The Experts below are selected from a list of 309 Experts worldwide ranked by ideXlab platform
Pedro F. Escobar - One of the best experts on this subject based on the ideXlab platform.
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Cost and robotic surgery in Gynecology
Journal of Obstetrics and Gynaecology Research, 2014Co-Authors: Jason Knight, Pedro F. EscobarAbstract:Since the introduction of robotic technology, there have been significant changes to the field of Gynecology. The number of minimally invasive procedures has drastically increased, with robotic procedures rising remarkably. To date several authors have published cost analyses demonstrating that robotic hysterectomy for benign and oncologic indications is more costly compared to the laparoscopic approach. Despite being more expensive than laparoscopy, other studies have found robotics to be less expensive and more effective than laparotomy. In this review, controversies surrounding cost-effectiveness studies are explored.
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robotic surgery in Gynecology an updated systematic review
Obstetrics and Gynecology International, 2011Co-Authors: Lori Weinberg, Pedro F. EscobarAbstract:The introduction of da Vinci Robotic Surgery to the field of Gynecology has resulted in large changes in surgical management. The robotic platform allows less experienced laparoscopic surgeons to perform more complex procedures. In general Gynecology and reproductive Gynecology, the robot is being increasingly used for procedures such as hysterectomies, myomectomies, adnexal surgery, and tubal anastomosis. Among uroGynecology the robot is being utilized for sacrocolopexies. In the field of gynecologic oncology, the robot is being increasingly used for hysterectomies and lymphadenectomies in oncologic diseases. Despite the rapid and widespread adoption of robotic surgery in Gynecology, there are no randomized trials comparing its efficacy and safety to other traditional surgical approaches. Our aim is to update previously published reviews with a focus on only comparative observational studies. We determined that, with the right amount of training and skill, along with appropriate patient selection, robotic surgery can be highly advantageous. Patients will likely have less blood loss, less post-operative pain, faster recoveries, and fewer complications compared to open surgery and potentially even laparoscopy. However, until larger, well-designed observational studies or randomized control trials are completed which report long-term outcomes, we cannot definitively state the superiority of robotic surgery over other surgical methods.
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laparoendoscopic single site surgery in Gynecology review of literature and available technology
Journal of Minimally Invasive Gynecology, 2011Co-Authors: Shitanshu Uppal, Pedro F. Escobar, Michael Frumovitz, Pedro Tomas RamirezAbstract:Abstract The objective of this article was to review the published literature on laparoendoscopic single-site surgery (LESS) in Gynecology and to present current advances in instruments used in LESS surgery. Inasmuch as LESS surgery is relatively new, the current literature on use of this technique in Gynecology is somewhat limited. Sixteen articles were available for the literature review: 10 case series, 2 comparative studies, 3 case reports, and 1 surgical technique demonstration. In recent years, however, improvements in traditional laparoscopic techniques and availability of more advanced instruments has made single-incision laparoscopy more feasible and safer for the patient. There is increasing interest in LESS surgery both as an alternative to traditional laparoscopy and as an adjunct to robotic surgery when performing complicated procedures through a single incision. Although LESS surgery provides another option in the arena of minimally invasive gynecologic surgery, the ultimate role of this approach remains to be determined.
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laparoendoscopic single site and natural orifice surgery in Gynecology
Fertility and Sterility, 2010Co-Authors: Pedro F. Escobar, Amanda Nickles Nickles Fader, D Starks, Michelle Catenacci, Tommaso FalconeAbstract:Objective To evaluate the current literature on the use of single port and natural orifice surgery in Gynecology. Design Appraisal of articles published on the use of this technology in Gynecology. Result(s) Most reports on single port and natural orifice surgery are case reports or case series. However, most have reported successful outcomes such as diagnostic or extirpative gynecologic procedures. The main limitation is the availability of instrumentation to successfully accomplish the task. Conclusion(s) Single port and natural orifice surgery offers the potential for advancing the minimally invasive approach to gynecologic surgery.
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laparoendoscopic single site surgery less in Gynecology a multi institutional evaluation
American Journal of Obstetrics and Gynecology, 2010Co-Authors: Luis Rojasespaillat, Amanda Nickles Nickles Fader, Okechukwu A Ibeanu, Francis C Grumbine, Pedro F. EscobarAbstract:Objective The study objectives were to determine the surgical outcomes of a large series of Gynecology patients treated with laparoendoscopic single-site surgery (LESS). Study Design This was a retrospective, multi-institutional analysis of Gynecology patients treated with LESS in 2009. Patients underwent surgery via a single 1.5- to 2.5-cm umbilical incision with a multichannel single port. Results A total of 74 women underwent LESS. Procedures were performed for benign pelvic masses (n = 39), endometrial hyperplasia (n = 9), endometrial (n = 15) and ovarian (n = 6) cancers, and nongynecologic malignancies (n = 5). Median patient age and body mass index were 47 years and 28, respectively. A Pearson product-moment correlation coefficient was computed and demonstrated a significant linear relationship between the operating time and number of cases for cancer staging (r = –0.71; n=26; P P Conclusion LESS is feasible, safe, and reproducible in Gynecology patients with benign and cancerous conditions. Operative times are reasonable and can be decreased with experience.
Amanda Nickles Nickles Fader - One of the best experts on this subject based on the ideXlab platform.
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laparoendoscopic single site and natural orifice surgery in Gynecology
Fertility and Sterility, 2010Co-Authors: Pedro F. Escobar, Amanda Nickles Nickles Fader, D Starks, Michelle Catenacci, Tommaso FalconeAbstract:Objective To evaluate the current literature on the use of single port and natural orifice surgery in Gynecology. Design Appraisal of articles published on the use of this technology in Gynecology. Result(s) Most reports on single port and natural orifice surgery are case reports or case series. However, most have reported successful outcomes such as diagnostic or extirpative gynecologic procedures. The main limitation is the availability of instrumentation to successfully accomplish the task. Conclusion(s) Single port and natural orifice surgery offers the potential for advancing the minimally invasive approach to gynecologic surgery.
