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A study found that prenatal cannabis use does not significantly alleviate depression or stress, emphasizing the need for safer mental health treatments during pregnancy.

Prenatal cannabis use ineffective for reducing stress and depression

A recent study highlights the prevalence of misinformation in hysteroscopy-related TikTok videos, emphasizing the need for accurate, reliable content to better educate patients.

TikTok videos on hysteroscopy found lacking in quality and accuracy

A study highlights the rise of hybrid prenatal care during the COVID-19 public health emergency, though telehealth's potential remains underutilized across racial and geographic groups.

Increased hybrid prenatal care use during COVID-19 pandemic reported

 and joined the MJH Life Sciences team in December 2019. She graduated from Youngstown State University in 2019 with a bachelor's degree in journalism and a minor in political science. Prior to graduating, Morgan worked as the editor-in-chief of her college newspaper. She went on to work as an assignment editor at a broadcast news station in Youngstown, Ohio before joining 

 You can reach her at mpetronelli@mjhlifesciences.com.

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The Air Force has a program, the Education and Training Technology Application Program (ETTAP), specifically geared to introduce new technology into the training environment.  This program funds initiatives to incorporate the latest advances in technology into the training setting.

Air Force Tests Wearable Ultrasound Technology

Hysterectomy

Hi. I'm Celeste Krewson with Contemporary OB/GYN, and I'm here with Dr. Dubuisson to discuss the first hysterectomy performed with the miniRAS device. Do you want to introduce yourself?

Hi, Celeste, it's a pleasure to be with you today. So, my name is Jean Dubuisson. My current position is head of the gynecological surgery unit at Geneva University Hospitals, Switzerland. I'm also affiliated with the University of Geneva as a senior lecturer. I'm expert in mini-invasive surgery, including laparoscopy, vaginal approach, hysteroscopy and vNOTES as well.

So, to get started, can you discuss how the device improves the performance of doctors performing a hysterectomy?

Yes, so the MIRA surgical system is the world's first miniaturized robotic assisted surgical device. We call it minibot as well. It's used to perform soft tissue surgeries through only one single incision through the abdomen, and the main advantage for this mini bot is its unique portability and small design. That's why the mini MIRA device is compact, I think probably less than 1 kilograms, it’s extremely useful, and the framework is portable as well. So, it's a little bit to sum up the benefits of the MIRA robot, and what is new in this field of gynecology.

That's great. So, what's the significance of the first successful hysterectomy being performed with this device?

So, for us, it's very important, because today, for example, in the United States, hysterectomy is the second most common surgical procedure performed in gynecology, after C-section, of course, accounting for over half a million procedures per year. So, it's huge, even now, and the proportion of laparotomy, invasive surgery, is still very high. That's why I think, and we think with Virtual Incision, there is still significant room for improvement in increasing adoption of the mini procedures, and the mini bot MIRA surgical system will help us to improve this rate, this proportion of minimal invasive surgery. So, we did this first procedure in Geneva. It was an absolute privilege for me to participate to this project, of course, and the hysterectomy went well, so it's important for us to have the first case and to know that it's possible and safe to do it.

And can you go into a bit more detail about how the procedure was performed?

Yes, so we had the chance, it's a team up. I used to work with a with a team and staff members, and we performed the first hysterectomy in the world using the miniaturized robot, the 12th of July. It was quite straightforward procedures. I was happy, honestly, with no intraoperative complication during the follow up as well, we encountered no complications. So, I was very happy. We started a pilot study for the future, and that's a really important step, I think, not only do one procedure, but to continue with a lot of data and to be sure that it's a good device to perform the hysterectomies.

And what are the advantages of minimally invasive surgery versus a more open approach?

That's a very good question, Celeste. We know since probably 2 decades ago that minimally invasive surgery is associated with shorter hospital stays, less morbidity, and a quicker recovery to normal activities. It has been demonstrated with laparoscopy and standard robotic surgery, but there is still a quite high level of invasive approach called open surgery, or laparotomy. And the goal to introduce and to implement such robotics is to reduce the rate of invasive surgery. It's very important for the patient. We have to think to patient, and I think the patient outcomes will be improved with the implementation of this robot. I really think so, and if we can reduce this rate of invasive surgery, it's a milestone for the future of a patient in gynecology.

Those are great points. We're just about ready to wrap up. But is there anything you want to add first?

Yes, it's a pleasure for me to share this with all my colleagues. I think it's important we do a lot of innovations with these small robots, and the portability is a very important thing. It means that you have shorter setup times, and we are not so much in the in the area, so you will reduce the number of specialized staff needed compared to other surgical robots, and it's very quick to learn how to manage this robot for my team. Not only the surgeon, the surgeon needs to be trained, but for my team, it's quite easy, and probably easier than the standard robots in the market now.

Well, thank you for speaking with me today.



