Gynecology

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.

A new registry-based study sheds light on patient factors that may influence risk of breast cancer associated with use of postmenopausal hormone replacement therapy (HRT)-including race, weight, and breast density. Findings from the report, published in The Journal of the National Cancer Institute, suggest the greatest association between HRT use and breast cancer in women with low/normal body mass index (BMI) and extremely dense breasts.

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.