Although more than 500,000 hysterectomies are performed annually in the U.S. to treat benign pelvic diseases, most outcome studies of the procedure look at clinical factors such as operation time, surgical complications, and hospital stays while ignoring patient satisfaction and quality of life issues. Now, a new study published in Obstetrics & Gynecology has found that patients who receive laparoscopic hysterectomy may fare better than those who receive abdominal hysterectomy. More »
How often do patients develop endometriosis following laparoscopic supracervical hysterectomy with uterine morcellation? To better understand the resulting rates of endometriosis via laparoscopic versus transvaginal or abdominal hysterectomies, researchers conducted a single center case-control study. More »
Kevin Giordano, Esq. and John O’Grady, MD, examine two laparoscopic hysterectomies that resulted in occult ureteric injury.Is it possible that the same event might be considered the standard of practice in one case but not the other? More »
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? More »
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. More »
More than 10 million American women suffer from excessive menstrual bleeding or heavy periods, a condition known as menorrhagia. In fact, more than 20 percent of the 600,000 hysterectomies performed annually in the United States treat menorrhagia. But because this health issue is so rarely discussed, few women realize that the condition can be easily treated during a 30-minute outpatient procedure as opposed to having a hysterectomy. More »
The alternatives to total abdominal hysterectomy include denial of service, vaginal hysterectomy, laparoscopic-assisted vaginal hysterectomy, laparoscopic supracervical hysterectomy, endometrial ablation, and myomectomy/myolysis. More »
How would a male gynecologist begin to know anything about a woman's orgasm? Easy. In my pre-operative counseling for hysterectomy I discuss sexuality, orgasm, and hysterectomy. And I tell my patient that a year later I'm going to ask her about it. But this is not a controlled scientific study, so before telling you what I am hearing, let's look at some real data. Again, don't take my word for it. Go to the sources listed in the references. And if you like, check out their references. More »
To review the etiology and incidence of and associative factors in the formation of adhesions following gynaecological surgery. To review evidence for the use of available means of adhesion prevention following gynaecological surgery.|Women undergoing pelvic surgery are at risk of developing abdominal and/or pelvic adhesive disease postoperatively. Surgical technique and commercial adhesion prevention systems may decrease the risk of postoperative adhesion formation.|The outcomes measured are the incidence of postoperative adhesions, complications related to the formation of adhesions, and further intervention relative to adhesive disease.|Medline, EMBASE, and The Cochrane Library were searched for articles published in English from 1990 to March 2009, using appropriate controlled vocabulary and key words. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, cohort studies, and meta-analyses specifically addressing postoperative adhesions
The optimal technique for performing caesarean section with respect to minimising postoperative adhesions has not been determined.|To evaluate adhesion formation for three common caesarean section techniques in women undergoing repeat caesarean section surgeries.|A database was constructed from Medline, EMBASE, Cochrane Library, National Science Digital Library, China Biological Medicine Database and through contact with experts in this field from January 1990 to May 2010.|Studies were included if they examined adhesion formation in repeat caesarean sections as a primary objective, delineated a clear study design, specified an adhesion scoring system, and had sufficient patient exclusion criteria.|We abstracted data regarding adhesion formation. The Mantel-Haenszel random-effects model was employed for all analyses using odds ratio or inverse variance, along with 95% CI.|Thirty-three qualified studies including 4423 women were analysed. There were 406 adhesions among 571 women and 238
To review the etiology and incidence of and associative factors in the formation of adhesions following gynaecological surgery. To review evidence for the use of available means of adhesion prevention following gynaecological surgery.|Women undergoing pelvic surgery are at risk of developing abdominal and/or pelvic adhesive disease postoperatively. Surgical technique and commercial adhesion prevention systems may decrease the risk of postoperative adhesion formation.|The outcomes measured are the incidence of postoperative adhesions, complications related to the formation of adhesions, and further intervention relative to adhesive disease.|Medline, EMBASE, and The Cochrane Library were searched for articles published in English from 1990 to March 2009, using appropriate controlled vocabulary and key words. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, cohort studies, and meta-analyses specifically addressing postoperative adhesions
To investigate the role of hyaluronic acid-based fluid agents in the prevention of adhesions after fertility-preserving gynecological surgery.|Meta-analysis.|The authors searched the Cochrane Menstrual Disorders and Subfertility Group Specialized Register of Controlled Trials, The Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE for randomized controlled trials of hyaluronic acid fluid agents compared with no treatment or placebo.|Women undergoing fertility-preserving gynecological surgery.|Hyaluronic acid fluid agents.|[1] Prevalence and change in adhesion severity at second-look laparoscopy and [2] live birth rate.|Four studies were included in the meta-analysis. The use of hyaluronic acid agents was associated with a decrease in the prevalence of adhesions at second-look laparoscopy (odds ratio, 0.31; 95% confidence interval, 0.19 to 0.51) and a lesser chance of deterioration of preexisting adhesions (odds ratio, 0.28; 95% confidence interval, 0.12 to 0.66).
