Gynecology

This video demonstrates a case in which an intrauterine device (IUD) IUD was trapped--not in the uterine cavity and not outside the uterine wall, but within the muscle of the uterus. It was extracted under laparoscopic guidance.

A review comparing laparoscopic hysterectomy versus abdominal hysterectomy for early-stage endometrial cancer has found that rates of overall survival and disease-free survival are similar for the surgical procedures.

This procedure was performed to remove an intracavitary fibroid that failed hysteroscopy on two occasions.

According to the findings of a new intervention review and meta-analysis, neither paracervical block with lidocaine nor conscious sedation significantly reduced overall pain scores for tubal sterilization with hysteroscopy.

This patient had severe adhesions of the bladder and uterus following an extensive abdominal myomectomy. The bladder injury was recognized at the time of hysterectomy. A two layer closure is demonstrated using laparoscopic intracorporeal knot tying techniques.

A prospective case series analysis has shown that single incision laparoscopic surgery is a technique that is both feasible and safe for the surgical management of a variety of gynecological conditions.

Obesity does not impact perioperative outcomes in women undergoing robotic hysterectomy, according to a recent study.

Cystoscopy performed with a laparoscope is more time-efficient and cost-effective than cystoscopy with the traditional cystoscope, according to a randomized pilot study.

Removing specimens transvaginally during laparoscopic resection of adnexal masses is associated with less postoperative pain than transumbilical removal, according to a new study.

A new study found that placement of a midurethral sling can halve the rate of incontinence after prolapse surgery

A 39 year-old woman presented with urinary frequency and pelvic pressure. On pelvic examination, a large pelvic mass was felt adjacent to the uterus, deep in the pelvis. MRI showed a 12 cm subserosal fibroid adjacent to the right side of the uterus.

There is an ongoing debate as to whether or not pre-operative urodynamic testing offers any value in uncomplicated stress urinary incontinence patients who are undergoing surgery.

There is much debate about whether pre-operative urodynamic testing (or bladder function testing) is clinically useful in patients with pure stress urinary incontinence, with some professional organizations recommending for the use of routine urodynamics and some recommending against routine use of these tests.

Postoperative use of a neoprene abdominal-pelvic binder significantly increases ambulatory events in the first 24 hours after surgery and may be of benefit particularly in a high-risk gynecological oncology surgical population, according to a study presented the American Congress of Obstetricians and Gynecologists’ Annual Clinical Meeting.

No single technique is superior at preventing major vascular or visceral complications during laparoscopic entry, according to a Cochrane review, but certain techniques confer advantages.

Laparoscopy has short-term advantages and seemingly equivalent long-term outcomes as compared with laparotomy for endometrial cancer according to a meta-analysis of randomized controlled trials.

Laparoscopy has been shown to be a safe and effective option for many diverse pelvic organ diseases, but how does the procedure fare during pregnancy? Due to the absence of large, comparative studies in pregnancy, there has been no definitive answer to this question. Now, researchers from Korea have found that laparoscopic surgeries can be safely used in women who are pregnant. Their results have been published in The Australian and New Zealand Journal of Obstetrics and Gynaecology.

Although more than 500,000 hysterectomies are performed annually in the U.S. to treat benign pelvic diseases, most outcome studies of the procedure look at clinical factors such as operation time, surgical complications, and hospital stays while ignoring patient satisfaction and quality of life issues. Now, a new study published in Obstetrics & Gynecology has found that patients who receive laparoscopic hysterectomy may fare better than those who receive abdominal hysterectomy.

Are the Benefits of Robotic Surgery Worth the Cost?

Pressure is a better indicator of adequate pneumoperitoneum than volume or time before trocar entry in laparoscopic surgery, according to a recent study published in Journal of Minimally Invasive Gynecology.

How often do patients develop endometriosis following laparoscopic supracervical hysterectomy with uterine morcellation? To better understand the resulting rates of endometriosis via laparoscopic versus transvaginal or abdominal hysterectomies, researchers conducted a single center case-control study.

Poor communication is a leading cause of medical errors in this era of collaborative care. Effective communication strategies can help facilitate the continuity of care, prevent errors, and provide a safe environment for the patient.

About 7% of Americans are infected with oral human papillomavirus (HPV), according to a recent cross-sectional study. Prevalence is almost 3 times higher in men than in women, about 8 times higher in those who are sexually active than in those who are not, and variably higher among cigarette smokers, former and current marijuana users, and heavy alcohol drinkers.

While tension-free vaginal tape (TVT) is and single-incision mini-sling result in similar subjective cure rates for the treatment of stress urinary incontinence, the mini-sling is still inferior, according to a randomized study published in Obstetrics & Gynecology.

Bipolar radiofrequency endometrial ablation is more effective than hydrothermablation in the treatment of menorrhagia at five years, according to research published in Obstetrics & Gynecology.

There are a variety of complications that can occur during laparoscopic surgery. In this tutorial learn some of the complications and tips to avoid them.

Laparoscopic staging of uterine cancer is associated with only a small increased risk of recurrence, according to a new study in the Journal of Clinical Oncology.

Kevin Giordano, Esq. and John O’Grady, MD, examine two laparoscopic hysterectomies that resulted in occult ureteric injury.Is it possible that the same event might be considered the standard of practice in one case but not the other?

Is the concept of an “accepted complication”-or the identified limitations of medical science-a shield to malpractice claims? Kevin Giordano, Esq. and John O’Grady, MD, explore liability risks of diagnostic laparoscopy.