Obstetrics and gynecology clinics of North America
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Obstet. Gynecol. Clin. North Am. · Dec 2013
ReviewHysteroscopic sterilization in the office setting.
Hysteroscopic sterilization is growing in popularity. Nearly 500,000 women have been sterilized using this method, and an increasing number of physicians are now performing this procedure in the office setting. ⋯ Physicians may improve productivity through remaining in their office or avoiding operating room delays. This article reviews office-hysteroscopic sterilization with the Essure microinsert system.
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Obstet. Gynecol. Clin. North Am. · Dec 2013
ReviewPain relief for obstetric and gynecologic ambulatory procedures.
As minor gynecologic procedures move from the operating room to the office, providers need to ensure that patients are comfortable and that procedures are performed safely. Although local anesthesia is commonly used for gynecologic procedures, a multimodal approach may be more effective. If necessary, sedation can be safely provided in an office setting with the correct tools and training. This article reviews evidence-based approaches to pain management for gynecologic procedures in the ambulatory setting.
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Female pelvic medicine and reconstructive surgery (FPMRS) is a rapidly expanding surgical specialty that focuses on the evaluation and treatment of pelvic floor disorders in women. Evaluation and treatment of several pelvic floor disorders can be accomplished with office-based procedures, yielding significant advantages to the patient, physician, and health system. This article describes the common and more useful office-based procedures for the FPMRS physician, covering 4 major categories: cystourethroscopy, procedures for stress urinary incontinence, procedures for urge urinary incontinence, and management of surgical complications.
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Obstet. Gynecol. Clin. North Am. · Sep 2013
ReviewControversies regarding mammography, breast self-examination, and clinical breast examination.
The number of women diagnosed with breast cancer continues to increase, but mortality rates have substantially declined. Much of the credit for this decline has been attributed to early detection from mammographic screening. ⋯ One of the greatest barriers to achieving consensus is the lack of agreement about the purpose of screening efforts. This article reviews many of the current controversies and attempts to clarify the arguments.