Folgen
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Thoracic endometriosis occurs in about 12% of patients with advanced endometriosis. Due in part to its lower incidence and inherent diagnostic challenges, many providers are not well-versed in the workup and management of this advanced disease. In this episode of The BackTable OBGYN Podcast, host Dr. Mark Hoffman interviews Dr. Shanti Mohling, a gynecologic surgeon at Northwest Endometriosis and Pelvic Surgery, regarding her approach to thoracic endometriosis.
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CHECK OUT OUR SPONSOR
PearsonRavitz
https://pearsonravitz.com/backtable
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SYNPOSIS
The physicians discuss the embryological and congenital theories of endometriosis etiology, the impacts of retrograde menstruation, and epigenetic factors. Dr. Mohling shares insights into her advanced surgical techniques for treating endometriosis, including diaphragmatic and thoracic disease, and the importance of a comprehensive history, exam, and diagnostic imaging. Her practice patterns, patient care strategies, and interdisciplinary collaborations for optimal outcomes are also highlighted.
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TIMESTAMPS
00:00 - Introduction
06:40 - Pelvic Pain Workup
08:09 - Thoracic Endometriosis
14:12 - Medical Management Post-Surgery
18:48 - In-Office Ultrasound Techniques
23:33 - Collaboration in Surgery
24:59 - Preparing for Thoracic Endometriosis Surgery
36:44 - Managing Postoperative Care
41:13 - Theories on Endometriosis Etiology
46:31 - Concluding Thoughts -
Can cranberry juice prevent UTIs? In this BackTable OBGYN Brief, Dr. Suzette Sutherland and Dr. Anne Cameron discuss various strategies for preventing recurrent UTIs, including which supplements are effective. They cover the efficacy of cranberry supplements, emphasizing the importance of quality and proper compound concentration in products like Ellura. The discussion also addresses the limitations of cranberry juice and the resurgence of methenamine hippurate as a non-antibiotic preventive measure, supported by recent studies. Additionally, they outline comprehensive approaches, including lifestyle modifications, hydration, vaginal estrogen, and hygiene practices, while aiming to destigmatize the condition.
TIMESTAMPS
00:00 - Introduction
00:28 - Cranberry Supplements for UTI Prevention
01:22 - Choosing the Right Cranberry Product
03:05 - Effectiveness and Dosage
05:27 - Cranberry Juice vs. Supplements
06:45 - Exploring Hiprex and Vitamin C
07:08 - Methenamine Hippurate: An Old Medication Revisited
08:59 - Overall Strategy for Managing Recurrent UTIs
11:09 - Vaginal Estrogen
11:48 - Final Thoughts
CHECK OUT THE FULL EPISODE
BackTable OBGYN Ep. 42 - Recurrent UTIs: Controlling Those Nasty Little Bladder Infections
https://www.backtable.com/shows/obgyn/podcasts/42/recurrent-utis-controlling-those-nasty-little-bladder-infections -
Fehlende Folgen?
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Vulvovaginal disorders can be very complex to manage, and many OBGYNs struggle with diagnosis and treatment, especially if topical steroids don’t improve symptoms. In this episode of the BackTable OBGYN Podcast, guest host Dr. Jessica Ritch welcomes Dr. Hope Haefner, a leading expert in women’s health, to discuss diagnosis and management of several vulvovaginal diseases.
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CHECK OUT OUR SPONSOR
PearsonRavitz
https://pearsonravitz.com/backtable
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SYNPOSIS
The discussion covers the importance of accurate diagnosis through physical exams and intake surveys, approaches to pain and symptom management, the significance of vestibulectomy, and the implementation of different treatments for conditions such as vulvodynia, lichen sclerosus, and hidradenitis suppurativa. Dr. Haefner emphasizes the importance of early treatment, the multidisciplinary approach in their clinic, the use of different types of steroids for lichen sclerosus, and innovative treatments and diagnostics. She discusses next-step treatments if common treatments aren’t working, such as the “lichen sclerosus cocktail.” Finally, the episode highlights the need for ongoing professional education and provides resources for further learning.
