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.

Work related pain in gynecologic surgeons - a survey study
Surgeons are at particularly high risk for work-related pain (WRP). WRP contributes to decreased surgical productivity, disability leave, and early retirement in procedural-focused physicians. Pelvic surgery offers unique ergonomic challenges for the gynecologic surgeon; however, this specific population is understudied. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: R Young, A Allen, D Mcintire, E Robinson, O Bougie, K Kho Source Type: research

Surgical recovery among patients with chronic pain undergoing pelvic reconstructive surgery: a prospective cohort study
A majority of patients undergoing pelvic reconstructive surgery recover well, with overall low pain scores, narcotic requirements postoperatively and early return to physical activity. The majority of the studies evaluating the postoperative recovery specifically exclude patients with chronic pain so information is limited regarding the postoperative recovery and pain management requirements in this patient population. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Werth, E Tunitsky, V Abalyan, D O'sullivan, E Sappenfield Source Type: research

The presacral space re-visited. correlation between presacral depth and body mass index (BMI)
Sacrocolpopexy has been thought to be the most durable operation for advanced pelvic organ prolapse. The surgical technique involves dissection of the presacral space (PSS) to the anterior longitudinal ligament (ALL) for mesh fixation. Increased depth of the presacral space from adipose deposition can make this dissection more challenging and may increase risk of injury to nearby structures. There is currently a paucity of data regarding what patient factors affect the depth of the presacral space. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: K Gulbrand, A Laporte, A Sammarco, M Masteling, J Swensson, J De Lancey, J Hamner Source Type: research

Excess use of surgical supplies in minimally invasive benign gynecology surgery: an observational study
Single use materials and equipment are regularly opened by the surgical team during procedures but left unused, potentially resulting in superfluous costs and excess environmental waste. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Mohr-Sasson, M Aycock, N Higgason, M Hui, A Bhalwal, R Jalloul, O Dziadek, M Leon, A Montealegre Source Type: research

Views and values of the uterus across the united states – a multicenter mixed-methods analysis (VUterus)
Traditionally, counseling for a hysterectomy procedure is focused on surgical and treatment outcomes. With the growing number of uterine-preserving procedures available for benign gynecologic conditions, there is a need to understand the value that women place on the uterus. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: O Chang, A Huynh, N Ringel, P Hudson, G Halder, W Winkelman, J Ton, E Davidson, K Meriwether Source Type: research

36 month outcomes to a randomized clinical trial of perioperative vaginal estrogen as adjunct to native tissue vaginal apical prolapse repair
As the muscular and connective tissue components of the vagina are estrogen-responsive, clinicians may recommend vaginal estrogen to “optimize” tissues preoperatively and as a possible means to reduce prolapse recurrence, but long-term effects of perioperative intravaginal estrogen on surgical prolapse management are uncertain. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: D Rahn, H Richter, V Sung, J Pruszynski Source Type: research

A bundle of evidence-based opioid-sparing strategies (BOSS) to eliminate routine opioid prescribing after minimally invasive pelvic reconstructive surgery
Although many patients do not use prescribed opioids following reconstructive pelvic surgery, it is unclear if it is feasible to eliminate routine opioid prescriptions without a negative impact on patients or providers. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: J Selle, D Strozza, M Branda, J Gebhart, E Trabuco, J Occhino, B Linder, S El Nashar, A Madsen Source Type: research

Mapping out an anatomic zone of safety of the presacral space for sacrocolpopexy suture placement
Safe dissection and suture placement during sacrocolpopexy requires knowledge of critical anatomy in and around the presacral space. Understanding the thickness of the anterior longitudinal ligament (ALL) facilitates judicious suture and mesh placement that may promote durability of prolapse repair while decreasing complications. As minimally invasive approaches become the preferred route, the impact of reduced haptic feedback to aid in suture location has been more apparent. Although prior investigations have described the thickness in the craniocaudal orientation, few have studied the lateral relationship. (Source: Ameri...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: S Bhandari Randhawa, LA King, ME Florian-rodriguez, JM Shelton, J Williams, JE Pruszynski, CY Wai Source Type: research

