Gynecology

When a postmenopausal patient presents with signs and symptoms of a gynecologic malignancy, one should consider the possibility of genital tuberculosis in women who have immigrated to the United States.

Gynecologic surgeons should give consideration to the balance of benefit and harm that accompanies laparoscopic tissue morcellation, in addition to exploring surgical alternatives and methods to mitigate complications.

Some societies and institutions are developing formal policies on morcellation in response to an increase in public concern over the possibility of this procedure spreading and upstaging undetected cancer in the uterus.

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Premenopausal removal of the ovaries accelerates bone loss and carotid artery thickening in postmenopausal women, putting women at higher risk for both osteoporosis and cardiovascular disease.

Taking hormone replacement therapy (HRT) for at least 6 months after total knee arthroplasty (TKA) or total hip arthroplasty (THA) may reduce risk of repeat surgery. So say the results of a community-based cohort study of women in the UK who had undergone TKA or THA for osteoarthritis.

Conservative surgery for early-stage vulvar cancer had little to no long-term effect on a woman’s sexuality or body image, a small study found.

The latest devices and gadgetry for minimally invasive gynecological surgery were featured in the exhibit hall at the 42nd AAGL Global Congress on Minimally Invasive Gynecology held just outside of Washington, DC, November 10-14, 2013.

Successful endometriosis awareness campaigns are the key to beginning to control the disease, says Camran Nezhat, MD. Earlier diagnosis means a sooner return to a pain-free life for our patients.

Four physicians debate whether the robot is the future of gynecologic surgery.

Patients with excessive bleeding need treatment now. First-line options include progestin-only therapies, the Munro regimen, and DMPA and short-course oral MPA.

The levonorgestrel IUD is particularly helpful in patients with abnormal uterine bleeding who require an interval therapy before surgery can be performed, Harvard physicians find.

The publicity surrounding Angelina Jolie's preventive mastectomy was a missed opportunity to educate the public about the true risks of BRCA gene mutation.

New research exposes a need for preoperative screening of even low-risk women undergoing robotic sacrocolpopexy, particularly those with risk factors such as obesity or diabetes.

Chromopertubation is typically performed laparoscopically. However, hysteroscopic chromopertubation may spare patients from multiple procedures. But is it accurate?

The surgical outcomes of single port pelvic surgeries (SiPPS) for a variety of gynecologic oncology indications are similar to those of traditional laparoscopic techniques.

PCOS is likely underdiagnosed, especially in adolescent patients. It is challenging to make a diagnosis during the 1–2 years following menarche because normal pubertal changes can mimic features of PCOS.

Female patients undergoing bariatric surgery may expect improvements in sexual function, according to one study.

According to a recent study, parity and mode of delivery do not have a significant impact on women's long-term sexual satisfaction.

Pregnant patients who have undergone some form of bariatric surgery are at greater risk of preterm birth than women who haven’t had the procedure, according to a study published in the British Medical Journal. The risk of small for gestational age (SGA) was also increased in women with previous bariatric surgery.

Fourteen percent of infertile patients have uterine cavity abnormalities despite normal ultrasound examination findings, research shows.

Laparoscopy for ruptured ectopic pregnancy and massive intra-abdominal bleeding was associated with shorter operative time and less intraoperative blood loss than laparotomy.

Surgeons who perform a high volume of hysterectomies each year are less likely to injure the lower urinary tract during surgery.

A low-cost instrument that an auto mechanic invented to ease assisted vaginal delivery is being tested by the World Health Organization (WHO). If proven safe and effective, the Odon Device would be the first innovation in operative vaginal delivery since the forceps and vacuum extractor.

Babies born to women who have undergone bariatric surgery for weight loss were more likely to be premature and to be small for gestational age.

This was the question posed by Javier F. Magrina, MD, in his presidential address at the opening ceremony of the 42nd AAGL global congress on minimally invasive gynecology on November 11. His answer to this question (which of course referred to obstetrics and gynecology) was a resounding "yes," and he backed up this conviction with statistics and anecdotes that illustrated the need for specialized training in minimally invasive gynecologic procedures.

Outpatient hysteroscopic metroplasty with bipolar electrode is an effective treatment in patients with infertility related to septate uterus.

Data show that maintaining surgical proficiency results in better outcomes for laparoscopic hysterectomy. The magic number for maintenance: 20 procedures a year.