Surgical Techniques
News for Your Practice
ROUNDTABLE PART 2 OF 2: Using mesh to repair prolapse: Averting, managing complications
Some complications arise from faulty technique. A few may be caused by mesh itself. The expert panel differentiates those two sources of surgical...
News for Your Practice
ROUNDTABLE: PART 1 OF 2: Using mesh to repair prolapse calls for more than a kit—it takes skill
Mesh augmentation isn’t right for every prolapse repair—or every surgeon. When it is called for, mesh necessitates extra training, meticulous...
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How to safeguard the ureter and repair surgical injury
Under certain circumstances, ureteral injury may not only be likely—it is unavoidable. Here’s what you need to know to minimize the risk and...
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6 office tests to assess ovarian reserve, and what they tell you
Several tests of ovarian reserve are at your disposal. The help is welcome—but they’re not equally informative or reliable.
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Laparoscopic challenges: The large uterus
Total laparoscopic hysterectomy is possible when the uterus is larger than 14 weeks’ gestational size—if you incorporate several novel techniques...
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Challenges in total laparoscopic hysterectomy: Severe adhesions
Success is likely if you are 1) proactive and 2) meticulous about abdominal entry, and if you manage adhesions strategically. Two experts offer...
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Lessons in timely recognition of laparoscopy-related bowel injury
Be diligent about inspecting the bowel in the area of surgical intervention and quick to suspect intestinal injury when the patient doesn’t...
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How to avoid injury to bowel during laparoscopy
Be reluctant to perform laparoscopy in a patient known to have significant adhesions. Also, be aware of risk of injury at trocar entry and mindful...
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When necessity calls for treating uterine fibroids
Most myomas are asymptomatic; you can manage them with watchful waiting. When quality of life suffers, however, a range of therapies is available...
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Major vascular injury during laparoscopy: Pearls to cope
News for Your Practice
How to diagnose and repair congenital uterovaginal malformations
Knowing when and how these abnormalities become apparent is the first step toward correcting them