Surgical Gynecology

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EventCalendar

  • The 5th IVI International Congress: Reproductive Medicine and Beyond by ComtecMed
    04-Apr-13 to 06-Apr-13 Seville , SPAIN (GYN - Contraception & Reproductive Health)
     
  • 2013 AIUM Annual Convention by American Institute of Ultrasound in Medicine
    06-Apr-13 to 10-Apr-13 New York (New York Marriott Marquis Hotel) , NY USA (CME - Medical Education)
     
  • Manejo clínico y terapéutico de la esterilidad. Segundo curso online by Fundacio Dexeus Salud de la Mujer
    09-Apr-13 to 31-May-13 online , SPAIN(gynecology)
     
  • Pediatric Nursing: Care of the Hospitalized Child by Continuing Education Inc.
    10-Apr-13 to 13-Apr-13 Anaheim (Hyatt Regency Orange County) , CA USA (CME - Obstetrics, Gynecology & Women's Health)
     
  • Medicina fetal Curso-Taller. Curso de Nivel I y II de la SESEGO by Fundacio Dexeus Salud de la Mujer
    15-Apr-13 to 17-Apr-13 Barcelona (Auditorio Salud de la Mujer Dexeus) , SPAIN (OB - Maternal Fetal Medicine)
     
  • Female Urology & Urogynecology Symposium (FUUS) by Quadrant HealthCom, Inc
    18-Apr-13 to 20-Apr-13 Las Vegas (ARIA) , NV USA (CME - Obstetrics, Gynecology & Women's Health)
     
  • Female Urology and Urogynecology Symposium (FUUS) 2013 by Quadrant HealthCom, Inc
    18-Apr-13 to 20-Apr-13 Las Vegas (ARIA) , NV USA (CME - Obstetrics, Gynecology & Women's Health)

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LatestFeatures

Symptom Recurrence Common After Surgery for Pelvic Organ Prolapse
Many women who undergo abdominal sacrocolpopexy for pelvic organ prolapse (POP) experience a recurrence of POP or urinary incontinence within 5 years of surgery. More »
Surgery for Endometriosis Protects Against Ovarian Cancer
Women with endometriosis who undergo surgery to treat the condition are less likely to have ovarian cancer develop later in life. More »
The First Robotic Abdominal Cervical Cerclage in Pregnancy
In a groundbreaking procedure, robotically assisted, ultrasound-guided laparoscopic surgery was performed successfully to tighten an incompetent cervix. More »
Estrogen Therapy for Menopause Ups Gallbladder Surgery Risk
Oral estrogen therapy for menopausal women is associated with an increased risk of gallbladder surgery, according to the results of a large-scale study conducted in France. More »
Robotic Hysterectomy Offers No Benefits Over Laparascopic Hysterectomy
The 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. More »
Delay Pregnancy at Least 12 Months After Bariatric Surgery, Review Suggests
Women should wait 12 to 18 months after weight-loss surgery before trying to become pregnant, according to an evidence-based literature review. More »
Increasing Global Blood Flow Before Surgery May Improve Outcomes
The use of fluids to increase blood flow before major surgery, with or without inotropes or vasoactive drugs, does not reduce mortality but may be associated with fewer complications and shorter hospital stays. More »
Suture Type Affects Outcomes in Vaginal Prolapse Surgery
The use of size 1 multifilament sutures, when compared with 2/0 monofilament sutures, in pelvic organ prolapse surgery with vaginal closure was associated with a significantly higher number of short-term complications, according to a UK study. More »
Preventing Emesis After Laparoscopic Gynecological Surgery
Prophylactic dexamethasone decreases the incidence of postoperative nausea and vomiting without causing observable adverse effects in patients after laparoscopic gynecological surgery, concludes a new meta-analytic review. More »
AAGL 2012: Minimally Invasive Hysterectomy May be Superior to Laparotomy for Obese Patients
Although operative time is longer as compared with laparotomy, minimally invasive hysterectomy in obese patients is safe, with less blood loss and shorter hospital stays. More »
Showing 1 - 10 of 243 results.
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FromtheJournals

pubmed.gov - 3/1/11
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
pubmed.gov - 11/2/10
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
pubmed.gov - 6/1/10
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
pubmed.gov - 1/1/08
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
pubmed.gov - 5/1/07
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).

