News for Your Practice
News for Your Practice
Secrets to successful vaginal hysterectomy
Challenges such as an enlarged uterus or history of pelvic surgery need not precipitate a switch to the abdominal route
News for Your Practice
Vaginal hysterectomy: 6 challenges, an arsenal of solutions
Obesity, fibroids, previous surgeries and other obstacles usually give way to targeted tactics
News for Your Practice
The Retroperitoneal Space: Keeping vital structures out of harm’s way
Knowledge of the retroperitoneal space is critical, to avoid unnecessary blood loss and injury of the ureter, bladder, bowel, and nerves
News for Your Practice
Things go better with Burch
CARE trial: Burch colposuspension at the time of prolapse surgery improves postop urinary control
News for Your Practice
Cystocele and rectocele repair: More success with mesh?
Graft materials have been used for years in other types of surgery. Can they reduce the high failure rate of prolapse repairs?
News for Your Practice
Pelvic organ prolapse: Which operation for which patient?
The stream of new technologies seems never-ending. That’s part of the problem.
News for Your Practice
Preventing VTE: Evidence-based perioperative tactics
The perfect strategy has yet to be devised, but good data point to drug and mechanical methods that come close
News for Your Practice
Vaginal hysterectomy: Is skill the limiting factor?
For the expert surgeon, there is no absolute uterine size limit
News for Your Practice
Hysterectomy: Which route for which patient?
The vaginal route—with or without laparoscopic assistance—is often preferable to laparotomy, but much less common.
News for Your Practice
Abdominal techniques for surgical management of vaginal vault prolapse
Indications, techniques, and evidence-based rationale
News for Your Practice
Surgical management of vaginal vault prolapse
Choosing the right procedure is a judgment call, based on the patient’s age, desire for coitus, and overall health.