Hand-assisted technique beneficial for challenging laparoscopies
March 28th 2013A technique that bridges minimally invasive surgery and an open approach appears to have promise for challenging cases in laparoscopic myomectomy and hysterectomy, according to preliminary outcomes from a surgical series by investigators at Brigham and Women’s Hospital, Boston.
What to do when patients request cesareans
March 28th 2013Physicians should recommend that their patients plan for vaginal deliveries rather than cesarean deliveries if there are no maternal or fetal indications for a cesarean. This is the position stated in a new committee opinion from the American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice.
Robotic Hysterectomy Offers No Benefits Over Laparascopic Hysterectomy
March 25th 2013The use of robotically assisted hysterectomy for women with benign gynecological disease offers little short-term benefit and has significantly greater costs than laparoscopic hysterectomy, according to the results of a large US cohort study.
Is Fertility Improved After Hysteroscopy for Uterine Cavity Abnormalities?
March 22nd 2013Hysteroscopic removal of polyps in women with unexplained infertility may increase their chances of becoming pregnant, concludes an intervention review conducted by the Cochrane Menstrual Disorders and Subfertility Group.
Lower incidence of genital warts after HPV vaccine
March 21st 2013A study in Sweden has shown that the incidence of genital warts (condylomata) declined by 93% in girls who received the human papillomavirus (HPV) vaccine before age 14. The study was carried out by researchers at Karolinska Institute in Sweden and published in Journal of the National Cancer Institute.
Bevacizumab Improves Survival but Reduces Quality of Life in Late-Stage Cancer Patients
March 18th 2013Patients with stage IVB, recurrent, or persistent cervical cancer that was not cured with standard treatment who were given the angiogenesis inhibitor bevacizumab lived 3.7 months longer than patients who did not receive the drug, but adverse events increased.
One step or two to diagnose gestational diabetes?
March 14th 2013Experts convened by the National Institutes of Health for a Consensus Development Conference on Diagnosing Gestational Diabetes Mellitus (GDM) have proposed maintaining the current 2-step approach to diagnosis rather than a 1-step process. The panel, comprising 15 experts and 19 speakers, met March 4-9 in Bethesda to examine a report prepared through the Agency for Healthcare Research and Quality’s Evidence-based Practice Centers program. The assessment was sponsored by the Eunice Kennedy Shriver National Institute of Child Health and Human Development and the Office of Disease Prevention.
SGO focus: IP therapy has long-term benefit in ovarian cancer
March 14th 2013A meta-analysis of two Gynecologic Oncology Group (GOG) clinical trials shows a clear long-term survival benefit for intraperitoneal (IP) therapy over intravenous (IV) treatment of ovarian cancer. The results were presented at the 2013 Society of Gynecologic Oncology Annual Meeting on Women’s Cancer in Los Angeles.
Adhesive Surgical Drapes May Cause, Not Prevent, Infection
March 13th 2013There is no evidence that plastic adhesive surgical drapes reduce surgical site infection rates, and some evidence that these drapes may increase infection rates, according to a third update of an intervention review and analysis conducted by the Cochrane Wounds Group.
Low Levels of Vitamin D, Trace Elements Linked to Premature Ovarian Failure
March 11th 2013Vitamin D deficiencies are common in women with primary ovarian insufficiency (POI), and serum levels of zinc, copper, and vitamin D appear to correlate with hormonal status, concluded a recent cross-sectional, case-control study.
Pharma gifts to med students remain common
March 7th 2013A survey of medical students and residents shows that gifts to them from pharmaceutical company representatives remain common, despite efforts by medical schools to restrict such transactions. The research, which included participants from every medical school in the United States, appears in the February issue of The Journal of General Internal Medicine.
PTSD in women facing breast cancer
March 7th 2013A study has found that nearly 1 in 4 women (23%) newly diagnosed with breast cancer reported symptoms consistent with post-traumatic stress disorder (PTSD) shortly after diagnosis. Black and Asian women were more likely to report such symptoms. The study, called “Racial Disparities in Posttraumatic Stress After Diagnosis of Localized Breast Cancer: The BQUAL Study,” has been published online ahead of print in the Journal of the National Cancer Institute.