Surgery

A recent study reveals that fertility-sparing surgery offers similar survival outcomes to standard surgery for cervical cancer patients with tumors of 4 cm or smaller, potentially expanding treatment options for younger women.

Review some of the top stories from the Contemporary OB/GYN website over the last week, and catch up on anything you may have missed.

A recent study finds that lateral episiotomy is a safe and effective procedure for reducing obstetric anal sphincter injuries in nulliparous women, highlighting its potential benefits during instrumental births.

A recent highlights elevated morbidity and mortality risks in premenopausal women underusing estrogen therapy after oophorectomy, underscoring the critical need for hormone therapy to mitigate adverse health outcomes.

Explore how robotic surgery revolutionizes obstetric and gynecologic procedures, offering enhanced precision, reduced complications, and improved patient outcomes, while also examining challenges and future prospects in the field.

A study highlighted how non-English-speaking patients undergoing gynecologic surgery face undertreated pain, emphasizing the need for equitable pain management practices.

In a poster featured at the 2023 Society for OB/GYN Hospitalists Annual Clinical Meeting, study investigators underline the importance of aesthetics in cesarean section closures as both providers and patients.

During the poster session of the 2022 American Urogynecologic Society and International Urogynecological Association’s 47th Annual Meeting, 2 researchers shared their study insights, which honed in on key risk factors for urinary tract injuries during major surgery.

Much innovation has taken place in the field of minimally invasive gynecologic surgery in the last decade. Enthusiasm for single-port surgery has waned over the past decade, due to factors like Reimbursement issues and technical demand led to a decrease in enthusiasm, but robotics companies continue to develop new solutions.

While sacrocolpopexy has been the gold standard for the anatomical correction of pelvic organ prolapse for more than three decades, it is a technically challenging procedure that results in dividing the pelvis by mesh material and often requires extensive bowel manipulation.

Devin Garza, MD, HCA, provided strategies on how to perform a successful myomectomy at AAGL’s 50th Global Congress on MIGS in Austin, Texas.

Marcello Ceccaroni, MD, PhD, compared how the revolution of rock and roll relates to the revolution of laparoscopic surgery in his AAGL MED Talk at AAGL's 50th Global Congress on MIGS in Austin, Texas.

In a panel discussion at AAGL’s 50th Global Congress on MIGS, in Austin, Texas, Kimberly Kho, MD, MPH, along with Jessica Shepherd, MD, MBA, FACOG, and Craig Sobolewski, MD, discussed utilizing radiofrequency ablation for treatment of uterine fibroids.

Kristin Patzkowsky, MD, provided a few tips and tricks for mastering robotic hysterectomy on difficult pathology in her presentation at AAGL's 50th Global Congress on MIGS in Austin, Texas.

“Today, many of these cases are done as open surgery, including approximately 60% of all hysterectomies performed globally, despite the clear benefits of minimally invasive surgery, which includes fewer complications, a shorter hospital stay, and a faster return to normal activities,” Peron told Contemporary OB/GYN®.

The reality is that traditional laparoscopic surgery provides excellent outcomes, great surgical exposure, and the flexibility to tackle almost any clinical situation. As such it is a high bar to overcome—vNOTES is essentially single port vaginal surgery.

Contemporary OB/GYN® held a panel discussion in September with 4 renowned minimally invasive gynecologic surgeons (MIGS) who discussed vaginal natural orifice transluminal endoscopic surgery (vNOTES).

As the COVID-19 pandemic prevails, many clinicians and patients question whether telemedicine will be the new mainstream form of health care.

After surgery for pubovaginal sling and possible cystocele and repair cystoscopy, the patient alleges that positioning caused neurologic injury.

“Same-day discharge is safe and feasible across a broad spectrum of FPMRS cases,” says Jacqueline Zillioux, MD.

The American College of Obstetricians and Gynecologists (ACOG) recently published an updated committee opinion regarding morcellation of presumed uterine leiomyoma. Here are the key points.

New findings support current guidelines to avoid pregnancy for 12 to 24 months after bariatric surgery, adding emphasis on achieving gestational weight gain.

The privately held medical device firm Memic Innovative Surgery Ltd. announced in early March that the Food and Drug Administration (FDA) has granted De Novo marketing authorization for its Hominis, a robot-assisted surgical platform for use in single site, natural orifice laparoscopic-assisted transvaginal benign gynecologic procedures, including benign hysterectomy.

The first Enhanced Recovery After Surgery (ERAS) guideline for standardizing and optimizing perioperative care for women undergoing minimally invasive gynecologic surgery (MIGS) has been published in The Journal of Minimally Invasive Gynecology.

Laparoscopic management of deep endometriosis involving the sacral roots and the sciatic nerve improves patient symptoms and overall quality of life, according to a retrospective case series.

Although peer surgical coaching bolsters surgical education and promotes continuous professional development throughout a surgeon’s career, the reality is that few surgeons apply coaching theory or operationalize the concept of coaching.

Homing in on passion, commitment, are key also to maintaining excellence in surgical field.

With patient-centered care being the mantra of 21st-century medicine, the decision to proceed with fertility surgery in women with endometriosis should be based on the individual patient, her reproductive expectations, her specific disease pattern, her support, family network, and available health care resources.

Three esteemed surgeons discuss technology, weighing the pros and cons of existing and newly developed platforms.

Although major complications are rare, laparoscopic abdominal entry is the most dangerous part of any laparoscopic procedure.