Emergencies in Obstetrics and Gynecology: Readiness, Recognition, Response, and Reporting
This issue of Obstetrics and Gynecology Clinics of North America provides an update in advances and current practice in handling emergencies in obstetrics and gynecology. Capably edited by Patricia Huguelet, MD and Henry Galan, MD from the University of Colorado, the reader is updated with the evaluation and management of emergencies that go beyond descriptions in standard texts. The review is thorough and covers a variety of topics ranging from first-trimester miscarriage and ectopic pregnancy to placenta accreta spectrum disorders and postpartum hemorrhage to acute pelvic inflammatory disease, adolescent gynecology emerg...
Source: Obstetrics and Gynecology Clinics - September 1, 2022 Category: OBGYN Authors: William F. Rayburn Tags: Foreword Source Type: research
Emergencies in Obstetrics and Gynecology
OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - September 1, 2022 Category: OBGYN Authors: Patricia S. Huguelet, Henry L. Galan Source Type: research
Copyright
Elsevier (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - September 1, 2022 Category: OBGYN Source Type: research
Contributors
WILLIAM F. RAYBURN, MD, MBA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - September 1, 2022 Category: OBGYN Source Type: research
Contents
William F. Rayburn (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - September 1, 2022 Category: OBGYN Source Type: research
Forthcoming Issues
Global Women's Health (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - September 1, 2022 Category: OBGYN Source Type: research
Approach to Diagnosis and Management of Chronic Pelvic Pain in Women
Chronic pelvic pain (CPP) is multifactorial in etiology and heterogeneous in presentation. Identification of all pain contributors is essential for successful management. Chronic overlapping pain conditions (COPCs) are a specified group of chronic pain conditions that commonly co-occur in patients. We briefly review individual COPCs and highlight risk factors and mechanisms that appear to be applicable across COPCs. We review evaluation and communication strategies that may help establish a productive therapeutic relationship between clinicians and patients. Management should include treatment of peripheral pain generators...
Source: Obstetrics and Gynecology Clinics - May 28, 2022 Category: OBGYN Authors: Sara R. Till, Reina Nakamura, Andrew Schrepf, Sawsan As-Sanie Source Type: research
A Practical Approach to Fertility Considerations in Endometriosis Surgery
Endometriosis surgery requires thoughtful consideration and planning for those with infertility or those who wish to conceive in the future. Clinical history, examination, imaging, and fertility assessment can help plan, prepare and provide goal-directed surgical interventions when required. Further understanding of the benefits and limitations of surgery on future fertility outcomes is essential for those who provide care for patients with endometriosis. Endometriosis is a prevalent gynecologic condition, especially among patients with infertility. Studies demonstrate that, from a fertility perspective, surgery for endome...
Source: Obstetrics and Gynecology Clinics - May 28, 2022 Category: OBGYN Authors: Jenna Gale, Sukhbir Sony Singh Source Type: research
Hysterectomy for Chronic Pelvic Pain
For well selected patients with chronic pelvic pain (CPP), 74% to 95% of women will report complete or significant improvement in pain after hysterectomy. A thoughtful history, examination, and review of imaging can improve success by linking pain complaints to discrete pathology, menstrual activity, or uterine tenderness. All patients with CPP should be evaluated for chronic overlapping pain conditions (COPCs) (eg, irritable bowel syndrome (IBS), fibromyalgia) and risk factors for persistent pain or chronic postsurgical pain (eg, depression, pain catastrophizing, central sensitization), and offered treatment as indicated....
Source: Obstetrics and Gynecology Clinics - May 28, 2022 Category: OBGYN Authors: Richard Cockrum, Frank Tu Source Type: research
Role of Robotic Surgery in Benign Gynecology
Since Food and Drug Administration approval in 2005, use of the robotic device in gynecologic surgery has continued to increase. There has been a growing number of applications in various surgical specialties including gynecology, and the surgical robot has been established as an additional surgical tool for performing minimally invasive gynecologic surgery. In this article, the authors review the development of robotic gynecologic surgery, clinical considerations, and future directions. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - May 28, 2022 Category: OBGYN Authors: Mireille D. Truong, Lauren N. Tholemeier Source Type: research
Laparoscopic Abdominal Cerclage
Cervical insufficiency is a well-established cause of infant morbidity and mortality. Recommended treatment of cervical insufficiency includes a procedure in which a stitch, termed a cerclage, is placed around the cervix to keep it closed. Abdominal cerclage is the preferred approach for patients with refractory cervical insufficiency or anatomic limitations to vaginal cerclage placement. Laparoscopic abdominal cerclage has many benefits over an open approach and has been increasingly performed over the last 20 years due to surgeon skillset and improved neonatal survival compared with repeat vaginal cerclage. Laparoscopi...
Source: Obstetrics and Gynecology Clinics - May 28, 2022 Category: OBGYN Authors: Shabnam Gupta, Jon Ivar Einarsson Source Type: research
Office Hysteroscopy
Office hysteroscopy is a highly effective procedure for the evaluation and treatment of intrauterine pathology. The “see and treat” approach allows for patient treatment with the fewest amount of patient visits. The development of smaller cameras and instruments, as well as the employment of a vaginoscopy technique, has led to greater tolerability of office hysteroscopy and significant success of the “see a nd treat” approach. Most office hysteroscopic procedures can be accomplished with minimal premedication. There are many choices for equipment types and sterilization methods for the office hysteroscopy practice....
Source: Obstetrics and Gynecology Clinics - May 28, 2022 Category: OBGYN Authors: Anna Zelivianskaia, James K. Robinson Source Type: research
Hysteroscopic Myomectomy
Hysteroscopic myomectomy is the treatment of choice for symptomatic submucosal myomas, with excellent success rate and low complication rate. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - May 28, 2022 Category: OBGYN Authors: Nash S. Moawad, Hannah Palin Source Type: research
Abdominal Wall Endometriosis
Abdominal wall endometriosis (AWE) is a rare type of endometriosis defined as endometrial glands and stroma located within the abdominal wall. Patients with a history of prior abdominal surgery classically present with cyclic abdominal pain and a palpable mass. Definitive diagnosis is made by pathologic tissue examination, but preoperative imaging with ultrasonography or MRI helps narrow the differential and informs surgical management. Surgical management is traditionally via an open approach; however, laparoscopic removal of AWE is recommended for subfascial or rectus lesions. Following surgical excision, more than 90% o...
Source: Obstetrics and Gynecology Clinics - May 28, 2022 Category: OBGYN Authors: Christine E. Foley, Patricia Giglio Ayers, Ted T. Lee Source Type: research
Enhanced Recovery After Surgery in Minimally Invasive Gynecologic Surgery
Enhanced recovery after surgery (ERAS) is a multimodal, multidisciplinary approach to optimize patient outcomes by minimizing surgical stress with the goal of returning to normal physiologic function. Using minimally invasive surgery as the preferred route for gynecologic surgery is an integral component of ERAS and is strongly correlated with improved postoperative outcomes. Implementation of ERAS programs in minimally invasive gynecologic surgery results in substantial improvements in clinical outcomes with higher rates of same-day discharge, reduction in postoperative nausea and vomiting, improved patient satisfaction, ...
Source: Obstetrics and Gynecology Clinics - May 28, 2022 Category: OBGYN Authors: Lisa Chao, Emily Lin, Kimberly Kho Source Type: research
