American Journal of Obstetrics and Gynecology This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Urinary incontinence screening and outpatient treatment patterns during preventive gynecologic care in an academic resident practice: a pre-post intervention study
Urinary incontinence (UI) is a common condition, however many patients are hesitant to seek care for UI symptoms. Screening for UI symptoms is recommended during preventive gynecologic care for patients aged 18 and older. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: N Meckes, S Glass Clark, K Ruppert, C Judkins, GS Napoe Source Type: research

Usage rates and effects of prophylactic antibiotics on post-myomectomy surgical outcomes
Surgical intervention for uterine myomas can be accomplished via either laparoscopic or abdominal approaches. Uterine fibroids are a common cause of abnormal uterine bleeding and can also be associated with bulk symptoms and infertility. Many patients choose surgical management, in the form of myomectomy, to treat their symptoms. The American College of Obstetricians and Gynecologists (ACOG) Practice Bulletin #195 outlines current guidelines for prophylactic antibiotic use in gynecological surgeries, but does not specifically address myomectomy. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: H Wulf, A Brawley, C Stetter, A Molina, K Riley Source Type: research

Surgical volume: what can patients access?
Multiple studies and systematic reviews have associated high volume hospitals and high volume surgeons with lower morbidity and mortality rates. In 2013, Doll et al. concluded that lower volume surgeons had higher postoperative morbidity rates after hysterectomy for benign indications compared with high volume surgeons. Despite this well-recognized correlation, publicly available information regarding surgeon and hospital volume is limited. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: N Patel, J Lee, S Karkal, C Iglesia, A Dieter Source Type: research

Outcomes for combined sacrocolpopexy-rectopexy compared to sacrocolpopexy or rectopexy alone: a nsqip study
There is a growing body of data that supports performing pelvic organ prolapse procedures and rectal prolapse procedures as combined surgical procedures. Some studies have found similar complication rates between sacrocolpopexy, rectopexy, and combined procedures, while other studies have found higher rates of surgical site infections with concurrent surgeries. With the growing trend of performing concurrent prolapse surgeries, it is crucial to understand the differences in surgical outcomes from alone versus combined procedures so that patients with prolapse receive the safest and most effective treatments. (Source: Ameri...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: C Moore, S Rahman, S Lee, Y Cheng, Y Ling, R Pelsang, C Carter-Brooks Source Type: research

LAPRO study: learning and acquisition of laparoscopic procedural skills in the operating room
Learning surgery is a complex cognitive and physical task that occurs within a multifaceted learning environment. Despite robust theoretical foundations within and beyond the field of medical education, our understanding of how surgical trainees learn to perform surgery in the operating room (OR) environment remains just that, largely theoretical. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: J Hall, J Young, A Brown, K Nelson Source Type: research

How predictive is the cough stress test of mid-urethral sling success?
Stress urinary incontinence affects between 11 and 44% of women, causing significant impact on women ’s quality of life. While it can be managed with a variety of conservative interventions, synthetic mid-urethral sling (MUS) has become the gold standard for surgical treatment of SUI. Studies have shown that risk factors associated with decreased success of MUS for treatment of SUI include mixed urinary incontinence, previous incontinence surgery, BMI ≥35 kg/m2, age≥75, the presence of diabetes mellitus, as well as pre-operative urodynamic study (UDS) parameters indicating detrusor overactivity, voiding difficulties,...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: L Cheng, N Wood, D O'sullivan, E Tunitsky-Bitton Source Type: research

Evaluating the basics: development and implementation of a gynecologic surgical simulation curriculum for obstetrics and gynecology residents
Obstetrics and Gynecology residents are expected to become proficient in obstetrics, ambulatory care, and gynecologic surgeries. Depending on the hospital system in which the resident is training, there can be significant heterogeneity in the skills and proficiency acquired. Previous survey studies suggest a gap in the required skills necessary to graduate from residency and a post-residency graduate ’s ability to perform major gynecologic surgeries and operate independently. Furthermore, focused simulations have been shown to enhance surgical education and improve surgical skills. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: P Vyas, K Plewniak Source Type: research

Vaginal antiseptic preparation at the time of hysterectomy: a systematic review and meta-analysis
Antiseptic vaginal preparation is recommended before all gynecologic surgery, and povidone iodine (PI) is the only FDA-approved vaginal antiseptic. Chlorhexidine gluconate (CHG), however, has shown to be superior to PI as an antiseptic skin preparation for the prevention of surgical site infections (SSIs). The American Academy of Gynecologic Laparoscopy supports the vaginal use of CHG, and a meta-analysis revealed a reduction in SSI with vaginal CHG prep at the time of cesarean delivery. There has been no meta-analysis, however, comparing CHG with PI vaginal prep at the time of hysterectomy. (Source: American Journal of Ob...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: S Rozycki, V Nguyen, N Miroballi, E Rutledge, E Balk, D Antosh Source Type: research

