By: Maurice K. Chung Most know by now that the smaller incision, the less pain. Because pain is sometimes the primary issue, we must learn more about pain, including how to examine patients and choose the right procedure, in order to treat it effectively. Sometimes surgeries are successful; however, the patient may have other underlying organ conditions […]
mis week
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By: Daniel Kuhn, M.D. This article addresses what it takes to protect, rehabilitate, and enhance the career of surgeons from the point of view of wellbeing, satisfaction and productivity. Surgeons are challenged by the need to maintain a steady level of peak performance through long hours of surgery. Very often surgeons who were exposed to negative and traumatic […]
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By Alice Goodman NEW YORK – While some evidence in the surgical literature suggests that intraperitoneal bupivacaine reduces postoperative pain scores and narcotic use, a new randomized controlled trial shows no significant improvement in patients undergoing robot-assisted total laparoscopic hysterectomy. “Despite evidence of benefit in laparoscopic surgery, there does not appear to be a benefit […]
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By Alice Goodman NEW YORK – Virtual learning of laparoscopic surgical skills is now possible and appears to be as successful as direct mentoring through an in-person teaching course, according to a pilot study of 16 medical students and residents naive to laparoscopy. Suturing skills were equivalent in the group mentored directly, compared with those […]
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By Alice Goodman NEW YORK – Cryoablation of the endometrium is a safe and effective office-based procedure for the treatment of menorrhagia, resulting in few operative complications, according to a chart review of 100 consecutive cases over a 3-year period. “Abnormal uterine bleeding is the most common reason for referral to a gynecologist, and it […]
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By Alice Goodman NEW YORK – Uterine size does not appear to increase the risk of surgical complications in patients who undergo type VII total laparoscopic hysterectomy, but both uterine size and the number of prior pelvic surgeries increased surgical time in a linear manner, according to a retrospective case-control analysis. “There is insufficient evidence […]
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By Alice Goodman NEW YORK – Certification programs for minimally invasive surgery should be more rigorous and continuous, relying on simulation and other hands-on tests of skills, according to Dr. Larry R. Glazerman. Having rigorous certification could improve the uptake of minimally invasive techniques among patients and encourage insurers to pay for these procedures, he […]
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By Alice Goodman NEW YORK – The next big advance in gynecologic minimally invasive surgery could be the wider adoption of minilaparoscopy using newer, frictionless instruments. Minilaparoscopy is commonly used in cholecystectomy, but is making inroads in gynecology. Minilaparoscopy performed with the newer, smaller instruments is especially well suited for fertility procedures and endometriosis surgery, […]
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By Alice Goodman NEW YORK – Power morcellation has been highly controversial since the Food and Drug Administration warned against its use in the majority of women undergoing myomectomy or hysterectomy for fibroid treatment last year. So where does that leave ob.gyns. who perform minimally invasive surgery? At the annual Minimally Invasive Surgery Week, experts from […]