Update on Gynecologic Surgery

Translation of guidelines for perioperative care in gynecologic/oncology: enhanced recovery after surgery (ERAS) society recommendations-2019 update

Background: Enhanced recovery after surgery (ERAS) is now firmly established as a global surgical quality improvement initiative that results in both clinical improvements and cost benefits to the healthcare system. ERAS guidelines are based on the highest quality evidence available and as such require updating on a regular basis. The ERAS Gynecologic/Oncology guidelines were first published in...

Laparoscopy in gynecologic surgery.

Laparoscopy has been utilized in gynecologic surgery for over 20 years. With the introduction of video monitoring and the development of new endoscopic instruments, the role of laparoscopy has greatly expanded. Laparoscopy is an invaluable tool in the management of the cancer patient. Current use focuses primarily on the diagnosis and staging of intraabdominal and pelvic malignancies. However l...

Robotic gynecologic surgery.

The objective of this article is to review the recent adoption, experience, and applications of robot-assisted laparoscopy in gynecologic surgery. The use of robotics in gynecologic surgery is increasing in the United States. Robotic-assisted laparoscopic surgeries in gynecology include benign hysterectomy, myomectomy, tubal reanastomoses, radical hysterectomy, lymph node dissections, and sacro...

Minimally Invasive Gynecologic Surgery

Postoperative neuropathy in gynecologic surgery.

The development of a postoperative neuropathy is a rare complication that can be devastating to the patient. Most cases of postoperative neuropathy are caused by improper patient positioning and the incorrect placement of surgical retractors. This article presents the nerves that are at greatest risk of injury during gynecologic surgery through a series of vignettes. Suggestions for protection ...