Robotic-assisted surgery for the community gynecologist: can it be adopted?

Abstract:

:The American College of Obstetricians and Gynecologists and the American Association of Gynecologic Laparoscopists confirm advantages of conventional minimally invasive surgery over laparotomy for benign gynecological procedures; however, adoption remains low for the general gynecologist. A systematic search for gynecology publications was performed using Medline and Scopus. Available data on adoption rates and perioperative outcomes for hysterectomy, myomectomy, sacrocolpopexy, and endometriosis were reviewed. Robotic assistance may provide an improved rate of minimally invasive surgery adoption with equivalent perioperative outcomes to that of conventional techniques. Accessibility and cost remain controversial. Formal training programs are being created to address these issues.

journal_name

Clin Obstet Gynecol

authors

Payne TN,Pitter MC

doi

10.1097/GRF.0b013e31822b4998

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

391-411

issue

3

eissn

0009-9201

issn

1532-5520

pii

00003081-201109000-00005

journal_volume

54

pub_type

杂志文章,评审
  • Life-threatening infections in pregnancy.

    abstract::Infection remains a major cause of maternal morbidity and mortality. Those entities that are most likely to threaten the life of the pregnant woman have been reviewed. Although intrapartum and postpartum pelvic infections consitute the majority such serious infections in pregnancy, attention has also been called to se...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00003081-197609000-00006

    authors: Schwarz RH,Fruiterman JP

    更新日期:1976-09-01 00:00:00

  • Current Management of the Axilla.

    abstract::Despite advances in estimating prognosis and predicting response to adjuvant systemic therapy, the status of the axillary lymph nodes remains a critical component in initial surgical planning and in determining therapeutic strategies for patients with breast cancer. Buoyed by evidence from multi-institutional randomiz...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000232

    authors: McCARTAN D,Gemignani ML

    更新日期:2016-12-01 00:00:00

  • Prenatal programming of insulin secretion in intrauterine growth restriction.

    abstract::Intrauterine growth restriction (IUGR) impairs insulin secretion in humans and in animal models of IUGR. Several underlying mechanisms have been implicated, including decreased expression of molecular regulators of β-cell mass and function, in some cases shown to be due to epigenetic changes initiated by an adverse fe...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e31829e5b29

    authors: Gatford KL,Simmons RA

    更新日期:2013-09-01 00:00:00

  • Influenza during pregnancy: a cause of serious infection in obstetrics.

    abstract::Influenza infection during pregnancy imparts disproportionate morbidity and mortality. This has been primarily noted during occasional influenza pandemics but also during seasonal epidemics. The majority of pregnant women who contract influenza appear to have a mild, self-limited course. However, influenza produces a ...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0b013e31827146bd

    authors: Beigi RH

    更新日期:2012-12-01 00:00:00

  • Programming effects of glucocorticoids.

    abstract::Fetal glucocorticoid overexposure is a key potential mechanism underlying the link between low birthweight and later life diseases. The fetus is protected from high maternal glucocorticoid levels by the placental enzyme 11β-hydroxysteroid dehydrogenase type 2. Antenatal glucocorticoid administration to women at threat...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e31829939f7

    authors: Reynolds RM

    更新日期:2013-09-01 00:00:00

  • Evaluation and management of recurrent early pregnancy loss.

    abstract::Recurrent pregnancy loss affects up to 5% of couples trying to establish a family. Evaluation classically begins after 3 consecutive miscarriages of less than 10 weeks of gestation but may be warranted earlier if a prior miscarriage was found to be euploid, or if there is concomitant infertility and/or advancing mater...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e31802f1c28

    authors: Stephenson M,Kutteh W

    更新日期:2007-03-01 00:00:00

  • Prediction of Epithelial Ovarian Cancer Outcomes With Integration of Genomic Data.

    abstract::Some of the patients with epithelial ovarian cancer will not respond to initial therapy. These patients have a poor prognosis. Our aim was to identify patients with a worse prognosis by integrating clinical, pathologic, and genomic data. Using publicly available genomic data and integrating it with clinical data, we s...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000493

    authors: Newtson AM,Devor EJ,Gonzalez Bosquet J

    更新日期:2020-03-01 00:00:00

  • The postpartum management of women with gestational diabetes using a continuum model for health care.

    abstract::Women with gestational diabetes mellitus require a continuum of care before, during, and after pregnancy for optimal management of hyperglycemia. Postpartum education and lifestyle modification should begin during pregnancy, and should continue during the postpartum period. Women should receive education on the long-t...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3182a8e0bb

    authors: Castorino K,Jovanovič L

    更新日期:2013-12-01 00:00:00

  • Epidemiology and risk factors.

