Pelviscopic adnexectomy

Article Abstract:

Modern technological advances have provided excellent surgical alternatives for conditions which traditionally required an incision into the abdomen. New lasers make possible the destruction of adhering tissues, and advances in video technology make visualizing the procedure easier for the surgeon, and at the same time enlightening for other operating room staff. The availability of this equipment has encouraged more surgeons to master these procedures. The combination of endoscopy, or the visualization of the inside of the body, with surgical procedures, has greatly reduced the surgical complexity of some procedures. In particular, the use of the laparoscope to combine visualization and surgery within the abdominal cavity has dramatically reduced the size of the incision necessary for some uterine surgery, and in certain cases, the incision may be made within the vagina. An entire surgical procedure may be performed through the laparoscope, eliminating the necessity of a large abdominal incision. When possible, this results in a short hospital stay, with its attendant economies and efficient use of physicians' time. However, pelviscopic surgery is not recommended when cancer is considered to be a possible diagnosis. The risk of releasing potentially malignant cells requires that a laparotomy, or conventional opening of the abdomen, be performed in these cases. Although significant learning must be accomplished for gynecologic endoscopists to master these techniques, the savings in surgical pain, expense, and time suggest that the skills are worth acquiring. (Consumer Summary produced by Reliance Medical Information, Inc.)

Usage, Surgery, Laparoscopy, Endoscopy, Adnexa uteri

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Implementation and evaluation of a genetics curriculum to improve obstetrician-gynecologist residents' knowledge and skills in genetic diagnosis and counseling

Article Abstract:

A study was undertaken to develop, implement and evaluate a genetics curriculum for obstetrician-gynecologist residents. It was found that the multifaceted genetic curriculum improved residents' knowledge of genetics.

United States, Education, Curricula, Study and teaching, Medical colleges, Medical schools, Residents (Medicine), Medical genetics

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