Gynecology

Laparoscopy has short-term advantages and seemingly equivalent long-term outcomes as compared with laparotomy for endometrial cancer according to a meta-analysis of randomized controlled trials.

Laparoscopy has been shown to be a safe and effective option for many diverse pelvic organ diseases, but how does the procedure fare during pregnancy? Due to the absence of large, comparative studies in pregnancy, there has been no definitive answer to this question. Now, researchers from Korea have found that laparoscopic surgeries can be safely used in women who are pregnant. Their results have been published in The Australian and New Zealand Journal of Obstetrics and Gynaecology.

Although more than 500,000 hysterectomies are performed annually in the U.S. to treat benign pelvic diseases, most outcome studies of the procedure look at clinical factors such as operation time, surgical complications, and hospital stays while ignoring patient satisfaction and quality of life issues. Now, a new study published in Obstetrics & Gynecology has found that patients who receive laparoscopic hysterectomy may fare better than those who receive abdominal hysterectomy.

Are the Benefits of Robotic Surgery Worth the Cost?

Pressure is a better indicator of adequate pneumoperitoneum than volume or time before trocar entry in laparoscopic surgery, according to a recent study published in Journal of Minimally Invasive Gynecology.

How often do patients develop endometriosis following laparoscopic supracervical hysterectomy with uterine morcellation? To better understand the resulting rates of endometriosis via laparoscopic versus transvaginal or abdominal hysterectomies, researchers conducted a single center case-control study.

Poor communication is a leading cause of medical errors in this era of collaborative care. Effective communication strategies can help facilitate the continuity of care, prevent errors, and provide a safe environment for the patient.

About 7% of Americans are infected with oral human papillomavirus (HPV), according to a recent cross-sectional study. Prevalence is almost 3 times higher in men than in women, about 8 times higher in those who are sexually active than in those who are not, and variably higher among cigarette smokers, former and current marijuana users, and heavy alcohol drinkers.

While tension-free vaginal tape (TVT) is and single-incision mini-sling result in similar subjective cure rates for the treatment of stress urinary incontinence, the mini-sling is still inferior, according to a randomized study published in Obstetrics & Gynecology.

Bipolar radiofrequency endometrial ablation is more effective than hydrothermablation in the treatment of menorrhagia at five years, according to research published in Obstetrics & Gynecology.

There are a variety of complications that can occur during laparoscopic surgery. In this tutorial learn some of the complications and tips to avoid them.

Laparoscopic staging of uterine cancer is associated with only a small increased risk of recurrence, according to a new study in the Journal of Clinical Oncology.

Kevin Giordano, Esq. and John O’Grady, MD, examine two laparoscopic hysterectomies that resulted in occult ureteric injury.Is it possible that the same event might be considered the standard of practice in one case but not the other?

Is the concept of an “accepted complication”-or the identified limitations of medical science-a shield to malpractice claims? Kevin Giordano, Esq. and John O’Grady, MD, explore liability risks of diagnostic laparoscopy.

Decreases in bone mineral density and an increased risk of arthritis may be linked to bilateral oophorectomy, according to new research presented at the 2011 CTRC-AACR San Antonio Breast Cancer Symposium.

Microlaparoscopy is a useful tool in diagnosing various causes of pelvic pain. In this tutorial, get the basics on conscious pain mapping in gynecological surgery.

Is single incision surgery worth the increased cost, learning curve and operative time? Is it more advantageous than a standard laparoscopy?

According to some sources, there are as many as 600,000 hysterectomies performed annually in the US, making it the most common nonobstetrical surgical procedure among women in the US. While the procedure itself is relatively safe, we need to ask what are the long-term effects of a hysterectomy?

Laparoscopic surgery offers unique advantages over abdominal surgery but there are some disadvantages. What can be done to improve your surgical skills?

The operating room is the most common place for medical errors to occur in the hospital setting. Here, Dr. Bill Parker, a gynecologist in Santa Monica, Calif., discusses improving patient safety.

Entry is most error-prone aspect of laparoscopy. In this tutorial, get the basics on how to improve your laparoscopic technique for a variety of gynecological surgeries.

In this tutorial, review the pros and cons of laparoscopy for diagnosis and treatment of endometriosis. Do the negatives of laparoscopy – anesthesia, for example – outweigh the ability to make definitive diagnosis based on visualization and treat in the same intervention?

My husband John and I had been married about 4 months when we were mugged at gunpoint. I was shot in the eye and eventually had retinal reattachment surgery to prevent permanent blindness. My vision would always be poor in my left eye, but we were grateful to be alive. It took 2 years for the eye to be fully healed and we were given permission to start a family.

My husband Bryan and I have been married 10 years. We tried for the first 3 years of our marriage to get pregnant to no avail. Three months after we were married we found out that I had pre-cervical cancer and had laser surgery to get rid of the bad cells.

Cesarean deliveries are now the most commonly performed abdominal surgery in the United States. In 2005, an estimated 30.3 % of all births involved C-section procedures, and preliminary estimates from the Centers for Disease Control and Prevention indicate that the incidence of C-sections will continue to rise in the coming decade.

Many women want to know how to acquire a flat stomach. They are especially curious about this following surgical procedures i.e.: laparotomy, laparoscopy and hysterectomy.

An episiotomy is a surgical incision into the perineum, the area between the bottom of the vaginal opening and the anus, in order to increase the size of the vaginal opening during childbirth. If it is done as part of gynecologic surgery, it's called a perineorrhaphy.

Following caesarean section for abruption, a patient continues bleeding and is taken back to the operating room. There, a D & C is performed, and a Bakri balloon is inserted and inflated. The patient continues to deteriorate and shows signs of continued bleeding. After a third surgery, in which a hematoma was evacuated from under the fascia, the Bakri is released. After removal, there is no significant vaginal bleeding.

Adhesions occur after almost every abdominal surgery and are the leading cause of intestinal obstruction. Here, tips for adhesion prevention and how to correct them when they do occur are provided.