1
|
Lee Cruz AS, Cruz J, Behbehani S, Nahas S, Handler S, Stuparich MA. Hysterectomy and Oophorectomy for Transgender Patients: Preoperative and Intraoperative Considerations. J Minim Invasive Gynecol 2024; 31:265-266. [PMID: 38145751 DOI: 10.1016/j.jmig.2023.12.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 12/15/2023] [Accepted: 12/20/2023] [Indexed: 12/27/2023]
Abstract
OBJECTIVE To review the preoperative and intraoperative considerations for gynecologic surgeons when performing hysterectomy with or without oophorectomy for transgender patients. DESIGN Stepwise demonstration of techniques with narrated video footage. SETTING Approximately 0.3% of hysterectomies performed annually in the United States are for transgender men. While some transgender men choose hysterectomy for the same indications as cisgender women, the most prevalent diagnosis for the performed surgeries is gender dysphoria [1]. Hysterectomy with or without oophorectomy can be offered to patients who meet the World Professional Association for Transgender Health criteria [2]. INTERVENTIONS Important perioperative counseling points for transgender patients include establishing the terminology for the relevant anatomy as well as the patient's name and pronouns; if applicable, discussing options for fertility preservation if the patient desires biological children [3,4] and discussing the use of hormone therapy post oophorectomy to reduce the loss of bone density [5,6]; and reviewing intraoperative and postoperative expectations. When performing an oophorectomy on a transgender patient for gender affirmation, it is especially important to minimize the risk of ovarian remnant syndrome and the need for additional surgery, as, for example, caused by persistent menstruation. A 2-layer vaginal cuff closure should be considered to reduce the risk of vaginal cuff complications and is preferable for patients whose pelvic organs cause gender dysphoria [7,8]. CONCLUSION Special considerations outlined in this video and the World Professional Association for Transgender Health guidelines should be reviewed by gynecologic surgeons to minimize the transgender patient's experiences of gender dysphoria before, during, and after surgery.
Collapse
Affiliation(s)
- Amanda S Lee Cruz
- University of California, Riverside, School of Medicine, Riverside, California (Mx. Lee Cruz).
| | - Janet Cruz
- Department of Obstetrics and Gynecology, University of California, Riverside, California (Drs. Cruz, Behbehani, Nahas, Handler and Stuparich)
| | - Sadikah Behbehani
- Department of Obstetrics and Gynecology, University of California, Riverside, California (Drs. Cruz, Behbehani, Nahas, Handler and Stuparich)
| | - Samar Nahas
- Department of Obstetrics and Gynecology, University of California, Riverside, California (Drs. Cruz, Behbehani, Nahas, Handler and Stuparich)
| | - Stephanie Handler
- Department of Obstetrics and Gynecology, University of California, Riverside, California (Drs. Cruz, Behbehani, Nahas, Handler and Stuparich)
| | - Mallory A Stuparich
- Department of Obstetrics and Gynecology, University of California, Riverside, California (Drs. Cruz, Behbehani, Nahas, Handler and Stuparich)
| |
Collapse
|
2
|
Ringel NE, Lenger SM, High R, Alas A, Houlihan S, Chang OH, Pennycuff J, Singh R, White A, Lipitskaia L, Behbehani S, Sheyn D, Kudish B, Nihira M, Sleemi A, Grimes C, Gupta A, Balk EM, Antosh DD. Effects of Obesity on Urogynecologic Prolapse Surgery Outcomes: A Systematic Review and Meta-analysis. Obstet Gynecol 2024; 143:539-549. [PMID: 38330397 DOI: 10.1097/aog.0000000000005525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 12/21/2023] [Indexed: 02/10/2024]
Abstract
OBJECTIVE To systematically review the literature on outcomes of pelvic organ prolapse (POP) surgery in patients from various body mass index (BMI) categories to determine the association between obesity and surgical outcomes. DATA SOURCES PubMed, EMBASE, and Cochrane databases were searched from inception to April 12, 2022; ClinicalTrials.gov was searched in September 2022 (PROSPERO 2022 CRD42022326255). Randomized and nonrandomized studies of urogynecologic POP surgery outcomes were accepted in which categories of BMI or obesity were compared. METHODS OF STUDY SELECTION In total, 9,037 abstracts were screened; 759 abstracts were identified for full-text screening, and 31 articles were accepted for inclusion and data were extracted. TABULATION, INTEGRATION, AND RESULTS Studies were extracted for participant information, intervention, comparator, and outcomes, including subjective outcomes, objective outcomes, and complications. Outcomes were compared among obesity categories (eg, BMI 30-34.9, 35-40, higher than 40), and meta-analysis was performed among different surgical approaches. Individual studies reported varying results as to whether obesity affects surgical outcomes. By meta-analysis, obesity (BMI 30 or higher) is associated with an increased odds of objective prolapse recurrence after vaginal prolapse repair (odds ratio [OR] 1.38, 95% CI, 1.14-1.67) and after prolapse repair from any surgical approach (OR 1.31, 95% CI, 1.12-1.53) and with complications such as mesh exposure after both vaginal and laparoscopic POP repair (OR 2.10, 95% CI, 1.01-4.39). CONCLUSION Obesity is associated with increased likelihood of prolapse recurrence and mesh complications after POP repair. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42022326255.
