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    Understanding The Pain Helps Heal the Patient

    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 […]

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    Wellbeing, Satisfaction and Productivity

    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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    Intraperitoneal bupivacaine disappoints in postop pain relief

    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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    Virtual learning platform effective in teaching suturing

    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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    Survey: Most gyn surgeons don’t use power morcellation

    By Alice Goodman NEW YORK – More than a year after the Food and Drug Administration first warned physicians and patients about the risks of disseminating unsuspected cancer with electric power morcellation, most minimally invasive gynecologic surgeons are not using the technology. But rather than convert to open laparotomy for fibroid removal, many surgeons are using […]

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    Uterine size not linked to increased surgical complications

    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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    Rigorous certification needed for minimally invasive surgery

    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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    Debunking five myths about minilaparoscopy

    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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