ClinicalTrials

www.clinicaltrials.gov - 8/21/11
commonly performed in Obstetrics and Gynecology Clinics. Complications related ... incision after C/S (adhesions separation (dehiscence) ...
www.clinicaltrials.gov - 8/19/10
(i.e. large submucous fibroids uterine adhesions apparent uni or bilateral proximal ... Valaoras & Lewis Obstetrics and Gynecology Winston-Salem North Carolina United ...
www.clinicaltrials.gov - 8/3/10
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 ...
www.clinicaltrials.gov - 7/20/10
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 ...
www.clinicaltrials.gov - 1/12/10
A laparoscopy that demonstrated pelvic adhesions or stage I or II ... Chair Department of Obstetrics and Gynecology Dartmouth-Hitchcock Medical Center Dartmouth ...

PracticeGuidelines

www.sogc.org -
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
www.sogc.org -
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
www.sogc.org -
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,

PatientResources

ww5.komen.org -
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
www.strokecenter.org -
In addition, 400 women who replied in 1976 stated that they did not wish to continue in the study and 390 women died. ... In the 1978-1980 interval, there were 624 deaths, 300 women declined further participation, approximately 99, 000 completed the full
www.nlm.nih.gov -
Preventing urinary tract infections ( UTIs). Research shows that drinking cranberry juice cocktail can help prevent repeated UTIs in older women and pregnant women.
www.nlm.nih.gov -
Un servicio de laBusque en MedlinePlus. Arndano ( agrio, rojo). Para usar las funciones de compartir de esta pginas, por favor, habilite JavaScript. Qu es? El arndano rojo es un arbusto pequeo que crece en toda Norteamrica. El
www.niaid.nih.gov -
04-4697 February 2004 www.niaid.nih.gov Womens Health i n t h e U. ... DEPARTMENT OF HEALTH AND HUMAN SERVICES. Womens Health i n t h e U.

MedicaForums

Medica Forums - 6/17/13
First, Plan B was only available OTC to women age 17 and up. In April, a judge ordered that it be made available to women of all ages. Now, an appeals court judge has stayed an order that would make a one-dose version of the emergency contraception available to all ages, while allowing the two-dose drug to be sold OTC without restriction. What do you make of all this?
Medica Forums - 6/15/13
muscle pain relief in Hong kong
eToims is a non-invasive pain therapy treatment for individuals desiring general physical health maintenance and enhancement or relief from chronic pain.Back pain is often caused or aggravated by bad or worn-out mattresses. A new pressure-relieving mattress and pillow can make a huge difference. It can support your back, shoulders and neck where it needs it most and thereby help you sleep in a better position, relieving pressure points and back pain. For more information on pressure relieving mattresses and pillows click here.For more information visit us at- Email-info@etoims.com,Contact- +1 215-387-0550.
Medica Forums - 6/12/13
For the past few months, I have not received any posts on the listserv OB-GYN-L. I would get daily posts in my e-mail. Where has it gone, what has happened to it? What can I do to get back on the list?

If anybody has any information, send me a note at:

dean@thehuffpeople.net


Dean Huffman
Medica Forums - 6/6/13
Pregnant woman and the newborn infant in breast feeding both of them need safety. So, caution in use of drugs in pregnancy and during lactation is mandatory. The knowledge of risk-benefit ratio of different drugs should be in mind of the doctor while prescribing a pregnant or lactating lady.Definitions of Pregnancy categories of drugs and a table showing pregnancy categories of drugs and safety of drugs in lactation are given here.

Definitions of Pregnancy categories of drugs:

On the basis of the potentiality for producing birth defects drugs in pregnancy are grouped into 1 of 5 categories which are A,B, C, D and X. Drugs of class A and B are considered safe and can be used routinely.

Pregnancy Category A : Controlled studies in pregnant women fail to detect risk to the fetus in the first trimester and no evidence of risk in later trimesters. The possibility of harm to the fetus appears remote by using the drugs of pregnancy category A.

Pregnancy Category B : Presumed safety on the basis of animal studies, with no controlled study in pregnant women, or animal studies have shown an adverse effect which was not confirmed in controlled studies in women in the first trimester and there is no evidence of risk to the fetus in later trimesters.

