Gynecology

Does hysterectomy mean a woman's sex life is ruined? Here, Paul Indman, MD, shares his take: orgasm is still in the cards for many women.

Advances in technologies have allowed conduct of many procedures by laparoscopy and hysteroscopy. These are the essence of our specialty. Most new technologies foster improved performance. In business term, they are called sustaining technologies. In fact, most technological advances in an industry are sustaining in nature.

In minimally invasive surgery (MIS), complications can occur due to faulty instruments, surgical technique, or inadequate patient election. Surgeons who routinely perform MIS rarely encounter complications. Conversely, practicing gynecologists at large often find that certain procedures or techniques are not as safe as previously reported in the literature by the "experts." One of the reasons is that complications tend to be underreported.

The first laparoscopic hysterectomy was performed in 1989 by Henry Reich. Nowadays the laparoscopic hysterectomy for a uterus up to 300 grams, without other pathologies that could limit its mobility or without a poor vaginal access, has to be considered a basic well standardized procedure.

Both types of surgery are complimentary. Each has specific advantages and indications. It is an advantage to have and to be able to use both.

There are four conventional primary methods to treat a cancer: surgery, radiation, chemotherapy, and immunotherapy. There are four goals of treatment: cure, prevention, prolongation of survival, and palliation. Palliation means that treatment is given to remedy a symptom of the cancer without being able to treat the cancer itself.

Patient safety is finally being institutionalized due to growing concern over the terrible cost of inadvertent human error. Medicine's punitive perfectibility model in dealing with unintended injury is slowly evolving to accept error during surgery, as an inevitable yet manageable reality of operations (Leap, 1994).

The innervation of the pelvic structures has an important role in the surgical knowledge, especially when the surgeon is dealing with radical surgery for cancer and with extensive surgical procedures for deep infiltrating endometriosis.

Laparoscopy succeed in overcoming technical difficulties and poor outcome of traditional open ureteroureteral distal anastomosis. A technique for laparoscopic repair of injury involving the distal ureter has been successfully developed.

We compared laparoscopic-assisted vaginal hysterectomy (LAVH) with total abdominal hysterectomy (TAH) in a case control study that evaluated length of operation, blood loss, length of hospital stay, drug requirements for pain, and postoperative pain and activity levels.

Radiotherapy is one of the treatment modalities in the management of patients with cancer. It is highly effective in women with early stages of malignancy but it results in the loss of ovarian function.

Radiotherapy is one of the treatment modalities in the management of patients with cancer. It is highly effective in women with early stages of malignancy but it results in the loss of ovarian function.

Fallopian tube prolapse as a complication of abdominal hysterectomy is a rare occurrence. A case with fallopian tube prolapse was managed by a combined vaginal and laparoscopic approach and description of the operative technique is presented.

Cervical cancer remains one of the greatest killers of women worldwide. It is difficult to foresee a dramatic increase in cure rate even with the most optimal combination of cytotoxic drugs, surgery, and radiation; therefore, testing of molecular targeted therapies against this malignancy is highly desirable.

Roberta's Lap-Band Surgery

OBGYN.net Broadcasting present Part VIII of a series on Weight Loss Surgery. This series is unique in that we follow the patient from pre-op to one year post-op.

OBGYN.net Broadcasting present Part VIII of a series on Weight Loss Surgery. This series is unique in that we follow the patient from pre-op to one year post-op.

Roberta's Lap-Band Surgery

OBGYN.net Broadcasting presents Part VII of a series on Weight Loss Surgery. This series is unique in that we follow the patient from pre-op to one year post-op.

At this time, three years post-op, Roberta is satisfied with the outcome of her surgery and hopes you have found her story helpful in your search for answers.

OBGYN.net Broadcasting presents Part VII of a series on Weight Loss Surgery. This series is unique in that we follow the patient from pre-op to one year post-op.

OBGYN.net Broadcasting present Part VI of a series on Weight Loss Surgery. This series is unique in that we follow the patient from pre-op to one year post-op.

OBGYN.net Broadcasting present Part VI of a series on Weight Loss Surgery. This series is unique in that we follow the patient from pre-op to one year post-op.

OBGYN.net Broadcasting presents Part V of a series of presentations on Weight Loss Surgery. This project is unique in that we follow the patient from pre-op to one year post-op.

OBGYN.net Broadcasting presents Part V of a series of presentations on Weight Loss Surgery. This project is unique in that we follow the patient from pre-op to one year post-op.