    abstract::HBC is common, accounting for approximately 9% of the total breast cancer burden. Given 142,000 cases of breast cancer expected to occur in 1989, this would represent 12,780 cases of HBC patients. Soberingly, each patient represents a family with a variable number of inordinately high risk patients. HBC's natural hist...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-198912000-00018

    authors: Lynch HT,Watson P,Lynch JF

    更新日期:1989-12-01 00:00:00

  • Long-term outcomes in mothers diagnosed with gestational diabetes mellitus and their offspring.

    abstract::Mothers with gestational diabetes mellitus (GDM) are at high lifetime risk of developing type 2 diabetes mellitus. The magnitude of risk for cardiovascular disease after GDM is less well established. Recently, intervention trials using lifestyle modification or medications used to treat type 2 DM have successfully pre...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e31815a61d6

    authors: Metzger BE

    更新日期:2007-12-01 00:00:00

  • Management of fetal growth restriction: an evidence-based approach.

    abstract::This review provides an evidence-based approach to the management of fetal growth restriction (FGR). The management consists of the following components: appropriate fetal surveillance, timely intervention, and selective etiological management. Umbilical arterial (UA) Doppler sonography is the primary test. Supplement...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-200606000-00013

    authors: Maulik D

    更新日期:2006-06-01 00:00:00

  • Benign breast diseases: epidemiology, evaluation, and management.

    abstract::Benign breast diseases are common and encompass a spectrum of disorders. The majority of diagnoses will stem from a patient presenting with symptoms such as a mass or discomfort, or as a result of breast imaging which shows abnormalities leading to percutaneous biopsy. When mammographic and pathologic findings are dis...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0b013e318208010e

    authors: Rungruang B,Kelley JL 3rd

    更新日期:2011-03-01 00:00:00

  • Reducing Maternal Mortality and Severe Maternal Morbidity Through State-based Quality Improvement Initiatives.

    abstract::State Perinatal Quality Collaboratives (PQCs) represent a major advance for scaling up quality improvement efforts for reducing maternal mortality and severe maternal morbidity. The critical roles of partners, rapid-cycle low-burden data systems, and linkage to maternal mortality review committees are reviewed. The ch...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000361

    authors: Main EK

    更新日期:2018-06-01 00:00:00

  • Controversies in the Management of Endometrioma: To Cure Sometimes, to Treat Often, to Comfort Always?

    abstract::Endometriomas are common in reproductive-aged women, but controversy exists regarding their management. PubMed was searched to identify pertinent studies on outcomes of medical and surgical management of endometrioma, with focus on randomized controlled trials and meta-analyses. Surgical excision is more effective tha...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000151

    authors: Johnstone EB,Link MH

    更新日期:2015-12-01 00:00:00

  • Management of hypothyroidism during pregnancy.

    abstract::Hypothyroidism during pregnancy occurs in 1/1600-2000 deliveries, according to the most recent publications. The most common causes are chronic autoimmune thyroid disease, radiodine-131 treatment, or surgical removal. The diagnosis is difficult to make on clinical grounds alone, even in advanced cases, and a high inde...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199703000-00008

    authors: Montoro MN

    更新日期:1997-03-01 00:00:00

  • Subclinical thyroid dysfunction during pregnancy.

    abstract::There is compelling data and a rationale for embarking on screening to identify pregnant women with some of the multiple classes of subclinical thyroid dysfunction. However, the evidence to support such screening and treatment is lacking. Several important trials are underway or undergoing peer review that may provide...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e31822e27e3

    authors: Casey BM

    更新日期:2011-09-01 00:00:00

  • Surgery and Endometriosis.

    abstract::Care of the endometriosis patient today can be complex and difficult. Once medical management has been exhausted and symptoms persist patients desire further treatment options. This chapter takes an evidence-based approach at discussion of patient surgcical options for treatment of endometriosis symptoms. Surgical tec...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000291

    authors: Zanelotti A,Decherney AH

    更新日期:2017-09-01 00:00:00

  • Expanded Preconception Carrier Screening in Clinical Practice: Review of Technology, Guidelines, Implementation Challenges, and Ethical Quandaries.

    abstract::In the last 10 years, expanded preconception carrier screening has become widely available and helps patients/couples make more informed decisions with regard to their reproductive options and facilitates more effective preconception planning, prenatal diagnosis, condition-specific counseling, and condition-specific c...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000437

    authors: Zhang T,Madeira J,Lu Y,Sun Y,Mertes H,Pennings G,Lindheim SR

    更新日期:2019-06-01 00:00:00

  • Complications and contraindications of oral contraception.

    abstract::OC (oral contraception) can cause hypertension in a small minority, about 5%, of users. There does not seem to be a relationship between estrogen dosage and hypertension, while a relationship between progesterone and hypertension seems more possible. Hypertensive reaction to OC has been primarily seen in patients ov...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-198109000-00016

    authors: Beck WW Jr

    更新日期:1981-09-01 00:00:00

  • The anesthesiologist's role during attempted VBAC.