Pregnancy Category C : Studies in women and animals are not available or studies in animals have shown adverse effects on the fetus and there is no controlled study in women. Drugs should be given in pregnancy only if the potential benefits justify the potential risk to the fetus.

Pregnancy Category D : There is positive evidence of risk to the human fetus (unsafe), however in a life-threatening illness the potential risk may be justified if there are no other alternatives.

Pregnancy Category X : Highly unsafe: risk of use outweighs any potential benefit. Drugs in this category are contraindicated in pregnant women or in a woman who may become pregnant. To get more please visit -
http://medicalforall.net/drugs-pregnancy-lactation/
Medica Forums - 6/1/13
Recently, I had the occasion to review a case of a term primigravida with PROM in a private hospital (no housestaff or in house obstetricians). She was seen by an obstetrician soon after arrival, evaluated, and pitocin induction begun.

She did not deliver for around 29 hours after admission, and the delivering obstetrician (a different physician) was physically present during the last 2 hours of labor prior to delivery.

Simply put, while the two involved obstetricians were in communication by phone with the nursing staff throughout labor (separately as their "shifts" did not overlap), no one actually came to the bedside and wrote a note) from admission until around 2 hours before delivery.

Medical staff bylaws call for a daily progress note; this bylaw was easily met.

In reviewing the case, it did not "feel good" that no one came to the bedside.

My questions:

1. Does anyone have or know of any guidelines to mandate such bedside attendance? Of course, we all hope that the involved physicians would not need said guidelines.
2. Does anyone have a suggestion of hospital/nursing protocols? Simply, in this case I would like to have had a charge nurse or bedside nurse simply say, "Hey, no one has been by for a while. What's up?"

Garry

EducationTutorials


Educational Tutorial: Complications of Laparoscopy
February 7, 2012

There are a variety of complications that can occur during laparoscopic surgery. In this tutorial learn some of the complications and tips to avoid them.

Educational Tutorial: Low Molecular Weight Heparin in Recurrent Abortions
January 17, 2012

Review information on low molecular weight heparin in recurrent miscarriages in this educational tutorial.

CaseStudies


Fetal Abdomen with Gallbladder Calculi
Dr. Muktachand and Dr. Trupti , September 27, 2011

B mode and 3D Ultrasound images of a fetal abdomen (35wks) revealing gallbladder calculi

Sacrococcygeal Teratoma?
Dr. Jaydeep , September 14, 2011

This case study shows a 26 week gestation with a cystic mass close to the sacrum.

Fetal Cardiac Anomalies
Joshua Abbott Copel, MD OBGYN.net Advisory Board Member , July 19, 2011

CC is a 31 year old primigravida who was referred for ultrasound at a community hospital due to suspected cardiac anomalies noted on a screening sonogram at her doctor's office. Due to concern about a probable cardiac abnormality an amniocentesis was performed at the local hospital.

Single Umbilical Artery Color Doppler
Abana Cerekja , June 15, 2011

Single umbilical artery color doppler, transverse scan of urinary bladder shows single umbilical artery (left), transverse section of umbilical cord showing only two vessels: one vein and one artery (right).

Ductus Venosus Spectral Waveform
Dr. Joe Antony , June 15, 2011

Normal 35 week pregnancy

FromPhysiciansPractice

Key Differences between FQHCs and RHCs
Chastity Werner, RHIT, June 13, 2013
FQHCs and RHCs take up a unique niche among physician practices. And that affects compensation and billing.
Improving Care Coordination in Your Practice
Susanne Madden,  June 12, 2013
Practices are feverishly working to control the rising costs of healthcare - effective care coordination can help.
Refunding Overpayments: Two Options for Medical Practices
Ericka L. Adler,  June 12, 2013
Medicare and Medicaid providers must return overpayments once identified. Here are two different refund approaches for practices to consider when necessary.
Four Easy Ways to Boost Patient Time of Service Collections
Aubrey Westgate,  June 12, 2013
Simple ways your medical practice staff can increase the likelihood patients will pay when presenting for appointments.
iPad Alternatives for Mobile Physicians
Marisa Torrieri, June 11, 2013
As more physicians are seeing the merits of media tablets, the market is expanding, too.