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laparoendoscopic single site surgery less in Gynecology a multi institutional evaluation
American Journal of Obstetrics and Gynecology, 2010Co-Authors: Luis Rojasespaillat, Amanda Nickles Nickles Fader, Okechukwu A Ibeanu, Francis C Grumbine, Pedro F. EscobarAbstract:Objective The study objectives were to determine the surgical outcomes of a large series of Gynecology patients treated with laparoendoscopic single-site surgery (LESS). Study Design This was a retrospective, multi-institutional analysis of Gynecology patients treated with LESS in 2009. Patients underwent surgery via a single 1.5- to 2.5-cm umbilical incision with a multichannel single port. Results A total of 74 women underwent LESS. Procedures were performed for benign pelvic masses (n = 39), endometrial hyperplasia (n = 9), endometrial (n = 15) and ovarian (n = 6) cancers, and nongynecologic malignancies (n = 5). Median patient age and body mass index were 47 years and 28, respectively. A Pearson product-moment correlation coefficient was computed and demonstrated a significant linear relationship between the operating time and number of cases for cancer staging (r = –0.71; n=26; P P Conclusion LESS is feasible, safe, and reproducible in Gynecology patients with benign and cancerous conditions. Operative times are reasonable and can be decreased with experience.
Arnold P Advincula - One of the best experts on this subject based on the ideXlab platform.
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Role of robotic surgery in urogynecologic surgery and radical hysterectomy: how far can we go?
Current opinion in urology, 2011Co-Authors: Kimberly Swan, Arnold P AdvinculaAbstract:The purpose is to review the current literature regarding robotic assistance in urogynecologic surgery and radical pelvic surgery and to discuss the future of robotics in these two areas of Gynecology.
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the role of robotic surgery in Gynecology
Current Opinion in Obstetrics & Gynecology, 2007Co-Authors: Arnold P Advincula, A H SongAbstract:Purpose of reviewTo discuss the recent experience and feasibility of integrating robot-assisted technology into minimally invasive gynecologic surgery. Current applications in Gynecology and their associated outcomes will be analyzed.Recent findingsSince the late 1990s, the use of computer-assisted
Okechukwu A Ibeanu - One of the best experts on this subject based on the ideXlab platform.
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laparoendoscopic single site surgery less in Gynecology a multi institutional evaluation
American Journal of Obstetrics and Gynecology, 2010Co-Authors: Luis Rojasespaillat, Amanda Nickles Nickles Fader, Okechukwu A Ibeanu, Francis C Grumbine, Pedro F. EscobarAbstract:Objective The study objectives were to determine the surgical outcomes of a large series of Gynecology patients treated with laparoendoscopic single-site surgery (LESS). Study Design This was a retrospective, multi-institutional analysis of Gynecology patients treated with LESS in 2009. Patients underwent surgery via a single 1.5- to 2.5-cm umbilical incision with a multichannel single port. Results A total of 74 women underwent LESS. Procedures were performed for benign pelvic masses (n = 39), endometrial hyperplasia (n = 9), endometrial (n = 15) and ovarian (n = 6) cancers, and nongynecologic malignancies (n = 5). Median patient age and body mass index were 47 years and 28, respectively. A Pearson product-moment correlation coefficient was computed and demonstrated a significant linear relationship between the operating time and number of cases for cancer staging (r = –0.71; n=26; P P Conclusion LESS is feasible, safe, and reproducible in Gynecology patients with benign and cancerous conditions. Operative times are reasonable and can be decreased with experience.
Julie Chor - One of the best experts on this subject based on the ideXlab platform.
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evaluation of ethics education in obstetrics and Gynecology residency programs
American Journal of Obstetrics and Gynecology, 2015Co-Authors: John J Byrne, Heather Straub, Laura Digiovanni, Julie ChorAbstract:Objective The objective of the study was to assess the current status of ethics education in obstetrics-Gynecology residency programs. Study Design A cross-sectional, web-based survey was designed in conjunction with a professional survey laboratory at the University of Chicago. The survey was piloted with a convenience sample of clinical medical ethics fellows to assess question content and clarity. The survey was deployed by e-mail to all obstetrics-Gynecology residency program directors. Descriptive statistics were used to analyze participant responses. The University of Chicago's Institutional Review Board deemed this study exempt from institutional review board formal review. Results Of 242 eligible obstetrics-Gynecology residency program directors, 118 (49%) completed the survey. Most respondents were from university-based programs (n = 78, 66%) that were not religiously affiliated (n = 98, 83%) and trained 4-6 residents per postgraduate year (n = 64, 70%). Although 50% of program directors (n = 60) reported having ethics as part of their core curriculum, most programs teach ethics in an unstructured manner. Fifty-seven percent of respondents (n = 66) stated their program dedicated 5 or fewer hours per year to ethics. The majority of program directors (n = 80, 73%) responded they would like more to a lot more ethics education and believed that ethics education should be required (n = 93, 85%) for residents to complete their training. Respondents identified that crowding in the curriculum was a significant barrier to increased ethics training (n = 50, 45%) and two-thirds (n = 74, 67%) reported a lack of faculty expertise as a moderate barrier to providing ethics education in the residency curriculum. Conclusion This study found that a lack of structured curricula, inadequate faculty expertise, and limited time were important barriers for ethics education in obstetrics-Gynecology programs across the nation. Despite these existing challenges, program directors have a strong interest in increasing ethics education in residency training. Therefore, additional resources are needed to assist program directors in enhancing resident ethics education.
