Gynecology

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.

As health care expenditures have risen and hospitals struggle to contain costs, there has been greater acceptance of reusing instruments that originally were designed and sold for single-use only. In a new Committee Opinion, ACOG discuss regulatory, safety, cost, and ethical issues surrounding reprocessed single-use devices.

Preoperative measurement of intra-abdominal visceral fat, and the ratio of intra-abdominal visceral fat to subcutaneous fat, may help predict women at greater risk for difficulties during robotic surgery.

The use of NovaSure for endometrial ablation results a variety of poor pregnancy outcomes, according to a study presented by Shannon Smith, MD, at the Global Congress of the American Association of Gynecologic Laparoscopists.

Although operative time is longer as compared with laparotomy, minimally invasive hysterectomy in obese patients is safe, with less blood loss and shorter hospital stays.

While the cervical stump may serve as a tissue barrier for a patient who has undergone a laparoscopic sacrocervicopexy for organ prolapse, mesh erosion and bacterial infection can still occur.

In obese patients, laparoscopic ports should be placed more than 10 centimeters from the midline to minimize the chance of injury to epigastric vessels, according to research presented at the 41st Global Congress of the American Association of Gynecologic Laparoscopists.

Radiofrequency volumetric thermal ablation is a safe and effective treatment for menorrhagia in women with symptomatic fibroids, providing both clinically and statistically significant reduction in blood loss, according to new research.

More than 64% of the adult women in the United States are overweight or obese, and these patients pose special challenges for surgeons. New research examining outcomes and complication rates, particularly in the emerging field of robotic surgery, will allow better management of these patients, and ObGyn.net will be paying special attention to this research at AAGL 2012 in Las Vegas.

ObGyn.net is headed to AAGL 2012 in Las Vegas, and we want to know: Which plenary sessions interest you most?

With AAGL 2012 right around the corner, we’re looking back at some of the most popular articles to come out previous AAGL meetings.

Neoadjuvant chemotherapy is a reasonable alternative to primary debulking surgery in women with stage IIIc/IV ovarian cancer, according to new intervention review.

This video demonstrates a case in which an intrauterine device (IUD) IUD was trapped--not in the uterine cavity and not outside the uterine wall, but within the muscle of the uterus. It was extracted under laparoscopic guidance.

A review comparing laparoscopic hysterectomy versus abdominal hysterectomy for early-stage endometrial cancer has found that rates of overall survival and disease-free survival are similar for the surgical procedures.

This procedure was performed to remove an intracavitary fibroid that failed hysteroscopy on two occasions.

According to the findings of a new intervention review and meta-analysis, neither paracervical block with lidocaine nor conscious sedation significantly reduced overall pain scores for tubal sterilization with hysteroscopy.

This patient had severe adhesions of the bladder and uterus following an extensive abdominal myomectomy. The bladder injury was recognized at the time of hysterectomy. A two layer closure is demonstrated using laparoscopic intracorporeal knot tying techniques.

A prospective case series analysis has shown that single incision laparoscopic surgery is a technique that is both feasible and safe for the surgical management of a variety of gynecological conditions.

Obesity does not impact perioperative outcomes in women undergoing robotic hysterectomy, according to a recent study.

Cystoscopy performed with a laparoscope is more time-efficient and cost-effective than cystoscopy with the traditional cystoscope, according to a randomized pilot study.

Removing specimens transvaginally during laparoscopic resection of adnexal masses is associated with less postoperative pain than transumbilical removal, according to a new study.

A new study found that placement of a midurethral sling can halve the rate of incontinence after prolapse surgery

A 39 year-old woman presented with urinary frequency and pelvic pressure. On pelvic examination, a large pelvic mass was felt adjacent to the uterus, deep in the pelvis. MRI showed a 12 cm subserosal fibroid adjacent to the right side of the uterus.

There is an ongoing debate as to whether or not pre-operative urodynamic testing offers any value in uncomplicated stress urinary incontinence patients who are undergoing surgery.

There is much debate about whether pre-operative urodynamic testing (or bladder function testing) is clinically useful in patients with pure stress urinary incontinence, with some professional organizations recommending for the use of routine urodynamics and some recommending against routine use of these tests.

Postoperative use of a neoprene abdominal-pelvic binder significantly increases ambulatory events in the first 24 hours after surgery and may be of benefit particularly in a high-risk gynecological oncology surgical population, according to a study presented the American Congress of Obstetricians and Gynecologists’ Annual Clinical Meeting.

No single technique is superior at preventing major vascular or visceral complications during laparoscopic entry, according to a Cochrane review, but certain techniques confer advantages.