical drapes reduce surgical site infection rates, and some evidence that these drapes may increase infection rates, according to a third update of an intervention review and analysis conducted by the Cochrane Wounds Group.

When a patient’s pregnancy test is positive but ultrasound is inconclusive, a stepwise approach is essential to make an accurate-and timely-diagnosis.

A large multiyear cohort study by investigators at ColumbiaUniversity in New York City shows limited short-term benefit and significantly higher cost for robotic-assisted hysterectomy than for laparoscopic hysterectomy. The findings, say the researchers, point to the need for “rational strategies to implement new surgical technologies.”

The common disorder now called “polycystic ovary syndrome” (PCOS) is imprecisely labeled, according to an independent panel convened by the National Institutes of Health (NIH).The panel met in December 2012 in an evidence-based methodology workshop sponsored by the NIH Office of Disease Prevention and the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD).

The current genitourinary fistula classification systems have poor to fair prognostic value, as does an empirically derived scoring system that predicts fistula closure 3 months after surgery, according to the findings of a new prospective cohort study.

Continuous infusion of the NSAID ketorolac, a powerful nonopioid analgesic, is a safe therapeutic option for the management of postoperative pain, concludes a double-blind randomized controlled trial.

A randomized UK study of menorrhagia shows that the levonorgestrel intrauterine system (LNG-IUS) is more effective than standard medical treatment in reducing the adverse effect of the menstrual problem on women's quality of life.

First know the anatomy and the risk factors, but don't forget to screen for and recognize injury as well.

Women should wait 12 to 18 months after weight-loss surgery before trying to become pregnant, according to an evidence-based literature review.

Modifying the surface of pelvic mesh with phosphorylcholine (PC) may help reduce the incidence of mesh-related complications.

The use of fluids to increase blood flow before major surgery, with or without inotropes or vasoactive drugs, does not reduce mortality but may be associated with fewer complications and shorter hospital stays.

The use of size 1 multifilament sutures, when compared with 2/0 monofilament sutures, in pelvic organ prolapse surgery with vaginal closure was associated with a significantly higher number of short-term complications, according to a UK study.

Treatment of fibroids with hysteroscopic morcellation has pros and cons. For in-office treatment, the advantages and disadvantages are described here.

Prophylactic dexamethasone decreases the incidence of postoperative nausea and vomiting without causing observable adverse effects in patients after laparoscopic gynecological surgery, concludes a new meta-analytic review.

There is a prevalence of ileocecal involvement (IC) in women with deep, infiltrating endometriosis (DIE) according to the study presented at AAGL.

A study to determine the prevalence rate of endometriosis in Hispanic women found that endometriosis may be under diagnosed due to failure to biopsy suspected lesions at the time of surgery and failure to accurately dictate and thoroughly describe operative findings in OpNote.