Collapse
Affiliation(s)
- Nancy E Ringel
- Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut; the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics, Gynecology, and Women's Health, University of Louisville, Louisville, Kentucky; the Division of Urogynecology, Department of Obstetrics and Gynecology, Houston Methodist, Houston, the Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, San Antonio, and the Department of Obstetrics and Gynecology, University of Texas at Austin Dell Medical School, Austin, Texas; the Department of Obstetrics and Gynecology, Royal Columbian Hospital, University of British Columbia, Vancouver, British Columbia, Canada; the Division of Female Urology and Pelvic Reconstructive Surgery, Department of Urology, University of California, Irvine, Orange, the Department of Obstetrics and Gynecology, University of California, Riverside School of Medicine, Riverside, and KPC Healthcare, Hemet, California; the Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; the Department of Obstetrics and Gynecology, University of Florida Health, Jacksonville, and Bela Vida Urogynecology, Celebration, Florida; the Division of Urogynecology, Department of Obstetrics and Gynecology, Cooper Health University, Camden, New Jersey; the Department of Urology, University Hospitals Cleveland Medical Center, Cleveland, Ohio; the International Medical Response Foundation, Brooklyn, and the Departments of Obstetrics and Gynecology and Urology, New York Medical College, Valhalla, New York; and the Center for Evidence Synthesis in Health, Brown School of Public Health, Brown University, Providence, Rhode Island
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
3
|
Singh MK, Dejenie MA, Behbehani S, Nahas S, Handler S, Stuparich MA. Treatment of Iatrogenic Pneumothorax during Resection of Diaphragmatic Endometriosis using a Laparoscopic Suction Irrigator: A Simple Approach. Gynecol Minim Invasive Ther 2023; 12:253-254. [PMID: 38034108 PMCID: PMC10683965 DOI: 10.4103/gmit.gmit_125_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Revised: 12/08/2022] [Accepted: 12/12/2022] [Indexed: 12/02/2023] Open
Affiliation(s)
- Manpreet K. Singh
- Department of Obstetrics and Gynecology, University of California, Riverside, School of Medicine, Riverside, California, USA
| | - Menbere A. Dejenie
- Department of Obstetrics and Gynecology, University of California, Riverside, School of Medicine, Riverside, California, USA
| | - Sadikah Behbehani
- Department of Obstetrics and Gynecology, University of California, Riverside, School of Medicine, Riverside, California, USA
| | - Samar Nahas
- Department of Obstetrics and Gynecology, University of California, Riverside, School of Medicine, Riverside, California, USA
| | - Stephanie Handler
- Department of Obstetrics and Gynecology, University of California, Riverside, School of Medicine, Riverside, California, USA
| | - Mallory A. Stuparich
- Department of Obstetrics and Gynecology, University of California, Riverside, School of Medicine, Riverside, California, USA
| |
Collapse
|
4
|
Gupta A, Balk EM, Lenger SM, Yang LC, Misal M, Balgobin S, Chang OH, Sharma V, Stuparich M, Behbehani S, Nihira M, Alas A, Jampa A, Sheyn D, Meriwether K, Antosh DD. Changes in Pelvic Floor Symptoms After Procedural Interventions for Uterine Leiomyomas: A Systematic Review. Obstet Gynecol 2023; 142:319-329. [PMID: 37411023 DOI: 10.1097/aog.0000000000005260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 05/11/2023] [Indexed: 07/08/2023]
Abstract
OBJECTIVE To conduct a systematic review to evaluate the effect of procedural interventions for leiomyomas on pelvic floor symptoms. DATA SOURCES PubMed, EMBASE, and ClinicalTrials.gov were searched from inception to January 12, 2023, searching for leiomyoma procedures and pelvic floor disorders and symptoms, restricted to primary study designs in humans. METHODS OF STUDY SELECTION Double independent screening for studies of any study design in all languages that reported pelvic floor symptoms before and after surgical (hysterectomy, myomectomy, radiofrequency volumetric thermal ablation) or radiologic (uterine artery embolization, magnetic resonance-guided focused ultrasonography, high-intensity focused ultrasonography) procedures for management of uterine leiomyomas. Data were extracted, with risk-of-bias assessment and review by a second researcher. Random effects model meta-analyses were conducted, as feasible. TABULATION, INTEGRATION, AND RESULTS Six randomized controlled trials, one nonrandomized comparative study, and 25 single-group studies met criteria. The overall quality of the studies was moderate. Only six studies, reporting various outcomes, directly compared two procedures for leiomyomas. Across studies, leiomyoma procedures were associated with decreased symptom distress per the UDI-6 (Urinary Distress Inventory, Short Form) (summary mean change -18.7, 95% CI -25.9 to -11.5; six studies) and improved quality of life per the IIQ-7 (Incontinence Impact Questionnaire, Short Form) (summary mean change -10.7, 95% CI -15.8 to -5.6; six studies). There was a wide range of resolution of urinary symptoms after procedural interventions (7.6-100%), and this varied over time. Urinary symptoms improved in 19.0-87.5% of patients, and the definitions for improvement varied between studies. Bowel symptoms were inconsistently reported in the literature. CONCLUSION Urinary symptoms improved after procedural interventions for uterine leiomyomas, although there is high heterogeneity among studies and few data on long-term outcomes or comparing different procedures. SYSTEMATIC REVIEW REGISTRATION PROSPERO, CRD42021272678.
