Articles related toObstetrics/Gynecology

In this Clinical Practice article, the authors describe their experience of utilizing a multidisciplinary team (composed of a gynecologic surgeon trained in advanced pelvic surgery and endometriosis, a urologist, a colorectal and/or general surgeon, a cardiothoracic surgeon, and a radiologist experienced in gynecologic imaging) to increase the likelihood of providing cost-effective care and delivering adequate, evidence-based treatment of endometriosis.

The primary aim of this study was to compare the rate of deep organ-space surgical site infection in gynecologic surgery before and after institution of an oral antibiotic bowel preparation, thus assessing whether the preparation is associated with decreased infection rate.

The objective of this study is to evaluate the prevalence of pelvic examinations performed by osteopathic medical students on anesthetized patients without consent while fulfilling their third-year OB-GYN clerkship requirements.

This national needs assessment study aimed to uncover the structures underlying known gaps in knowledge, attitude, beliefs, and practices related to vasomotor symptoms and to identify and propose optimal educational strategies to overcome these barriers.

This study aims to investigate the prepregnancy body mass index (BMI) class-specific risks for pregnancy and neonatal complications based on a prepregnancy BMI class.

An ERAS protocol for gynecologic oncology surgeries performed in a community hospital was instituted with the goal to optimize patient outcomes preoperatively. The primary outcome of interest was to reduce patient opioid usage.

This study analyzed the effect of visceral manipulation on dysmenorrhea, irregular, delayed, and/or absent menses, and premenstrual symptoms in patients with polycystic ovary syndrome.

This study aims to analyze whether cervical cancer screening rates differ among women with comorbidities—body mass index (BMI) ≥30 kg/m², diabetes mellitus, hypertension, cardiovascular disease, chronic obstructive pulmonary disease, arthritis, kidney disease, depression, or skin cancer—compared to women without these comorbidities.

Preoperative gabapentin decreases postoperative pain but can be associated with prolonged postoperative somnolence and respiratory depression risk. Although it is known that gabapentin affects the postoperative course, it is unclear if the timing of preoperative administration affects this finding. This study aims to assess the optimal preoperative timing for gabapentin administration in patients undergoing gynecologic surgery to minimize postoperative somnolence risk.

Management remains controversial due to the risk of upgrade for malignancy from flat epithelial atypia (FEA). Data about the frequency and malignancy upgrade rates are scant. Namely, observational follow-up is advised by many studies in cases of pure FEA on core biopsy and in the absence of an additional surgical excision. For cases of pure FEA, the American College of Surgeons no longer recommends surgical excision but rather recommends observation with clinical and imaging follow-up. The aim of this study is to perform a systematic review and meta-analysis to calculate the pooled upgrade of pure FEA following core needle biopsies.