    abstract::American College of Obstetricians and Gynecologists' guidelines on vaginal birth after cesarean had both intended and unintended consequences for anesthesiologists. Epidural analgesia continues to play an important role in patient acceptance of a trial of labor after prior cesarean delivery. It does not impact the suc...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0b013e3182618937

    authors: Hawkins JL

    更新日期:2012-12-01 00:00:00

  • Role of clinician involvement in patient safety in obstetrics and gynecology.

    abstract::Patient safety is a significant concern for healthcare providers. Involving physicians in clinical quality activities in obstetrics and gynecology can be difficult for many reasons including time demands, lack of knowledge of process improvement activities, or change fatigue due to failure of adequate implementation o...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3181ec1b29

    authors: Mann S,Pratt S

    更新日期:2010-09-01 00:00:00

  • Conservative management of cervical intraepithelial neoplasia.

    abstract::A brief review of cervical intraepithelial neoplasia has been presented. Attempts have been made to identify the high-risk patient, and etiologic considerations have been detailed. The conservative management of cervical intraepithelial neoplasia is available and applicable to many patients. Regardless of the definiti...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-198003000-00021

    authors: Creasman WT,Weed JC Jr

    更新日期:1980-03-01 00:00:00

  • Antenatal therapy to minimize neonatal intraventricular hemorrhage.

    abstract::Periventricular-intraventricular hemorrhage is an important problem, resulting in significant mortality and morbidity. Attempts to reduce this complication require an understanding of its pathogenesis. In this chapter a model was proposed, consisting of a series of events resulting in rapid changes of cerebral blood f...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199106000-00014

    authors: Morales WJ

    更新日期:1991-06-01 00:00:00

  • Clinical relevance of fetal gonadal structure and function.

    abstract::The foregoing discussion is consistent with the following conclusions: First structural differentiation of the gonads, consonant with chromosomal sex of human fetuses, requires complex interactions of primordial germ cells with coelomic and mesonephric epithelial cells and mesenchymal cells in the genital ridge. The m...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: diZerega GS,Ross GT

    更新日期:1980-09-01 00:00:00

  • Characterization of a TP53 Somatic Variant of Unknown Function From an Ovarian Cancer Patient Using Organoid Culture and Computational Modeling.

    abstract::In our proof-of-concept study of 1 patient with stage IIIC carcinosarcoma of the ovary, we discovered a rare mutation in the tumor suppressor, TP53, that results in the deletion of N131. Immunofluorescence imaging of the organoid culture revealed hyperstaining of p53 protein. Computational modeling suggests this resid...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000516

    authors: Bi J,Thiel KW,Litman JM,Zhang Y,Devor EJ,Newtson AM,Schnieders MJ,Gonzalez Bosquet J,Leslie KK

    更新日期:2020-03-01 00:00:00

  • Critical anatomic concepts for safe surgical mesh.

    abstract::A comprehensive knowledge of the boundaries, contents, and interactions between surgical spaces is essential to safely and effectively perform mesh-augmented prolapse repairs and anti-incontinence procedures. This knowledge is also critical when managing intraoperative and postoperative complications such as bleeding,...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e31828e629c

    authors: Corton MM

    更新日期:2013-06-01 00:00:00

  • Oral agents for the management of gestational diabetes.

    abstract::In gestational diabetes (GDM), achieving euglycemia through treatment decreases the risk of adverse outcomes associated with hyperglycemia. Treatment starts with diet and nutritional counseling; however, up to 50% of women will require pharmacologic therapy to meet glucose goals. Although insulin remains the only Fede...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3182a8e0a5

    authors: Berggren EK,Boggess KA

    更新日期:2013-12-01 00:00:00

  • Associations Among Lactation, Maternal Carbohydrate Metabolism, and Cardiovascular Health.

    abstract::In mammalian reproductive physiology, lactation follows pregnancy; growing evidence suggests that disruption of this physiology affects a woman's lifetime risk of metabolic disease. These differences may reflect lactation-induced mobilization of fat stores and modulation of maternal stress reactivity. In addition, con...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000155

    authors: Stuebe A

    更新日期:2015-12-01 00:00:00

  • "How-To" Guide to Pelvic Floor Muscle Dysfunction.

    abstract::The purpose of this paper is to assist the clinician in recognizing pelvic floor muscle dysfunction in women with vulvar symptoms, to provide general treatment algorithms, and to facilitate understanding of the scientific rationale behind appropriate treatment. In short, this paper is meant to provide a "how-to" guide...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000135

    authors: Albrecht KB

    更新日期:2015-09-01 00:00:00

  • Cardiac arrest during pregnancy.

    abstract::Cardiac arrest is a rare event during pregnancy. The pregnant population represents a unique subset of cardiac arrest victims. Not only are there unique causes of circulatory collapse during the pregnant state, but the physiological modifications to the maternal physiology during pregnancy require specific modificatio...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000075

    authors: Montufar-Rueda C,Gei A

    更新日期:2014-12-01 00:00:00