Collapse
Affiliation(s)
- Ankita Gupta
- Division of Female Pelvic Medicine & Reconstructive Surgery, University of Louisville Health, and the Division of Female Pelvic Medicine & Reconstructive Surgery, Department of Obstetrics, Gynecology, & Women's Health, University of Louisville School of Medicine, Louisville, Kentucky; the Center for Evidence Synthesis in Health, Brown University School of Public Health, Providence, Rhode Island; the Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Northwestern Medicine, Chicago, Illinois; the Department of Obstetrics and Gynecology, The Ohio State University Wexner Medical Center, Columbus, and the Division of Female Pelvic Medicine and Reconstructive Surgery, Urology Institute, University Hospitals, Cleveland, Ohio; the Division of Female Pelvic Medicine & Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, the Department of OBGYN, Division of Urogynecology, UT Health Science Center at San Antonio, San Antonio, and the Division of Urogynecology, Department of Obstetrics and Gynecology, Houston Methodist Hospital, Houston, Texas; the Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington; the Department of Obstetrics and Gynecology, Jacobi Medical Center, and the Albert Einstein College of Medicine, Bronx, New York; the Department of Obstetrics and Gynecology, University of California, Riverside School of Medicine, Riverside, and KPC Healthcare, Hemet, California; the Jawaharlal Nehur Medical College, Belgaum, India; and the Division of Urogynecology, Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
5
|
Meyer R, Behbehani S, Brooks K, Valero CR, Fox C, Layne ANS, Misal M, Movilla PR, Lauer JK, Wong AJ, Ackert K, Truong M. Twitter Gynecologic Surgery Journal Club: Impact on Citation Scores and Social Media Attention. J Minim Invasive Gynecol 2023; 30:635-641. [PMID: 37031858 DOI: 10.1016/j.jmig.2023.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Revised: 03/30/2023] [Accepted: 04/01/2023] [Indexed: 04/11/2023]
Abstract
STUDY OBJECTIVE To study the impact of a Twitter-based gynecologic surgery journal club of articles published in the Journal of Minimally Invasive Gynecology (JMIG) on their social media attention and citation scores. DESIGN A cross-sectional study. SETTING N/A. PATIENTS N/A. INTERVENTIONS Comparison of citation and social media attention scores was conducted for all articles presented in the JMIG Twitter Journal Club (#JMIGjc), a monthly scientific discussion on Twitter of JMIG selected articles, between March 2018 and September 2021 (group A), with 2 matched control groups of other JMIG articles: group B, articles mentioned on social media but not promoted in any JMIG social media account, and group C, articles with no social media mentions and not presented in #JMIGjc. Matching was performed for publication year, design, and topic in a 1:1:1 ratio. Citation metrics included number of citations per year (CPY) and relative citation ratio (RCR). Altmetric Attention Score (AAS) was used to measure social media attention. This score tracks research articles' online activity from different sources such as social media platforms, blogs, and websites. We further compared group A with all JMIG articles published during the same period (group D). MEASUREMENTS AND MAIN RESULTS Thirty-nine articles were presented in the #JMIGjc (group A) and were matched to 39 articles in groups B and C. Median AAS was higher in group A than groups B and C (10.00 vs 3.00 vs 0, respectively, p <.001). CPY and RCR were similar among groups. Median AAS was higher in group A than group D (10.00 vs 1.00, p <.001), as were median CPY and RCR (3.00 vs 1.67, p = .001; 1.37 vs 0.89, p = .001, respectively). CONCLUSION Although citation metrics were similar among groups, #JMIGjc articles had higher social media attention metrics than matched controls. Compared with all publications within the same journal, #JMIGjc articles resulted in higher citation metrics.
Collapse
Affiliation(s)
- Raanan Meyer
- Division of Minimally Invasive Gynecologic Surgery (Drs. Meyer and Truong), Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, California; The Dr. Pinchas Bornstein Talpiot Medical Leadership Program (Dr. Meyer), Sheba Medical Center, Tel Hashomer, Ramat-Gan, Israel.
| | - Sadikah Behbehani
- Department of Obstetrics and Gynecology (Dr. Behbehani), University of California Riverside School of Medicine, Riverside, California
| | - Kaylee Brooks
- School of Rehabilitation Sciences (Ms. Brooks), University of Ottawa, Ottawa, Ontario, Canada
| | - Cristobal R Valero
- Department of Obstetrics and Gynecology (Dr. Valero), Doctors Hospital, Monterrey, Monterrey, Mexico
| | - Courtney Fox
- Department of Obstetrics and Gynecology (Dr. Fox), Beverly Hospital, Beverly, Massachusetts
| | - Alyssa N Small Layne
- Department of Obstetrics and Gynecology (Dr. Small Layne), Kaiser Permanente, Lake Arbor, Maryland
| | - Meenal Misal
- Department of Obstetrics and Gynecology (Dr. Misal), The Ohio State University, Westerville, Ohio
| | - Peter R Movilla
- Minimally Invasive Gynecologic Surgery Center (Dr. Movilla), Newton Wellesley Hospital, Newton, Massachusetts
| | - Jacob K Lauer
- Division of Gynecologic Specialty Surgery, Department of Obstetrics and Gynecology (Dr. Lauer), Columbia University, New York, New York
| | - Adriana J Wong
- Department of Obstetrics and Gynecology (Dr. Wong), University of California Davis Health System, Sacramento, California
| | - Kathleen Ackert
- Department of Obstetrics and Gynecology (Dr. Ackert), St. Luke's University Health Network, Bethlehem, Pennsylvania
| | - Mireille Truong
- Division of Minimally Invasive Gynecologic Surgery (Drs. Meyer and Truong), Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, California
| |
Collapse
|
6
|
Cruz J, Stuparich M, Behbehani S, Nahas S. Don't forget to look up: operating in the upper abdomen. Am J Obstet Gynecol 2022; 228:472-473. [PMID: 36521533 DOI: 10.1016/j.ajog.2022.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 10/29/2022] [Accepted: 12/04/2022] [Indexed: 12/14/2022]
Abstract
Given the marked improvement in laparoscopic technology, gynecologic surgeons feel comfortable operating in the pelvis for a variety of gynecologic pathologies. When pathology is found outside of the pelvis, however, gynecologic surgeons find operating in the upper abdomen challenging. Operating in the upper abdomen is difficult because of the loss of ergonomics and the impression of operating backward. It is prudent for gynecologic surgeons to master operating in the upper abdomen given the variety of pathologies a gynecologist can encounter outside of the pelvis, both benign, such as endometriosis and adhesions, and malignant, like staging procedures, omentectomy, and debulking. We aimed to describe our operating room modifications that help to simulate operating in the upper abdomen as if one was operating in the pelvic cavity. Strategies to improve efficiency and ergonomics when operating in the upper abdomen include operating room setup, switching monitors to the patient's shoulders bilaterally, changing surgeon location to the right side of the patient, port hopping, and 30-degree camera selection. We have also created an instructional video with the tools to improve surgeon confidence and ergonomics when operating in the upper abdomen.