Pelvic adhesion can form as a result of inflammation, endometriosis or surgical trauma. During pelvic surgery, strategies to reduce pelvic adhesion formation may include placing synthetic barrier agents such as oxidised regenerated cellulose, polytetrafluoroethylene or Fibrin sheets between the pelvic structures.|To assess the effect of physical barriers used during pelvic surgery in women of reproductive age on pregnancy rates, pelvic pain, or postoperative adhesion reformation.|We searched the Cochrane Menstrual Disorders and Subfertility Group Trials Register (searched September 2007) which is based on regular searches of MEDLINE, EMBASE, CINAHL, PsycINFO and CENTRAL, plus handsearching of 20 relevant journals and conference proceedings, and searches of several key grey literature sources. In addition, companies were contacted for unpublished trials.|Any randomised controlled trials (RCTs) comparing the use of physical barriers versus no treatment or other physical barriers in the
(i.e. large submucous fibroids uterine adhesions apparent uni or bilateral proximal ... Valaoras & Lewis Obstetrics and Gynecology Winston-Salem North Carolina United ...
thereby excluding anatomical abnormalities intrauterine adhesions and cervical incompetence; ... Depts. Gynecology and Obstetrics and 3rd Dept of Internal Medicine ... János Rigó Prof. Gynecology and Obstetrics Dept Semmelweis University Budapest Hungary ...
uterine stent to prevent intrauterine adhesion (IUA) ... In order to prevent adhesion reformation after surgery most gynecologists ... Department of Obstetrics and Gynecology Shin-Kong Wu-Ho-Su Memerial Hospital ...
A laparoscopy that demonstrated pelvic adhesions or stage I or II ... Chair Department of Obstetrics and Gynecology Dartmouth-Hitchcock Medical Center Dartmouth ...
SOGC CLINICAL PRACTICE GUIDELINE Adhesion Prevention in Gynaecological Surgery Abstracts Objectives: To review the etiology and incidence of and associative factors in the formation of adhesions following gynaecological surgery. ... To review evidence
Outcomes: Implementation of this guideline should optimize the decision-making process of women and their health-care providers in proceeding with further investigation or therapy for uterine leiomyomas, having considered the ... For the symptomatic
SOGC Clinical Practice Guideline Ovulation Induction in Polycystic Ovary Syndrome Abstract Objective: To review current non-pharmacologic and pharmacologic options for ovulation induction in women with polycystic ovary syndrome ( PCOS). ... Weight loss,
ligands and measure PAI-1, uPA, and uPAR levels; and perform adhesion, proliferation, and migration assays; 2) To treat tumorigenic and non-tumorigenic breast cancer cell lines with natural PPAR? ... ligands and measure PAI-1, uPA, and uPAR levels; and
Preventing urinary tract infections ( UTIs). Research shows that drinking cranberry juice cocktail can help prevent repeated UTIs in older women and pregnant women.
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asymptomatic women, women with suspected ovarian cancer, and women with diagnosed ovarian cancer; ( d) the harms of genomic testing; and ( e) the impact of direct-to-consumer and direct-to-physician ... We found no evidence relevant to the question of
title: OB-GYN-LMessages: Re: Million Med March State by State Information and request for ... Dr Eberhard Lisse: "Re: Million Med March State by State Information and request for" Previous message: ...
title: OB-GYN-LMessages: Re: factor V ... 32nd annual international meeting of the Czech Ultrasound Society in Obstetrics and Gynecology by Czech Society for Ultrasound in Obstetrics and Gynecology ...
title: OB-GYN-LMessages: Re: GYN: Business question modifier 22. ... 32nd annual international meeting of the Czech Ultrasound Society in Obstetrics and Gynecology by Czech Society for Ultrasound in Obstetrics and Gynecology ...
Physician Performance Goals Are Great, But Balance Is More Realistic Jennifer Frank, MD, May 15, 2012 Performance measurements for physicians are well-intentioned and get me to rethink how I practice. But in the end I won't make the goals, so I'll have to go with balance over perfection.
Designing the Perfect Business Card for Your Medical Practice C. Noel Henley, MD, May 11, 2012 Does your business card say anything substantive about the valuable work you do in your practice? Here’s how to re-design your next business card for maximum impact and engagement.
Registered Nurses an Ideal Fit for Primary Care Practices Audrey "Christie" McLaughlin, RN, May 10, 2012 Here are four good reasons to hire a registered nurse for your primary care practice …maybe even instead of a medical assistant.
The Five Biggest Medical Practice Marketing Mistakes James Doulgeris, May 10, 2012 There are best practices to marketing your practice, but often, success is more about knowing what not to do. Here are the five most common pitfalls …and how to avoid them.
Can You Practice Medicine and Manage Your Practice? Rosemarie Nelson, May 9, 2012 Whether you practice alone, or in a group, if you're trying to see patients in this pay-for-volume environment and also run the business of your practice, you may be missing out on important opportunities.
