Gynecology

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.

It has long been known that anemia increases the risk of death and complications in patients who have cardiovascular surgery, but results of a new study show that these risks are increased in patients with anemia who undergo various types of surgery, including gynecological procedures.

I am 28 years old and I've been actively trying to get pregnant for the past 2 years. I recently underwent a laparoscopy by my gynecologist. She told me that I had minimal endometriosis, but that my ovaries and tubes looked normal. She told me that endometriosis is associated with infertility, but I don't really understand the connection.

I am a 34 year old woman that would like to have another child. I recently had surgery to remove my gallbladder and in the process there were pictures taken. I was told that my ovary is covered, all except one small area, by what looks like adhesions.

Feasibility of laparoscopic myomectomy is now accepted even if the attention is still stressed on technical difficulties due to myoma location and size and difficulty in reapproximating the incision by laparoscopic suturing that requires perfect mastery of endoscopic suturing.

A case of unicornuate uterus with cavitary non-communicating rudimentary horn suddenly revealing with acute abdomen is presented. The patient was managed by laparoscopic miniaccess hemihysterectomy.

A 35-year-old nulliparous woman with a giant uterine myoma is described. During the past three years she had developed a intramural myoma and a subserous myoma. Although the lesions were excised, both reappeared and were treated with GnRH analogues for 6 months.

This video illustrates a technique for removing a large uterus during a Laparo-Endoscopic Single Site (LESS)/ single incision laparoscopic surgery (SILS) technique for total or supracervical laparoscopic hysterectomy. A morcellator is used to remove the uterus in small pieces. This technique allows the entire procedure to be performed through one single incision in the belly-button. Patients can often go home the same day.

In 1935 Drs Stein and Leventhal described 7 women with irregular periods (oligomenorrhea), increased body hair (hirsutism) and obesity, who at the time of surgery were found to have enlarged ovaries with a smooth "pearly white" appearance.

If you need treatment for fibroids, there are a number of options available to you. Your choices should be guided by the medical problems the fibroids are causing, your desire to have children, and your feelings and thoughts about surgery or other options. I think it is important for you to know all the options available.

Myofibroblastic tumor (MT) is a neoplasm of unknown etiology, occurring at various sites. Literary, it is composed of spindle cells (myofibroblasts). Usually it is associated with variable inflammatory component; hence the name is inflammatory myoblastic tumor (IMT). The occurrence in the rectovaginal septum of female is almost unknown in the literature.

If a doctor or health care professional recommends that a woman should have a hysterectomy and she elects to proceed, then there are certain decisions that need to made in planning the surgery. There are many reasons for deciding to have the uterus removed, and numerous articles and books have been written on this topic.