Natural electrospun scaffold fabrication as an alternative to surgical mesh for stress urinary incontinence
Over 25% of adult women experience pelvic floor disorders, including stress urinary incontinence (SUI). The most common surgical intervention for SUI is implantation of a mid-urethral sling composed of polypropylene (PP) mesh. Although highly effective for most patients, PP mesh carries a risk of erosion and exposure due to its host tissue-mesh incompatibility and friction in 3-7% of patients. Mesh erosion and exposure can cause an increased risk of infection, bleeding, and chronic pain. Autologous fascia, a biocompatible material harvested from the Iliotibial band, can be used as an alternative to PP mesh; however, it req...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: R Thomson, C Basham, J Shaw, K Hixon, D Van Citters Source Type: research

Breakdown of gender representation in leadership of professional gynecologic specialty societies worldwide
As of the 2021-2022 academic year, 55% of matriculating US medical students were female and female physicians accounted for 86.2% of US obstetrics and gynecology residents. Furthermore, since 2012, women have made up more than half of practicing fellows within the American College of Obstetrics and Gynecology. Despite this rise in gender diversity within medicine and our specialty, several recent studies have demonstrated an unequal gender breakdown in academic and departmental leadership positions. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: E Farabee, V Aldrich, A Gupta, S Francis, S Lenger Source Type: research

The fate of the abstract: presentation and publication characteristics of abstracts presented at the society of gynecologic surgeons annual scientific meetings 2013-2020
Society annual scientific meetings are a time for new and innovative ideas to be disseminated in an academic community. Research presented at a scientific meeting can lead to change in practice, as it is assumed it will subsequently be published in a peer-reviewed journal. However, limited research exists within the field of gynecology to assess whether or not this is the case. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: N Wood, M Kasoff, S Muluk, R Wang, E Tunitsky-Bitton, E Sappenfield Source Type: research

Two pee or not two pee: a cost analysis of second postoperative void trials
While postoperative urinary retention affects anywhere from 15-50% of Urogynecologic patients, discharge with a foley catheter is unappealing to many patients, and second attempts at trial of void (TOV) after initial failure are often requested. While a second attempt does improve pass rates and decreases the need for outpatient management of urinary retention, it also extends time in the PACU and delays discharge. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: M Baker, S Nelamangala, U Omosigho, C Zimmerman, R Adam, D Biller Source Type: research

Value of uterus: quality of life, symptom severity, and treatment decisions in patients with fibroids
Fibroids are the most common benign pelvic tumor in women with a cumulative incidence greater than 70% by the age of 50. Understanding patient preferences regarding uterine preservation in the surgical management of fibroids is crucial to shared-decision making and improved counseling. In order to provide patient-centered, culturally competent care, we must understand the value patients place on uterine preservation, and understand the racial and cultural influences that impact valuation of the uterus. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: V Fuentes, M Cantave, C Okuagu, C Mulligan, K Scholl, E Bardawil, K De Souza, S Biest, W Trotter Ross Source Type: research

Novel surgical approach to remote management of recurrent spontaneous bladder rupture
Spontaneous bladder rupture (SBR) is a rare condition (1:126,000) but with significant risk for morbidity and mortality (10-20%). It is more prevalent in men and is usually diagnosed around the age of 60. Risk factors include bladder outlet obstruction, neurogenic bladder, and various chronic conditions like diabetes and hypertension. Strategies reported in the medical literature include surgical management at the time of the rupture and/or conservative catheterization management. It has a recurrence rate of 2-5%. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: P Lotze, M Umble Source Type: research

It is feasible to offer laparoscopically approach hysterectomy with contained morcelation even with huge uteri
Multiple studies show improved outcomes of laparoscopic hysterectomy compared to laparotomy, including decreased blood loss, shorter hospitalization and faster recovery. These outcomes are preserved even with longer operative time. Huge uteri make minimally invasive surgery technically challenging. Due to the risk of leiomyosarcoma in a presumed benign uterus, we offer patients contained morcellation as part of the minimally invasive approach. Very few publications describe the technical challenges of laparoscopic surgery for very large uteri, particularly if contained morcellation is planned. (Source: American Journal of ...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: D Pino, A Romo Source Type: research