Natural experiment: clinical pathway for hysterectomy care in a statewide surgical collaborative leads to fewer complications and more efficient care
Reducing complications and improving efficiency is an imperative for quality improvement (QI) in healthcare. To guide healthcare teams in best practices, a statewide surgical quality collaborative developed a clinical pathway of favored practices for hysterectomy. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: D Morgan, W Weng, J Boyd, P Raachi, Y Chen, M Moniz Source Type: research

Association between limited english proficiency and OASIS injury
Between 2009 to 2013, US Census Data identified 25 million individuals with limited English proficiency (LEP). Non-English speakers face decreased access to health care, decreased quality of healthcare, and increased risk of adverse health outcomes. As pregnant women with LEP suffer disparities in obstetric care, outcomes following challenging deliveries, including the occurrence of OASIS injuries may be impacted. There currently is limited evidence on the relationship between LEP and OASIS injuries. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Nadgauda, T Ganti, X Jiang, J Long Source Type: research

Urinary tract injuries during hysterectomy for endometriosis: a NSQIP study
Urinary tract injuries following hysterectomy are rare, though endometriosis is a known risk factor. Rates of injury in this setting following wide adoption of laparoscopy are of interest. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: B Hickey, K Stewart, A Cope, K Tessier, C Fok, S Hutto Source Type: research

Current trends in surgical procedures for stress urinary incontinence
Colposuspensions and pubovaginal slings were commonplace surgeries for stress urinary incontinence (SUI) until the 1990s when the mid urethral sling (MUS) was introduced. The sling offered an effective, fast, and safe surgical management option and became the gold standard. Urogynecology and Reconstructive Pelvic Surgery (URPS) fellows are required to perform a minimum of 5 retropubic procedures. This has become increasingly difficult to achieve due to the shift in management of SUI in the United States. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: C Seaman, C Sham, D Lieberman, L Dabney, C Ascher-Walsh, A Romanova, A Hardart Source Type: research

Performance of chat generative pre-trained transformer (ChatGPT) on personal review of learning in obstetrics and gynecology
Chat generative pre-trained transformer (ChatGPT) is a natural language processing model that uses an unsupervised deep learning algorithm to process prompts and produce a human-like response through prediction of the most likely word in a sequence. There is increasing interest in the application of ChatGPT in medicine, including the development of medical education and patient materials. Therefore, it is important to understand ChatGPT ’s medical specialty specific knowledge. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Cohen, J Burns, M Gabra, A Gordon, N Deebel, R Terlecki, K Woodburn Source Type: research

Battle of the bots: a comparative analysis of generative ai responses from leading chatbots to patient questions about endometriosis
The use of generative artificial intelligence (AI) has begun to permeate through most industries including medicine, and it is inevitable that patients will begin using these large language model chat bots as a modality for education. Different chatbots can provide different answers to the same question due to variability in training data, the statistical nature of response production and use-specific interactions. As healthcare information technology continues to evolve, it is imperative to evaluate chatbots and the accuracy of the information they provide to patients, and to determine if there is variability between them...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: N Cohen, K Kho, K Smith Source Type: research

Leveraging electronic alerts to enhance the detection of post-operative complications in the emergency department after gynecologic surgery
Complications are a risk of surgery. Delayed recognition of post-operative complications can exacerbate morbidity. Delays of care in patients presenting to the emergency department (ED) is multifactorial, and strategies to mitigate the risks for post-surgical patients have not been well-described. For patients whose care spans across different units and specialties, electronic warning systems are a known tool to prevent catastrophic outcomes. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: B Geng, N Pondugula, R Sangal, L Lundsberg, H Zurich, L Fan Source Type: research