Collapse
Affiliation(s)
- Janet Cruz
- Department of Obstetrics and Gynecology, University of California Riverside School of Medicine, Riverside, CA.
| | - Mallory Stuparich
- Department of Obstetrics and Gynecology, University of California Riverside School of Medicine, Riverside, CA
| | - Sadikah Behbehani
- Department of Obstetrics and Gynecology, University of California Riverside School of Medicine, Riverside, CA
| | - Samar Nahas
- Department of Obstetrics and Gynecology, University of California Riverside School of Medicine, Riverside, CA
| |
Collapse
|
7
|
Qurashi A, Stuparich M, Nahas S, Behbehani S. From the Pelvis to the Sciatic Nerve: Anatomy of the Pelvic Sidewall. J Minim Invasive Gynecol 2022. [DOI: 10.1016/j.jmig.2022.09.274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
8
|
Lee A, Cruz J, Behbehani S, Nahas S, Stuparich M. 7578 Hysterectomy with or without Oophorectomy for Transgender Male Patients: Preoperative and Intraoperative Considerations. J Minim Invasive Gynecol 2022. [DOI: 10.1016/j.jmig.2022.09.313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
9
|
Paudel A, Behbehani S, Handler S, Nahas S, Stuparich M. 7783 Approach to a Difficult Bladder Flap during Laparoscopic Hysterectomy. J Minim Invasive Gynecol 2022. [DOI: 10.1016/j.jmig.2022.09.333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
10
|
Cruz J, Albasha N, Stuparich M, Nahas S, Behbehani S. Easy Steps for Excision of a Deep Infiltrative Endometrial Bladder Nodule. J Minim Invasive Gynecol 2022. [DOI: 10.1016/j.jmig.2022.09.258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
11
|
Cruz J, Stuparich M, Behbehani S, Nahas S. Don't Forget to Look Up: Operating in the Upper Abdomen. J Minim Invasive Gynecol 2022. [DOI: 10.1016/j.jmig.2022.09.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
12
|
Cruz J, Saba D, Behbehani S, Nahas S, Stuparich M. 7446 Teaching the Teacher: Performance of a Laparoscopic Complete Peritonectomy. J Minim Invasive Gynecol 2022. [DOI: 10.1016/j.jmig.2022.09.296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
13
|
Patel R, Behbehani S. Da Vinci Xi Port Set-up and Docking Made Easy: 6 Steps to Success. J Minim Invasive Gynecol 2022. [DOI: 10.1016/j.jmig.2022.09.240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
14
|
Witherspoon C, Stuparich MA, Nahas S, Behbehani S. A COMPLICATED AFFAIR: ROBOTIC MYOMECTOMY OF A BROAD LIGAMENT FIBROID COMPLICATED BY ENDOMETRIOSIS AND OTHER UTERINE FIBROIDS. Fertil Steril 2022. [DOI: 10.1016/j.fertnstert.2022.08.840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
15
|
Cruz J, Covarrubias V, Stuparich MA, Nahas S, Behbehani S. RESECTION OF DEEP INFILTRATING VAGINAL ENDOMETRIOSIS. Fertil Steril 2022. [DOI: 10.1016/j.fertnstert.2022.08.835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
16
|
Lee A, Soler J, Sheffler P, Behbehani S. CURRENT STATE OF OBSTETRICS AND GYNECOLOGY RESIDENCY TRAINING EDUCATION IN TRANSGENDER HEALTHCARE: HOW CAN WE IMPROVE? Fertil Steril 2022. [DOI: 10.1016/j.fertnstert.2022.08.219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
17
|
Simko S, Behbehani S. A behind-the-scenes look at retroperitoneal ectopic pregnancies: How do they get there and where do we go from here? Fertil Steril 2022; 118:601-602. [PMID: 35953316 DOI: 10.1016/j.fertnstert.2022.06.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Accepted: 06/17/2022] [Indexed: 01/13/2023]
Affiliation(s)
- Sarah Simko
- Department of Department of Obstetrics and Gynecology, Adventist Health White Memorial, Riverside, California
| | - Sadikah Behbehani
- Department of Obstetrics and Gynecology, Riverside School of Medicine, University of California, Riverside, California
| |
Collapse
|
18
|
Stuparich MA, Behbehani S, Nahas S. Polypoid Endometriosis Mimicking Peritoneal Carcinomatosis in a Postmenopausal Woman: A Laparoscopic Perspective. J Obstet Gynaecol Can 2022; 44:941-942. [PMID: 35589516 DOI: 10.1016/j.jogc.2020.07.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 07/10/2020] [Accepted: 07/10/2020] [Indexed: 10/21/2022]
Affiliation(s)
- Mallory A Stuparich
- Department of Obstetrics and Gynecology, University of California, Riverside, School of Medicine, Riverside, CA, USA.
