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An LVAH case underscores the importance of continuing education.

Major vascular injury incurred at laparoscopy

Dr. Einarsson, Deputy Editor, is Associate Professor of Obstetrics ad Gynecology, Harvard Medical School, and Director, Division of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.

Videos

The Society of Gynecologic Surgeons (SGS) held its 46th Annual Scientific Meeting virtually in July, in much the same way that all other associations are holding meetings or conferences these days.

SGS 46th Annual Scientific Meeting highlights

The proportion of patients filling perioperative opioid prescriptions also substantially increased over the study period, which spanned 2005 to 2016.

Perioperative opioid filling for midurethral sling

Women with high-grade cervical dysplasia are much less likely to have recurrence after primary conization if they undergo laser conization than a loop electrosurgical excision procedure (LEEP), according to a 5-year follow-up study.

Recurrence of high-grade cervical dysplasia

Judith M. Orvos, ELS, is a a BELS-certified medical writer and editor and an editorial consultant for Contemporary OB/GYN.

A new study by French investigators shows that adenomyosis confined to the outer myometrium is associated with primary infertility—but not more diffuse disease. 

Study links focal adenomyosis and primary infertility

Although myomectomy may prolong the operative time and the postoperative hospital stay, there are numerous potential benefits including avoiding a follow-up operation to remove uterine fibroids.

Study finds myomectomy at cesarean section can be performed safely

The authors reviewed studies with primary outcomes that were factors associated with unsuccessful pessary fitting and discontinuation in women with POP and 21 for final analysis.

Causes of unsuccessful pessary fitting in women with pelvic organ prolapse

Self-catheterization for over 1 month occurred in 13.6% of surgical cases, mainly after segmental colorectal resection. 

Voiding dysfunction after colorectal surgery for endometriosis

A new technique for repair of pelvic organ prolapse (POP) appears to be associated with good short-term outcomes, based on results of a new pilot study. 

Pilot study of novel technique for POP repair

Presented by Kristen Pepin, MD, and Jon I. Einarsson, MD, PhD, MPH Brigham and Women’s Hospital, Boston

Laparoscopic excision of endometriosis nodule of the rectum

Based on the literature, a bundled intervention was created that included dual antibiotic prophylaxis (cefazolin and metronidazole) aimed at reducing surgical site infections for all patients undergoing hysterectomy. 

Does dual antibiotic prevention and vaginal prep decrease surgical site infections?

Training gynecologic oncologists to perform cytoreduction for advanced ovarian cancer can result in better outcomes for patients, according to results of a new study

Better outcomes when gyn oncs are trained to perform upper abdominal surgeries

The study found that both patient- and treatment-related factors contributed to noncompliance.

Compliance with treatment guidelines for ovarian cancer debulking surgery

The American Urogynecologic Society (AUGS) released new information on managing mesh problems, which includes guidance, treatment algorithms and ways to optimize treatment outcomes for these complications.

AUGS Consensus Statement: Managing mesh problems

Dr. Rahman is a resident physician in the Department of Obstetrics & Gynecology at George Washington University School of Medicine and Health Sciences in Washington, D.C.

Dr. Klebanoff is a practicing ob/gyn and fellow in minimally invasive gynecologic surgery at George Washington University School of Medicine and Health Sciences in Washington, D.C.

Dr. Moawad is an associate professor of obstetrics and gynecology, director of gynecological robotic surgery and FMIGS associate director at George Washington University School of Medicine and Health Sciences in Washington, D.C.

Though theoretical, the threat of aerosolized viral particles places health care providers at risk. Certain safety measures can be taken.

Smoke evacuation in the age of COVID-19

Adjunct surgical techniques such as ultrasonic aspiration and argon-enhanced electrocautery may be safely incorporated during primary debulking surgery for patients with advanced epithelial ovarian, fallopian tube or primary peritoneal cancer with miliary disease, according to a retrospective study in the International Journal of Gynecologic Cancer. 

Adjunct surgical techniques safe for complex ovarian cancer cytoreduction

A South Korean prospective study has concluded that an injection of port-site bupivacaine hydrochloride following gynecologic laparoendoscopic single-site surgery (LSSS) does not provide any additive effect in alleviating postoperative umbilical pain.

Port-site local anesthetic injection for laparoendoscopic surgery

Presented by Kristen Pepin, MD, Nisse V. Clark, MD, and Jon I. Einarsson, MD, PhD, MPH 
Brigham and Women’s Hospital, Boston.

Ovarian Remnant Resection Surgery

Nisse V. Clark, MD, Renita Kim, MD, MPH, and Jon Einarsson, MD, PhD, MPH show how they treat multifocal bowel endometriosis in a 25-year-old G0 with dysmenorrhea, dyschezia, and cyclic rectal bleeding.

Video: Laparoscopic excision of multifocal bowel endometriosis

Use of simulation technology for training on labor and delivery is increasing and studies show it can help reduce complications such as perineal lacerations and brachial plexus injury.

Surgery

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