Jean Dubuisson, MD, PhD, head of the gynecological surgery unit at Geneva University Hospitals, discusses the first successful hysterectomy performed using the MIRA surgical system.

Clinical

Evaluating a miniature robotic device for hysterectomy

Hi, Celeste, it's a pleasure to be with you today. So, my name is Jean Dubuisson. My current position is head of the gynecological surgery unit at Geneva University Hospitals, Switzerland. I'm also affiliated with the University of Geneva as a senior lecturer. I'm an expert in minimally invasive surgery, including laparoscopy, vaginal approach, hysteroscopy, and vNOTES as well.

Yes, so the MIRA surgical system is the world's first miniaturized robotic-assisted surgical device. We call it minibot as well. It's used to perform soft tissue surgeries through only one single incision through the abdomen, and the main advantage of this mini bot is its unique portability and small design. That's why the mini MIRA device is compact, I think probably less than 1 kilogram, it’s extremely useful, and the framework is portable as well. So, it's a little bit to sum up the benefits of the MIRA robot, and what is new in this field of gynecology.

So, for us, it's very important, because today, for example, in the United States, hysterectomy is the second most common surgical procedure performed in gynecology, after C-section, of course, accounting for over half a million procedures per year. So, it's huge, even now, and the proportion of laparotomy, invasive surgery, is still very high. That's why I think, and we think with Virtual Incision, there is still significant room for improvement in increasing adoption of the mini procedures, and the mini bot MIRA surgical system will help us to improve this rate, this proportion of minimally invasive surgery. So, we did this first procedure in Geneva. It was an absolute privilege for me to participate to this project, of course, and the hysterectomy went well, so it's important for us to have the first case and to know that it's possible and safe to do it.

Yes, so we had the chance, it's a team-up. I used to work with a team and staff members, and we performed the first hysterectomy in the world using the miniaturized robot, on the 12th of July. It was quite a straightforward procedure. I was happy, honestly, with no intraoperative complications during the follow-up as well, we encountered no complications. So, I was very happy. We started a pilot study for the future, and that's a really important step, I think, not only to do 1 procedure but to continue with a lot of data and to be sure that it's a good device to perform the hysterectomies.

That's a very good question, Celeste. We know since probably 2 decades ago that minimally invasive surgery is associated with shorter hospital stays, less morbidity, and a quicker recovery to normal activities. It has been demonstrated with laparoscopy and standard robotic surgery, but there is still a quite high level of invasive approach called open surgery, or laparotomy. And the goal of introducing and implementing such robotics is to reduce the rate of invasive surgery. It's very important for the patient. We have to think of the patient, and I think the patient outcomes will be improved with the implementation of this robot. I really think so, and if we can reduce this rate of invasive surgery, it's a milestone for the future of a patient in gynecology.

Well, thank you for speaking with me today.

In this episode of Pap Talk, Jean Dubuisson, MD, PhD, discusses the first successful hysterectomy performed using the MIRA surgical system. 

Pap Talk S4E15: MIRA surgical system for hysterectomy with Jean Dubuisson, MD, PhD

A 27-year-old woman presents with an 18-month history of vulvar irritation. She is otherwise healthy except for episodes of depression. She has tried multiple agents for her condition including topical steroids, Vagisil, antibiotics, and fluconazole. She used oral steroids but developed knee pain. Tacrolimus has not helped. A biopsy revealed lichen simplex chronicus. Immunofluorescent studies were negative.

A 27-year-old woman presents with an 18-month history of vulvar irritation. She has tried multiple agents for her condition including topical steroids, Vagisil, antibiotics, and fluconazole without relief. What's your diagnosis?

Vulvar irritation in a 27-year-old woman

Saying "obstetrician-gynecologist" is a mouthful for most people, and it's probably the most abbreviated specialty in medicine, both spoken and written. However, there doesn't seem to be a consensus on how to pronounce OB-GYN. First, is it the two-syllable "O-B" or the monosyllabic "Ob"? Second, is it "gin" or "gyne" (like "Lyme")? I wonder if you have a preference. I know I do.

Almost nobody says "obstetrician-gynecologist" when speaking about these specialist physicians. But what's the "correct" way to pronounce OB/GYN?

Is It Ob-Gin or Ob-Gyne?

What is your diagnosis based on these images of the ovary?

Challenge your diagnostic skills with this image quiz: Is this ovarian lesion cystic in nature or something else?

Image IQ: Ovarian Cyst or Something Else?

In a recent interview ObGyn.net conducted for 

 on comprehensive care and cancer screenings at well-woman visits, the topic of stethoscopes came up. Ilene S. Gewirtz, MD, the interviewee, mentioned that she still carries a stethoscope and listens to her patients' heart and lungs at well-woman visits. She also said that she believes she's in the minority regarding this practice. We want to know if she's right.

POLL: Many women consider their OB/GYN their primary care provider. But like your primary care counterpart, do you carry a stethoscope?

Cheryl Vance, MA, RDMS, RVT

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