| | - Sadikah Behbehani
- Department of Obstetrics and Gynecology, University of California, Riverside, School of Medicine, Riverside, CA, USA
| | - Samar Nahas
- Department of Obstetrics and Gynecology, University of California, Riverside, School of Medicine, Riverside, CA, USA
| |
Collapse
|
19
|
Witherspoon C, Behbehani S. Minimizing the complications of laparoscopic myomectomies: Which technique should stay in the loop? Fertil Steril 2022; 118:210-211. [PMID: 35725119 DOI: 10.1016/j.fertnstert.2022.04.033] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 04/29/2022] [Indexed: 01/13/2023]
Affiliation(s)
- Crystal Witherspoon
- University of California, Riverside School of Medicine, Riverside, California
| | - Sadikah Behbehani
- Department of Obstetrics and Gynecology, University of California, Riverside School of Medicine, Riverside, California
| |
Collapse
|
20
|
Bahbahani B, Stuparich M, Nahas S, Behbehani S. A hole in the wall: hysteroscopic excision of cesarean scar niche. Am J Obstet Gynecol 2022. [DOI: 10.1016/j.ajog.2021.12.202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
21
|
Cruz J, Nahas S, Stuparich M, Behbehani S. Morrison’s pouch endometriosis: a step-by-step approach to operating in the upper abdomen. Am J Obstet Gynecol 2022. [DOI: 10.1016/j.ajog.2021.12.223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
22
|
Rodriguez A, Celaya-Ojeda E, Behbehani S, Nahas S, Stuparich M. Double trouble: simultaneous resection of endometriotic nodules of the bladder and bowel and creation of omental J-flap for fistula prevention. Am J Obstet Gynecol 2022. [DOI: 10.1016/j.ajog.2021.12.250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
23
|
Adakama M, Love A, Kyeong Y, Sheffler P, Stuparich M, Nahas S, Behbehani S. Bridging the gap: online availability of gynecological care for lesbian, gay, bisexual, transgender, and questioning communities. Am J Obstet Gynecol 2022. [DOI: 10.1016/j.ajog.2021.12.069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
|
24
|
DelToro K, Cruz J, Stuparich M, Nahas S, Behbehani S. Non-communicating rudimentary uterine horn: overview and surgical excision technique. Am J Obstet Gynecol 2022. [DOI: 10.1016/j.ajog.2021.12.212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
|
25
|
Behbehani S, Suárez-Salvador E, Yi J, Buras M, Kosiorek H, Magrina J. Pregnancy Rates After Surgical Resection of Deep Infiltrating Endometriosis in Patients with Infertility: A Systematic Review and Meta-Analysis. J Gynecol Surg 2022. [DOI: 10.1089/gyn.2021.0001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Sadikah Behbehani
- Department of Gynecological Surgery, Mayo Clinic Hospital, Phoenix, Arizona, USA
- Department of Obstetrics and Gynecology, University of California, Riverside, California, USA
| | - Elena Suárez-Salvador
- Department of Gynecological Surgery, Mayo Clinic Hospital, Phoenix, Arizona, USA
- Hospital Valle de Hebron of the Universidad Autonoma Barcelona, Barcelona, Spain
| | - Johnny Yi
- Department of Gynecological Surgery, Mayo Clinic Hospital, Phoenix, Arizona, USA
| | - Matthew Buras
- Department of Health Sciences Research, Mayo Clinic Arizona, Scottsdale, Arizona, USA
| | - Heidi Kosiorek
- Department of Health Sciences Research, Mayo Clinic Arizona, Scottsdale, Arizona, USA
| | - Javier Magrina
- Department of Gynecological Surgery, Mayo Clinic Hospital, Phoenix, Arizona, USA
| |
Collapse
|
26
|
Misal M, Girardo M, Behbehani S, Bindra V, Hoffman MR, Lim WH, Martin C, Mehta SK, Nensi A, Soares T, Taylor D, Wagner S, Wright KN, Wasson MN. Evaluating surgical complexity of endoscopic hysterectomy: an interrater and intrarater agreement study of novel scoring tool. J Minim Invasive Gynecol 2022; 29:683-690. [DOI: 10.1016/j.jmig.2022.01.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 01/08/2022] [Accepted: 01/13/2022] [Indexed: 10/19/2022]
|
27
|
Mandell H, Stuparich M, Nahas S, Veve R, Behbehani S. Double trouble: pelvic pain associated with a dual presentation of endometriosis and granulomatous peritonitis. Journal of Endometriosis and Pelvic Pain Disorders 2021. [DOI: 10.1177/22840265211053116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
A 34-year-old patient presented to our office with chronic pelvic pain. Prior laparoscopic surgery revealed endometriotic appearing lesions which were ablated. The patient opted for another surgery to diagnose and treat potential leftover endometriosis. Laparoscopy revealed the presence of endometriotic appearing lesions, but pathology revealed two different histological diagnosis: endometriosis and granulomas, even in areas where no endometriosis was encountered. In any granulomatous presentation, exposure to mycobacteria must be ruled out. Without excision of abnormal appearing lesions seen on laparoscopy, endometriosis can not be confirmed and other potential causes of pain cannot be excluded.
Collapse
Affiliation(s)
- Hanna Mandell
- School of Medicine, University of California, Riverside, CA, USA
| | - Mallory Stuparich
- Department of Obstetrics and Gynecology, School of Medicine, University of California, Riverside, CA, USA
| | - Samar Nahas
- Department of Obstetrics and Gynecology, School of Medicine, University of California, Riverside, CA, USA
| | - Robert Veve
- Department of Pathology, Rancho Springs Medical Center, Riverside, CA, USA
| | - Sadikah Behbehani
- Department of Obstetrics and Gynecology, School of Medicine, University of California, Riverside, CA, USA
| |
Collapse
|
28
|
Witherspoon C, Garcia B, Behbehani S, Nahas S, Stuparich MA. Vulvar Leiomyoma Presenting as a Painless Vulvar Mass. J Minim Invasive Gynecol 2021; 29:187-189. [PMID: 34748966 DOI: 10.1016/j.jmig.2021.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 10/24/2021] [Accepted: 10/25/2021] [Indexed: 10/19/2022]
Affiliation(s)
| | - Bobby Garcia
- University of California, Riverside, School of Medicine, Department of Obstetrics and Gynecology; Riverside, CA
| | - Sadikah Behbehani
- University of California, Riverside, School of Medicine, Department of Obstetrics and Gynecology; Riverside, CA
| | - Samar Nahas
- University of California, Riverside, School of Medicine, Department of Obstetrics and Gynecology; Riverside, CA
| | - Mallory A Stuparich
- University of California, Riverside, School of Medicine, Department of Obstetrics and Gynecology; Riverside, CA.
