It used to be a salvage procedure when you were out of options. His point being that this is where the industry came from. They had a success rate of almost 90% and there were no mesh-related complications. His first argument discussed a prospective analysis in Female Pelvic Medicine & Reconstructive Surgery, in which researchers presented 5-year results of robotic sacrocolpopexy, defining success as no retreatment with surgery or pessary, no pelvic organ prolapse (POP) beyond the hymen, no apical descent greater than -5, and no POP symptoms. Rosenblatt began the debate by asserting his position on vaginal mesh. Iglesia, MD, FACOG, presented evidence to determine the superior method in pelvic reconstructive surgery. The US Food and Drug Administration FDA removed vaginal mesh kits from the market, which then refocused attention on the outcomes of native tissue repairs. The outcomes of native tissue repair versus mesh augmented repairs became the topic of much debate over the past several years. The superior method for pelvic organ prolapse repair: Mesh or native tissue repair? To set yourself up for a successful robotic myomectomy, Garza suggests implementing patient selection, utilizing magnetic resonance imaging (MRI) for preoperative planning, and minimizing blood loss during the procedure, maximizing efficiency, and tissue extraction strategy. How many are there? How big is their weight? Where are they located?” “And so, your strategy with myomectomies is the same thing. “When it comes to fibroids, everybody knows not everyone in the US has the same amount of fibroid incidence, but it all depends on key factors-the size, the number, the location,” Garza said. Garza discussed reproducible strategies to facilitate an efficient and safe robotic approach to myomectomy and demonstrated operative strategies through clinical video examples.
Recovery effects cutting room floor how to#
In this presentation, Devin Garza, MD, FACOG, provided strategies on how to perform a successful myomectomy.
If you were unable to attend virtually or live, continue reading and check out the links below for our extensive coverage of AAGL’s 50th Global Congress on MIGS to catch up on anything you might have missed. From discovering the best practices to perform a successful myomectomy to utilizing radiofrequency ablation for uterine fibroids, Contemporary OB/GYN® was there to cover it all. There was so much to learn, see, and do at the American Association of Gynecologic Laparoscopists’ (AAGL) 50th Global Congress on minimally invasive gynecologic surgery (MIGS) held both virtually and live in Austin, Texas from November 14-17.Ĭontemporary OB/GYN® covered the meeting live onsite and attended multiple informational panel discussions, debates, and presentations.