Factors associated to the presence of isthmocele diagnosed by pelvic ultrasound, magnetic resonance imaging or diagnostic hysteroscopy: a cross-sectional study
Cesarean section is one of the most performed surgery around the world. Not only its rate is on the rise but also associated complications such as isthmocele and the related risk factors for developing isthmocele are unclear. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: JP Leonardo-Pinto, R Bellumoni, CL Benetti-Pinto, LGO Brito, DA Yela Source Type: research

Ovarian torsion: diagnostic predictors and rates of oophorectomy in a large safety-net hospital
Diagnosing ovarian torsion is challenging due to its unclear clinical presentation and the variable sensitivity and specificity of diagnostic predictor tests. For example, the use Doppler ultrasound in confirming or ruling out ovarian torsion is highly unreliable. This underscores the critical importance of maintaining a high level of clinical suspicion for timely intervention and the preservation of ovarian function. In the county hospital, many challenges related to medical case complexity, high patient volume and varying availability of immediate testing may further create barriers for accurate and efficient diagnosis a...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: R Jalloul, J Swan Source Type: research

Correlation of CT derived biomarkers of presacral adiposity with body mass index
Sacrocolpopexy (SC) is often cited as the gold standard for pelvic organ prolapse surgery. Dissection of the presacral space is inherently difficult as this space contains many vulnerable structures including the common iliac vessels, the presacral vessels, and the hypogastric nerve. Inaccessability of the sacral promontory has been associated with conversion to open sacrocolpopexy. It is not known if BMI or other biometrics are associated with sacral accessibility. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: J Pennycuff, D Jaber, G Toia, P Pickhardt Source Type: research

Does pudendal nerve block improve perioperative pain following onabotulinumtoxina injection for myofascial pelvic pain?
OnabotulinumtoxinA (BTA) injections are useful for treatment of myofascial pelvic pain. Concurrent pudendal nerve block (PNB) has been suggested to decrease postoperative pain, as BTA does not take immediate effect. The efficacy of PNB for this purpose has not been well elucidated. We aim to determine if PNB improves pain in the perioperative period following pelvic floor BTA injections. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: P Coombs, G Lewis, A Chen, A Carrubba Source Type: research

Prophylactic ureteral stents in complex pelvic surgery and rates of acute kidney injury
Prophylactic Ureteral Catheterization (PUC) is among the adjunctive strategies aimed at preventing intraoperative ureteral injury. It has gained some acceptance as a technique to assist in identifying the ureter during surgery. However, there is ongoing debate regarding the acceptance and application of PUC, as there are mixed reports regarding its advantages, complications, and cost-effectiveness. While certain authors claim reduced rates of intraoperative ureteral injury with PUC, aggregated data has failed to conclusively demonstrate its clinical benefits. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: F Sunez, R Jalloul, H Ayoub, J Ma, R Pham, A Agarwal Source Type: research

Developmental uterine anomalies in transgender patients receiving gender-affirming hysterectomies
Most developmental uterine anomalies occur due to Mullerian duct maldevelopment and are often incidentally discovered through pelvic imaging or intraoperatively. The incidence and prevalence of uterine anomalies are well known in the cisgender female general population. A few studies on gender-affirming hysterectomies have reported on the histological endometrial findings of patients using testosterone therapy, with findings of endometrial atrophy ranging from 18 to 50%. 1-3. However, there are no known studies which report developmental uterine anomalies in transgender male or nonbinary (TGNB) patients. (Source: American ...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: N Nguyen, H Kim, M Sumida, R Galzote Source Type: research

Opioid use and postoperative pain after hysterectomy
This study sought to examine the association of intra-operative opioid use and postoperative pain and opioid usage, focusing on usage in the PACU. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: NB Luna Ramirez, NB Barba, E Flores, P Gracia-Filion, N Mahnert Source Type: research

Assessing the presence and impact of care centralization on travel distance for hysterectomies in michigan
Centralization of care to high-volume centers is associated with increased patient travel burden. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: J Wang, CX Hong, KR Latack, N Kamdar, B Madden, CA Pizzo, K Ashbaugh, B Cheng, DM Morgan Source Type: research

Sexual harassment, bullying, abuse, and discrimination among obgyn physicians and trainees: a systematic review
Harassment and discrimination are pervasive across our society. Fields such as medicine, engineering and academic science share characteristics and create conditions that make sexual harassment more likely to occur. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Gupta, J Thompson, N Ringel, S Kim-Fine, L Ferguson, S Blank, C Iglesia, E Balk, A Alvarez Secord, J Hines, J Brown, C Grimes Source Type: research

The feasibility and benefits of minimally invasive hysterectomy for large uterus
A uterus with a size of 18 to 20 weeks or more is generally considered a large uterus by most gynecological surgeons. Therefore, laparotomy, rather than minimally invasive surgery, is commonly performed to remove the uterus. However, it is well established that minimally invasive surgery offers numerous benefits to patients compared to laparotomy. Uterine size should not be an excluding factor for minimally invasive surgery. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: L Uzianbaeva, P Wang Source Type: research

A comparative life cycle cost analysis of uterine manipulators for hysterectomy
The U.S. health care system contributes approximately 10% to total greenhouse gas emissions nationally and makes up approximately 18.3% of the U.S. gross domestic product. Single-use disposable supplies contribute significantly to these emissions, though they are often preferred because of their lower initial purchase cost compared to reusable options. Uterine manipulators can be manufactured from reusable stainless steel, disposable materials, or both - all of which have distinct carbon footprints and associated costs. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Melnyk, S Glass Clark, N Silva De Souza Lima Cano, M Bilec, A Artsen Source Type: research

The anatomy of the clitoris on MRI: an educational tutorial
Historically, anatomists often described female genitals as an inferior version of male anatomy. They published what they believed instead of what they observed, which perpetuated inaccurate and incomplete understanding of female anatomy for many years. Due to ongoing gender-based inequities, female anatomy has been poorly represented in the literature compared to males. This is demonstrated by the fact that a pubmed search reveals 15 times the publications on penile anatomy compared to clitoral anatomy. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Madsen, J De Lancey, A Gupta, K Propst, A Vaccarello, M Corton, A Sammarco Source Type: research

Laparoscopic retropubic urethropexy
The retropubic urethropexy is well-established surgical repair for treating women with stress, urinary incontinence that fell out of favour after the introduction of the mid-urethral sling in the nineties. Few surgeons now perform it, yet for patients, who prefer to avoid the use of mesh, the laparoscopic retropubic urethropexy offers an effective and minimally invasive surgery. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: H Vincent, F Mohtashmi, G Cundiff Source Type: research

Development of a simulation model for minimally invasive ovarian cystectomy
Ovarian cystectomy is a common gynecologic procedure that requires application of various surgical techniques to preserve ovarian tissue and avoid cyst rupture. These include techniques related to tissue and instrument handling, tissue dissection, application of hemostasis strategies, suturing, and coordination between surgeon and assistant. We created an ovarian cystectomy model to practice these skills in a simulation setting for OB/GYN residents and fellows. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: C Liao, K Hamilton, R Schneyer, A Mahavni, R Meyer, K Wright, M Siedhoff, M Truong Source Type: research

Exercises and ergonomics for the pregnant surgeon
Physical pain in pregnancy is common, with almost two thirds of women experiencing low back pain. Literature suggests that healthcare workers in general are high risk for musculoskeletal complications in pregnancy, but there is limited data specifically for pregnant surgeons. Exercise has been shown to have benefit in decreasing severity and preventing common musculoskeletal issues such as low back pain and pelvic pain. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: E Olig, H Coulter, M Louie Source Type: research