| |
Collapse
|
29
|
Mandell H, Stuparich M, Nahas S, Behbehani S. Double Trouble: Pelvic Pain Associated with a Dual Presentation of Endometriosis and Granulomatous Peritonitis. J Minim Invasive Gynecol 2021. [DOI: 10.1016/j.jmig.2021.09.131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
30
|
Suliman Y, Lyon A, Stuparich M, Nahas S, Behbehani S. A Cut Above the Rest: A Complete Peritonectomy. J Minim Invasive Gynecol 2021. [DOI: 10.1016/j.jmig.2021.09.666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
31
|
Misal M, Behbehani S, Bindra V, Girardo M, Hoffman MR, Lim WH, Martin CB, Mehta SK, Nensi A, Soares TR, Taylor D, Wagner S, Wright KN, Wasson MN. Evaluating Surgical Complexity of Endoscopic Hysterectomy: An Inter-Rater Agreement Study for Novel Scoring Tool. J Minim Invasive Gynecol 2021. [DOI: 10.1016/j.jmig.2021.09.453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
32
|
Dejenie M, Singh M, Behbehani S, Nahas S, Stuparich M. Tips and Tricks for Diaphragmatic Endometriosis Resection and Management of Iatrogenic Pneumothorax. J Minim Invasive Gynecol 2021. [DOI: 10.1016/j.jmig.2021.09.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
33
|
|
34
|
Correa J, Aribo C, Stuparich M, Nahas S, Cheung C, Behbehani S. Malfunction Events in the US FDA MAUDE Database: How Does Robotic Gynecologic Surgery Compare with Other Specialties? J Minim Invasive Gynecol 2021; 29:300-307.e1. [PMID: 34464761 DOI: 10.1016/j.jmig.2021.08.021] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 08/20/2021] [Accepted: 08/23/2021] [Indexed: 12/01/2022]
Abstract
STUDY OBJECTIVE To review malfunction events (MEs) related to the use of the da Vinci robot reported to the United States Food and Drug Administration Manufacturer and User Facility Device Experience in the last 10 years and compare gynecologic surgery with other surgical specialties. DESIGN A retrospective review. SETTING Manufacturer and User Facility Device Experience database. PATIENTS Reports from 2010 to 2020 with keywords "Davinci" and "Intuitive". INTERVENTIONS Report review. MEASUREMENTS AND MAIN RESULTS There were 679 reports included in the final analysis. Most MEs occurred intraoperatively (81.7%) and were related to robotic instrument malfunction (84.5%), and 30% required an instrument switch to complete the procedure. Conversion to open and laparoscopic surgery was required in 3.1% and 1.3% of MEs, respectively. Injury to the patient occurred in 15.6% of MEs. Of the reported injuries to patients, 6.6% were related to robotic malfunction, 49.2% to instrument malfunction, and 18% to surgeon or staff misuse of the robotic system, and 15.6% were complications inherent to the procedure, not related to the robotic system. Of all the reported MEs, 4.4% were related to robot malfunction, 1.5% to console malfunction, 73.3% to Intuitive accessory malfunction, 11.2% to other accessory malfunction, 4% to surgeon or staff misuse of robotic system, and 3% to complications inherent to the procedure. Comparison between gynecologic surgery and other surgical specialties showed that 14.4% of issues were solved intraoperatively in gynecologic surgery vs 13.7% in other specialties (p = .185). The procedure was completed robotically in 85.2% in gynecologic surgery vs 84% in other specialties, laparoscopically 4.6% vs 3.7%, and open in 10.2% vs 12.4%, respectively (p = .883). In gynecologic surgery, reported MEs were made by patients in 14.8% vs 4.8% in other specialties, manufacturer in 78.4% vs 74.2%, and operating room staff in 2.3% vs 16.1%, respectively (p = .007). Injury to patient was similar in gynecologic surgery compared with other specialties (35.1% vs 23.4%, p = .122). Gynecologic and other specialty MEs did not state the need for procedure rescheduling (0% vs 0%). CONCLUSION Most reported robotic MEs occurred intraoperatively, were related to robotic instrument malfunctions, and required an instrument switch. Most surgeries are completed robotically, but conversion to either an open or laparoscopic approach was reported in 4.4%. Of the 114 reported injuries, 47.4% were Clavien-Dindo grade III+. There were no differences noted in patient injury between gynecologic surgery and other specialties.
Collapse
Affiliation(s)
- Jasmine Correa
- Department of Obstetrics and Gynecology (Drs. Correa, Aribo, Stuparich, Nahas, and Behbehani), University of California, Riverside, California
| | - Chade Aribo
- Department of Obstetrics and Gynecology (Drs. Correa, Aribo, Stuparich, Nahas, and Behbehani), University of California, Riverside, California
| | - Mallory Stuparich
- Department of Obstetrics and Gynecology (Drs. Correa, Aribo, Stuparich, Nahas, and Behbehani), University of California, Riverside, California
| | - Samar Nahas
- Department of Obstetrics and Gynecology (Drs. Correa, Aribo, Stuparich, Nahas, and Behbehani), University of California, Riverside, California
| | - Cecilia Cheung
- Riverside School of Medicine, and Department of Psychology (Dr. Cheung), University of California, Riverside, California
| | - Sadikah Behbehani
- Department of Obstetrics and Gynecology (Drs. Correa, Aribo, Stuparich, Nahas, and Behbehani), University of California, Riverside, California.
