Contributors: Nonobstetric Surgery in Pregnancy
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 22, 2020 Category: OBGYN Tags: Contributors: Nonobstetric Surgery in Pregnancy Source Type: research
When Should Prophylactic Oophorectomy Be Recommended at the Time of Elective Hysterectomy?
Gynecologists are frequently confronted with the decision of when to recommend oophorectomy at the time of an elective hysterectomy. When deciding if oophorectomy should be recommended, first a careful history and risk assessment must be performed to determine if a patient is a candidate for a risk-reducing oophorectomy. If the patient does not have a hereditary ovarian cancer risk, then it is recommended the surgeon carefully consider the implications of ovarian removal on the health of their patient. This review covers the potential benefits and risks of prophylactic oophorectomy and offers a decision aid for when to rec...
Source: Clinical Obstetrics and Gynecology - April 22, 2020 Category: OBGYN Tags: Controversies in Gynecologic Surgery Source Type: research
To Robot or Not To Robot: The Use of Robotics in Benign Gynecologic Surgery
This article discusses the current literature regarding the use of robotic-assisted surgery in benign gynecologic surgery. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 22, 2020 Category: OBGYN Tags: Controversies in Gynecologic Surgery Source Type: research
Secondary Prevention of Intrauterine Adhesions Following Hysteroscopic Surgery in Women With Asherman Syndrome: Is Something Better Than Nothing?
Asherman syndrome is a reproductive disorder characterized by intrauterine adhesions and amenorrhea, infertility, abnormal placentation, or pregnancy loss. Treatment of Asherman syndrome involves hysteroscopic lysis of adhesions. Many surgeons utilize postoperative measures such as hormone therapy, solid mechanical devices, or barrier gels to prevent recurrent adhesions in this setting. However, there is limited high-quality evidence to support their use. Additional research is needed on the safety and efficacy of these commonly used methods to guide patient care. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 22, 2020 Category: OBGYN Tags: Controversies in Gynecologic Surgery Source Type: research
Tissue Extraction in Gynecologic Surgery: Past, Present, and Future
Fibroid tissue extraction during hysterectomy and myomectomy has become increasingly controversial. A wave of research has tried to clarify difficult questions around the prevalence of occult malignancies, the effect of morcellation on cancer outcomes, proper informed consent, and surgical options for tissue extraction. This review examines the history of these controversies and discusses tissue extraction techniques and continued areas of debate in the field. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 22, 2020 Category: OBGYN Tags: Controversies in Gynecologic Surgery Source Type: research
Deliberate Practice: Applying the Expert Performance Approach to Gynecologic Surgical Training
This article discusses methods for implementing deliberate practice and the expert performance approach into gynecologic surgical training programs. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 22, 2020 Category: OBGYN Tags: Controversies in Gynecologic Surgery Source Type: research
Vasectomy: An Opportunity for Obstetricians and Gynecologists
Vasectomy is a safe, effective, and cost-effective contraceptive method, with a failure rate lower than that of female sterilization. Nevertheless, vasectomy is underutilized—only 6% of American women rely on vasectomy. Access to vasectomy may be limited by provider advocacy and availability. Obstetricians and gynecologists can increase both the acceptability of and access to this method if adequately trained to counsel about and provide the procedure. Although some concerns may persist surrounding obstetricians and gynecologists performing a vasectomy, increasing the availability and uptake of vasectomy avoids unnecessa...
Source: Clinical Obstetrics and Gynecology - April 22, 2020 Category: OBGYN Tags: Controversies in Gynecologic Surgery Source Type: research
Controversies in Female Genital Cosmetic Surgeries
Female genital cosmetic surgery (FGCS) aims to alter the structure and appearance of female genitalia to attain the desired shape, size or look, or to decrease labial interference during intercourse, relieve pain and discomfort with clothing and exercise or decrease vaginal caliber and laxity. In the last 5 years, the number of labiaplasty surgeries performed in the United States rose by 53%. Despite the increasing popularity of FGCS, several divergent opinions regarding the ethics, safety, and efficacy of these procedures exist. Here we provide a brief overview of the terminology and techniques for FGCS and summarize curr...
Source: Clinical Obstetrics and Gynecology - April 22, 2020 Category: OBGYN Tags: Controversies in Gynecologic Surgery Source Type: research
Introducing New Technologies and Techniques into Gynecologic Surgical Practice
The surgery practiced today is not the same as the surgery practiced a generation ago and because of the ever-evolving nature of medicine, ongoing education, and adoption of new technology is vital for all surgeons. New technology has the potential to revolutionize the way we practice medicine; however, it is important to understand the context in which new medical devices arise and to approach new medical devices with a healthy combination of skepticism and optimism. Surgeons should feel comfortable assessing, critiquing, and adopting new technology. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 22, 2020 Category: OBGYN Tags: Controversies in Gynecologic Surgery Source Type: research
The Volume-Outcome Paradigm for Gynecologic Surgery: Clinical and Policy Implications
Studies over the past decade have clearly demonstrated an association between high surgeon and hospital volume and improved outcomes for women undergoing gynecologic surgical procedures. In contrast to procedures associated with higher morbidity, the association between higher volume and improved outcomes is often modest for gynecologic surgeries. The lower magnitude of this association has limited actionable policy changes for gynecologic surgery. These data have been driving initiatives such as regionalization of care, targeted quality improvement at low volume centers and volume-based credentialing in gynecology. (Sourc...
Source: Clinical Obstetrics and Gynecology - April 22, 2020 Category: OBGYN Tags: Controversies in Gynecologic Surgery Source Type: research
Foreword: Controversies in Gynecologic Surgery
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 22, 2020 Category: OBGYN Tags: Controversies in Gynecologic Surgery Source Type: research
Contributors: Controversies in Gynecologic Surgery
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 22, 2020 Category: OBGYN Tags: Contributors: Controversies in Gynecologic Surgery Source Type: research
Index
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - January 25, 2020 Category: OBGYN Tags: Index: PDF Only Source Type: research
Pancreatic Disorders of Pregnancy
The pancreas is an organ with both exocrine and endocrine functions that has a vital role in both digestion as well as glucose metabolism. Although pancreatic dysfunction and disorders are rare in pregnancy, they are becoming increasingly more common. Recognition of these disorders and understanding how they can affect pregnancy is imperative to allow for proper management. We provide an overview of the most common pancreatic disorders that are seen in pregnancy. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - January 25, 2020 Category: OBGYN Tags: Liver Disease in Pregnancy Source Type: research
Gallbladder and Biliary Disease in Pregnancy
This article represents a review of the existing literature on the entire spectrum of biliary disease. The physiology, clinical presentation, and diagnostic evaluation of a variety of conditions are reviewed. Historical and contemporary data regarding pregnancy implications and treatment options are discussed. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - January 25, 2020 Category: OBGYN Tags: Liver Disease in Pregnancy Source Type: research
