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.

Integration of MRI for detection and surgical planning of advanced endometriosis
While physical examination, laboratory tests, and imaging have been used in the work-up of endometriosis, diagnostic laparoscopy with histopathology has long been used as the gold standard for endometriosis diagnosis. This method, however, has diagnostic limitations given variability of the appearance of lesions. Surgery also comes with potential patient complications and a high cost to the healthcare system. (Byrne, et al. 2018). A recent systematic review and meta-analysis revealed that ultrasound and MRI may be highly useful alternatives to laparoscopy for diagnosis of deep infiltrating endometriosis (Zhang et al. (Sour...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: T Gallant, C King, M Luna Russo, J Clay, J Hansen Source Type: research

Inguinal hernia resulting in ectopic ovary to the left vulva
This video reviews the diagnosis, surgical management, and unique mullerian anomaly of a patient with an ectopic ovary to the vulva. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Jackovic, C Polen-De, L Mellert, M Cesta Source Type: research

Excision of mid-urethral sling mesh using a supraurethral approach
A 44-year-old female with history of a transobturator tape sling presented at her four week visit with post-operative complications of urinary retention, urinary urgency and frequency, and a urethral stricture on exam. A diagnostic cystoscopy was performed that was unremarkable other than a urethral stricture. Urethral stricture was managed by urethral dilation in the office. Over the next year, symptoms worsened, and new onset vaginal pain occurred. She was seen by a different gynecologist and cystoscopy was repeated. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Gee, LL Lua-Mailland, S Vasavada, MF Paraiso Source Type: research

vNOTES hysterectomy of the large fibroid uterus - tips and tricks
vNOTES hysterectomy represents a unique fusion of vaginal, laparoscopic, and laparo-endoscopic single-site surgery (LESS) techniques, offering an essential tool in the repertoire of gynecologic surgeons. It holds the potential to reverse the decline in vaginal hysterectomies and empowers gynecologic surgeons to continue providing "scarless ” surgeries with reduced post-operative complications, improved pain management, and quicker recovery times. vNOTES proves to be a feasible approach for a wide range of gynecological procedures, including adnexal surgery, myomectomy, pelvic floor prolapse suspension procedures, and hys...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: L Liron, V Lerner Source Type: research

Robotic vaginal hernia repair for recurrent vaginal prolapse status-post radical cystectomy with indiana pouch
Pelvic organ prolapse following a radical cystectomy is challenging to treat. A radical cystectomy in women includes the removal of the bladder, reproductive organs, and a portion of the anterior vaginal wall. This leads to the disruption of fascial planes and weakening of the pelvic floor (2). The literature cites the average presentation of symptomatic prolapse as 1-2 years following a radical cystectomy (1). Recurrence of prolapse after primary repair is common in this population due to compromised pelvic floor support and tissue quality (3). (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: L Carbone, V Webber, R Rothenberger, S Lenger, A Gupta, S Francis Source Type: research

Excision of a vaginal cuff nodule in 9 steps
Endometriosis affects 6-10% of women and can have a serious impact on women ’s quality of life. While rare, endometriosis can occur at incisional sites following obstetric and gynecologic surgeries, such as cesarean section scars, port sites and the vaginal cuff. Endometriosis at the vaginal cuff occurs in 0.02% of cases. These lesions can cause pain, irregular bleeding, and dyspareunia, and the mainstay of treatment is surgical resection. Given that endometriosis at the vaginal cuff is a rare occurrence, many surgeons may not have experience performing the resection of a vaginal cuff nodule. (Source: American Journal of...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: V Buckley, B Malone, S Simko, S Handler, S Nahas, M Stuparich Source Type: research

Vaginal assisted laparoscopic sacrocolpopexy (VALS) for gals with advanced pelvic organ prolapse
Sacrocolpopexy is an abdominal mesh suspension procedure for treatment of pelvic organ prolapse that suspends the vaginal apex to the sacrum. VALS is a modified approach to sacrocolpopexy, where the mesh is attached vaginally to the anterior and posterior vagina prior to abdominal sacral attachment. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: E Welch, K Dengler, J Gisseman, D Gruber Source Type: research

Robotic assisted paraurethral fibroid excision via retzius space dissection
This video describes the diagnosis and management of a rare case of a paraurethral fibroid. Urethral and paraurethral fibroids have primarily been described in case reports and have a reported incidence of 5% of urethral masses. The primary management is surgical excision. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: P Coombs, O Cardenas-Trowers Source Type: research

MRI anatomy of the anal sphincter
One of the most common and devastating complications of vaginal delivery is the 4th degree perineal laceration or anal sphincter separation. It is troubling for patients- often leading to infection, wound complications, and it can lead to decades of anal incontinence. Accurate and meticulous repair of the anal sphincter complex is imperative for optimal outcomes. With this video we aim to help identify relevant anal sphincter anatomy for the Obstetrician Gynecologist. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Sammarco, C Hong, R Genadry, A Stork, D Herman, D Hobson, C Swenson, J Delancey Source Type: research

Minimally invasive approach to the excision of endometriosis from the abdominal wall, bladder, and pelvis
Extrapelvic endometriosis is a clinical entity in which implants of endometrial glandular tissue are found outside of the uterus and pelvis. Lesions are commonly associated with the abdominal wall, and patients may experience significant associated catamenial pain and bleeding at these sites. Safe surgical management often requires multidisciplinary planning with implementation of meticulous intraoperative technique to identify planes of dissection. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: C French, R Korets, E Gagliardi Source Type: research

Resection of non-congenital premenopausal vaginal stenosis
We present a case of a 40-year-old nulliparous premenopausal woman with persistent non-congenital vaginal stenosis. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Bruscke, D Carr, P Rosenblatt Source Type: research

Not just a simple cyst
In dynamic work environments, a continuous cycle of monitoring to assess a situation, take appropriate actions and re-evaluate the results, is required. Surgeons' intraoperative decision making is a key element of clinical practice, yet, gets limited attention. Studies demonstrating the process of intraoperative decision making are rare. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Mohr-Sasson, S Jhajj, R Jalloul Source Type: research

To visualize beyond: vaginoscopy
A vaginoscopy involves using a camera to evaluate the vaginal canal, cervix, and uterine cavity. During this procedure, a small diameter endoscope containing a light source and irrigation fluid is used without requiring a speculum or forceps used in traditional approaches to hysteroscopy. Vaginoscopy is performed to evaluate and treat various conditions including abnormal uterine bleeding, retained products of conception, and endometrial polyps. The benefits of vaginoscopy over traditional approaches to hysteroscopy include less pain and increased comfort, shortened procedure and recovery time, fewer vasovagal events, and ...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: S Desar, G Namazi, S Nahas, M Stuparich, S Behbehani Source Type: research

Teaching video: removal of die (#Enzian P3, A2, B2/0, C3)
Video, no abstract needed (due to information of Vivian Gies email Aug 17th 2023). (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: L Ziurle, O Preyer, U Hager, M Ziurlys, E Janschek Source Type: research

Surgical management for endometriosis
A case of a 42 year old patient with cyclical pelvic pain, pain with intercourse, and dysmenorrhea with worsening characteristics is presented. The patient had already been treated for her pelvic pain based on a diagnosis by ultrasound of fibroids and an ovarian cyst with no improvement of her symptoms. On physical examination she had pain with palpation of the pelvic floor muscles, tenderness along ischial spines bilaterally, and tenderness along the posterior uterus. An MRI of the pelvis demonstrated endometriosis with visible lesions at the site of uterine retroflexion, along the right anterior uterus and a left ovarian...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: MJ Calero, A Carrubba Source Type: research