| |
Collapse
|
35
|
Russell KA, Tran R, Stuparich M, Nahas S, Behbehani S. ECTOPIC PREGNANCY SOCIAL MEDIA SUPPORT: AN ANALYSIS OF CONTENT AND ACCURACY OF FACEBOOK GROUPS FOR WOMAN EXPERIENCING ECTOPIC PREGNANCIES. Fertil Steril 2021. [DOI: 10.1016/j.fertnstert.2021.05.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
36
|
Stuparich M, Behbehani S, Nahas S. 09 Nerve-sparing laparoscopic low anterior resection for rectal endometriosis in ten steps. Am J Obstet Gynecol 2021. [DOI: 10.1016/j.ajog.2021.04.151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
37
|
Aribo C, Correa J, Stuparich M, Cheung C, Nahas S, Behbehani S. 48 Analysis of the US FDA MAUDE database - how does robotic gynecologic surgery compare to other specialties? Am J Obstet Gynecol 2021. [DOI: 10.1016/j.ajog.2021.04.073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
38
|
Towne J, Suliman Y, Russell K, Stuparich M, Nahas S, Behbehani S. 81 Health information in the era of social media: An analysis of the nature and accuracy of posts made by public facebook pages for patients with endometriosis. Am J Obstet Gynecol 2021. [DOI: 10.1016/j.ajog.2021.04.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
39
|
Towne J, Suliman Y, Behbehani S. Authors' Reply. J Minim Invasive Gynecol 2021; 28:1429-1430. [PMID: 33933656 DOI: 10.1016/j.jmig.2021.04.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Accepted: 04/18/2021] [Indexed: 11/30/2022]
|
40
|
Towne J, Suliman Y, Russell KA, Stuparich MA, Nahas S, Behbehani S. Health Information in the Era of Social Media: An Analysis of the Nature and Accuracy of Posts Made by Public Facebook Pages for Patients with Endometriosis. J Minim Invasive Gynecol 2021; 28:1637-1642. [PMID: 33582381 DOI: 10.1016/j.jmig.2021.02.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Revised: 02/05/2021] [Accepted: 02/06/2021] [Indexed: 10/22/2022]
Abstract
STUDY OBJECTIVE To analyze the nature and accuracy of social media (Facebook) content related to endometriosis. DESIGN Retrospective content analysis. SETTING Social media platform, Facebook. PARTICIPANTS Social media posts on Facebook endometriosis pages. INTERVENTIONS A search of public Facebook pages was performed using the key word "endometriosis." Posts from the month-long study period were categorized and analyzed for accuracy. Two independent researchers used thematic evaluation to place posts into the following 11 categories: educational, emotional support, advocacy, discussion, events, humor, promotional, recipes, resources, surveys, and other. Posts categorized as educational were further subcategorized and reviewed. Each posted fact was cross-referenced in peer-reviewed scientific journals to determine whether the claim made was evidence-based. Engagement in a post was calculated by taking the sum of comments, shares, and reactions. MEASUREMENTS AND MAIN RESULTS A total of 53 Facebook pages meeting inclusion criteria were identified and 1464 posts from the study period were evaluated. Emotional support posts comprised the largest category of posts (48%) followed by educational posts (21%). Within the educational category, the epidemiology and pathophysiology subcategory comprised the largest group (42.0%) followed by the symptom's subcategory (19.6%). Post category had an effect on the amount of post engagement (p-value <.001) with emotional posts generating 70% of the overall engagement. The subcategories of the educational posts demonstrated a similar effect on engagement (p-value <.001). Posts were more engaging if they contained epidemiology and pathophysiology information with 44% of all engagement of educational posts occurring within this subcategory. Educational posts were found to be 93.93% accurate. There was no correlation between post engagement and post information accuracy (p-value = .312). CONCLUSION Facebook pages offer emotional support and education to people with endometriosis. Most information found in these Facebook pages is evidence-based. Clinicians should consider discussing the use of Facebook pages with their patients diagnosed with endometriosis.
Collapse
Affiliation(s)
- Jordan Towne
- Departments of Obstetrics and Gynecology (Drs. Stuparich, Nahas, Behbehani, Ms. Towne, and Ms. Suliman); Entomology (Ms. Russell), University of California, Riverside, California.
| | - Yasmine Suliman
- Departments of Obstetrics and Gynecology (Drs. Stuparich, Nahas, Behbehani, Ms. Towne, and Ms. Suliman); Entomology (Ms. Russell), University of California, Riverside, California
| | - Kaleigh A Russell
- Departments of Obstetrics and Gynecology (Drs. Stuparich, Nahas, Behbehani, Ms. Towne, and Ms. Suliman); Entomology (Ms. Russell), University of California, Riverside, California
| | - Mallory A Stuparich
- Departments of Obstetrics and Gynecology (Drs. Stuparich, Nahas, Behbehani, Ms. Towne, and Ms. Suliman); Entomology (Ms. Russell), University of California, Riverside, California
| | - Samar Nahas
- Departments of Obstetrics and Gynecology (Drs. Stuparich, Nahas, Behbehani, Ms. Towne, and Ms. Suliman); Entomology (Ms. Russell), University of California, Riverside, California
| | - Sadikah Behbehani
- Departments of Obstetrics and Gynecology (Drs. Stuparich, Nahas, Behbehani, Ms. Towne, and Ms. Suliman); Entomology (Ms. Russell), University of California, Riverside, California
| |
Collapse
|
41
|
Stuparich M, Behbehani S, Nahas S. A Masquerade Ball: Polypoid Endometriosis Mimicking Peritoneal Carcinomatosis. J Minim Invasive Gynecol 2020. [DOI: 10.1016/j.jmig.2020.08.370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
42
|
Behbehani S, Suarez-Salvador E, Kosiorek H, Yi J, Magrina J. Impact of a Revised Cuff Closure Technique on the Rate of Vaginal Cuff Dehiscence with Endoscopic Hysterectomy. J Minim Invasive Gynecol 2020. [DOI: 10.1016/j.jmig.2020.08.150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
43
|
Misal M, Behbehani S, Yang J, Wasson MN. Is Hysterectomy a Risk Factor for Urinary Retention? A Retrospective Matched Case Control Study. J Minim Invasive Gynecol 2020; 27:1598-1602. [DOI: 10.1016/j.jmig.2020.02.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Revised: 02/22/2020] [Accepted: 02/25/2020] [Indexed: 11/16/2022]
|
44
|
Behbehani S, Salvador ES, Kosiorek H, Yi J, Magrina J. The Risk of Vaginal Cuff Dehiscence with Different Suture Types Following Endoscopic Hysterectomy. J Minim Invasive Gynecol 2020. [DOI: 10.1016/j.jmig.2020.08.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
45
|
Gochi AM, Coen N, Ge S, Stuparich MA, Nahas S, Behbehani S. INSTAGRAM USERS' CONTENT ON ENDOMETRIOSIS- DOES ENDOMETRIOSIS AWARENESS MONTH MAKE A DIFFERENCE? Fertil Steril 2020. [DOI: 10.1016/j.fertnstert.2020.08.604] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
46
|
Gutierrez M, Stuparich M, Behbehani S, Nahas S. Does closure of fascia, type, and location of trocar influence occurrence of port site hernias? A literature review. Surg Endosc 2020; 34:5250-5258. [PMID: 32728766 DOI: 10.1007/s00464-020-07826-8] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Accepted: 07/15/2020] [Indexed: 12/17/2022]
Abstract
BACKGROUND Since the introduction of laparoscopic surgery, it has become more popular with many advantages over open surgery including faster recovery, shorter hospital stays, and decreased tissue trauma. Despite its benefits, laparoscopic surgery can result in its own unique complications, such as the formation of a trocar site hernia (TSH), which have been reported in approximately 0-1.0% of laparoscopic cases when using non-bladed trocars. METHODS A literature review was performed from June 1990 to June 2019. PubMed was searched using the keywords "laparoscopic surgery," "trocar site hernia," and "port site hernia." Only articles in English were identified but not limited to the USA. RESULTS The total number of patients in all articles was 18,533 with a mean follow-up period of 22.50 ± 1.76 months. The overall trocar site hernia rate was 0.104%. When comparing open vs. closed ports, there was no significant difference in the hernia incidence rate for 5-mm and 10-mm ports. When comparing bladed versus non-bladed trocars left open, there was a statistically significant difference with lower hernia incidence rates for non-bladed trocars over bladed trocars for 5-mm, 10-mm, and 12-mm ports. And when comparing trocar location from midline versus off-midline, there was a statistically significant higher TSH incidence in midline trocar locations. CONCLUSION Results suggest that TSH rate is lower when using non-bladed trocars for any size of trocar. When comparing whether fascial closure had an effect, the 5-mm and 10-mm ports had no difference in incidence rates and leaving the fascia open can reduce operative time, risk of needlestick injuries, and overall procedural cost. In addition, trocars at midline locations resulted in higher TSH incidence rates. Future research is still needed to assess for other factors that may influence hernia formation and how it can be minimized.
