Surgical Techniques
Surgical Techniques
A stepwise approach to cervical cerclage
Effective cerclage can be accomplished using a simple, standardized technique that emphasizes anatomic landmarks and high placement of the tape
Surgical Techniques
Your surgical toolbox should include topical hemostatic agents—here is why
When bleeding persists despite your best efforts, a selection of matrices, sealants, and other agents can extend your options for achieving...
Surgical Techniques
Step by step: Obliterating the vaginal canal to correct pelvic organ prolapse
Very elderly age, comorbidity, and disinterest in maintaining sexual function make a woman an ideal candidate for having POP corrected by surgery...
Surgical Techniques
Strategies and steps for the surgical management of endometriosis
Should endometriomas be simply drained? Drained and coagulated? Or resected? Should implants be resected, or ablated? And is surgery a concluding...
News for Your Practice
Correcting pelvic organ prolapse with robotic sacrocolpopexy
An experienced surgeon describes key steps in performing sacrocolpopexy with assistance from the robot, modeled after the open procedure, using a...
News for Your Practice
Take this simplified approach to correcting exposure of vaginal mesh
By proceeding stepwise, uncomplicated exposures lend themselves to the generalist’s care. Here are management pearls, cautions, and gauges of...
Surgical Techniques
High uterosacral vaginal vault suspension to repair enterocele and apical prolapse
You can provide good apical support without significantly distorting the vaginal axis, and passing sutures intraperitoneally can be cleaner, and...
Surgical Techniques
Applying single-incision laparoscopic surgery to gyn practice: What’s involved
New instrumentation and strategies have alleviated some of the challenges of performing laparoscopy through a single abdominal incision for a...
News for Your Practice
Colpocleisis: A simple, effective, and underutilized procedure
OR time, hospitalization, recovery are brief; the success rate is high. As part of the outcome, the patient must forego coitus.
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Expert tips for adnexal surgery through the laparoscope
Two cases illustrate the many benefits, and some of the risks, of minimally invasive management.
News for Your Practice
Postmenopausal dyspareunia— a problem for the 21st century
With one third of the female population already past the age of 50, the primary complaints of menopause—including vulvovaginal atrophy and sexual...