Collapse
Affiliation(s)
- Monica Gutierrez
- Department of Obstetrics and Gynecology, University of California Riverside School of Medicine, 19330 Jesse Ln Suite 100, Riverside, CA, 92508, USA.,, Rancho Cucamonga, CA, USA
| | - Mallory Stuparich
- Department of Obstetrics and Gynecology, University of California Riverside School of Medicine, 19330 Jesse Ln Suite 100, Riverside, CA, 92508, USA
| | - Sadikah Behbehani
- Department of Obstetrics and Gynecology, University of California Riverside School of Medicine, 19330 Jesse Ln Suite 100, Riverside, CA, 92508, USA
| | - Samar Nahas
- Department of Obstetrics and Gynecology, University of California Riverside School of Medicine, 19330 Jesse Ln Suite 100, Riverside, CA, 92508, USA.
| |
Collapse
|
47
|
Garg N, Behbehani S, Kosiorek H, Wasson M. Hormone Replacement Therapy Prescription after Premature Surgical Menopause. J Minim Invasive Gynecol 2020; 27:1618-1623. [PMID: 32173578 DOI: 10.1016/j.jmig.2020.03.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Revised: 03/05/2020] [Accepted: 03/05/2020] [Indexed: 11/25/2022]
Abstract
STUDY OBJECTIVE To assess hormone replacement therapy (HRT) prescription pattern in patients undergoing premature surgical menopause on the basis of surgical indication. DESIGN Retrospective cohort study. SETTING Academic tertiary care center. PATIENTS Surgically menopausal patients aged ≤45 years who underwent a minimally invasive hysterectomy with salpingo-oophorectomy. INTERVENTIONS HRT prescription in the 6-week postoperative period. MEASUREMENTS AND MAIN RESULTS A total of 63 patients met inclusion criteria. Of these, 52% (n = 33) were prescribed HRT in the 6-week postoperative period. Indications for surgical menopause included pelvic pain or endometriosis (31.7%), gynecologic malignancy (20.6%), BRCA gene mutation (17.4%), breast cancer (9.5%), Lynch syndrome (4.8%), and other (15.8%). In total, 80% of patients with pelvic pain, 25% with gynecologic malignancies, 45% with BRCA gene mutations, 33.3% with breast cancer, and 66.6% with Lynch syndrome used HRT postoperatively. In patients who used HRT postoperatively, 76% were offered preoperative HRT counseling. This is in contrast with those patients who did not use HRT postoperatively, of whom only 33% were offered HRT counseling (p <.001). Perioperative complications were not predictive of HRT use postoperatively. In patients who did not use HRT postoperatively, 13.3% used alternative nonhormonal therapy. CONCLUSION In patients who underwent premature surgical menopause, 52% used HRT postoperatively. Patients with pelvic pain and Lynch syndrome were more likely to use HRT, whereas those with gynecologic or breast malignancies and BRCA gene mutations were less likely to use HRT. Preoperative HRT counseling was associated with postoperative HRT use.
Collapse
Affiliation(s)
- Nisha Garg
- Department of Obstetrics and Gynecology, University of California, Irvine (Dr. Garg)
| | - Sadikah Behbehani
- Department of Obstetrics and Gynecology, University of California, Riverside (Dr. Behbehani), California.
| | - Heidi Kosiorek
- Department of Health Sciences Research, Mayo Clinic Arizona, Scottsdale (Ms. Kosiorek)
| | - Megan Wasson
- Department of Gynecology, Mayo Clinic Arizona, Phoenix (Dr. Wasson), Arizona
| |
Collapse
|
48
|
Behbehani S, Wasson M. Author's Reply. J Minim Invasive Gynecol 2020; 27:1222. [PMID: 32165313 DOI: 10.1016/j.jmig.2020.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Accepted: 03/04/2020] [Indexed: 11/28/2022]
|
49
|
Behbehani S, Delara R, Yi J, Kunze K, Suarez-Salvador E, Wasson M. Predictors of Postoperative Urinary Retention in Outpatient Minimally Invasive Hysterectomy. J Minim Invasive Gynecol 2020; 27:681-686. [DOI: 10.1016/j.jmig.2019.06.003] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Revised: 05/16/2019] [Accepted: 06/06/2019] [Indexed: 10/26/2022]
|
50
|
Behbehani S, Suarez-Salvador E, Buras M, Magtibay P, Magrina J. Mortality Rates in Benign Laparoscopic and Robotic Gynecologic Surgery: A Systematic Review and Meta-analysis. J Minim Invasive Gynecol 2020; 27:603-612.e1. [DOI: 10.1016/j.jmig.2019.10.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Revised: 09/27/2019] [Accepted: 10/08/2019] [Indexed: 11/17/2022]
|