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TIMESTAMPS
00:00 - Introduction
04:21 - Common Symptoms and Initial Diagnosis
07:19 - Examination and Workup
13:44 - Treatment Approaches for Vulvodynia
20:27 - Managing Lichen Sclerosus
32:27 - Products to Avoid
36:29 - Anoscopy for HPV
40:34 - Addressing Hidradenitis Suppurativa
44:39 - Final Thoughts and Resources
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RESOURCES
Resources for Everything Vulvovaginal Disorder (by Dr. Haefner):
https://www.dropbox.com/sh/r8nhr1j8c19tn9n/AACRLvxGGSgEtZCi6Zzh-yBQa?e=2&dl=0 -
OBGYN Brief - Definition and Diagnosis of a Clinical UTI
Cultures are key when it comes to managing UTIs. In this brief, Dr. Anne Cameron discusses the definitions, symptoms, prevalence, and management of urinary tract infections (UTIs). They delve into the differences between bladder infections and kidney infections, the importance of symptomatology along with bacterial evidence for proper diagnosis, and the higher susceptibility of women to UTIs compared to men. The brief emphasizes the complexities of recurrent UTIs, including the challenges in treatment due to improper antibiotic use, persistence of infection, and anatomical or physiological risk factors. Dr. Cameron also explains the necessity of urine cultures in ensuring effective treatment and the various factors that contribute to recurrent UTIs.
TIMESTAMPS
00:00 - Introduction
00:15 - Definitions and Symptoms of UTIs
01:49 - Prevalence of UTIs in Women and Men
02:44 - Recurrent UTIs: Definitions and Challenges
04:48 - Investigating and Treating Persistent UTIs
CHECK OUT THE FULL EPISODE
BackTable OBGYN Ep. 42 - Recurrent UTIs: Controlling Those Nasty Little Bladder Infections
https://www.backtable.com/shows/obgyn/podcasts/42/recurrent-utis-controlling-those-nasty-little-bladder-infections -
Women’s health has a history of being underfunded in the United States, leading many women to receive suboptimal care. In this episode of the BackTable OBGYN podcast, hosts Dr. Mark Hoffman and Dr. Amy Park engage in a detailed discussion with Dr. Louise P. King, a minimally invasive gynecologic surgeon, and Christopher Robertson, a law professor at Boston University, regarding the inequitable reimbursement structures that persist within the field of OBGYN.
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SYNPOSIS
The guests emphasize the systemic discrepancies between gynecologic and other surgical disciplines. The conversation delves into the origins of these disparities, the complexities of revising current codes and creating new codes, and potential legislative and legal remedies to address gender-based inequities. The guests also stress the importance of patient care outcomes and the role of proper reimbursement in enhancing healthcare delivery.
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TIMESTAMPS
00:00 - Introduction
06:28 - Background on RVUs and Disparities in OBGYN
12:39 - Gender Disparities in Medical Billing
18:00 - Efforts to Address Inequities
31:22 - RUC Structure and Surgical Specialties
32:42 - Billing and Reimbursement Inequities
35:15 - Diagnosis Related Groups
36:42 - Turnover Times and Gender Disparities
40:21 - Advocacy and Legislative Solutions
48:23 - Legal Approaches for Change
52:44 - Conclusion
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RESOURCES
Watson KL, King LP. Double Discrimination, the Pay Gap in Gynecologic Surgery, and Its Association With Quality of Care. Obstet Gynecol. 2021 Apr 1;137(4):657-661. doi: 10.1097/AOG.0000000000004309. PMID: 33706362.
Robertson, Christopher T. and Kupke, Annabel and King, Louise P., Structural Sex Discrimination: Why Gynecology Patients Suffer Avoidable Injuries and What the Law Can Do About It (May 9, 2024). Emory Law Journal, Forthcoming, Boston Univ. School of Law Research Paper Forthcoming, Available at SSRN: https://ssrn.com/abstract=4800783 or http://dx.doi.org/10.2139/ssrn.4800783 -
With contemporary treatment options, your female patients don’t have to live with urinary incontinence! In this crossover episode of BackTable Urology and OBGYN, host Dr. Suzette Sutherland from University of Washington interviews Dr. Sarah Boyles, a urogynecologist at The Oregon Clinic, regarding female urinary incontinence, its diagnostic criteria, and various treatment options to help improve quality of life in the incontinence patient.
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CHECK OUT OUR SPONSOR
PearsonRavitz
https://pearsonravitz.com/backtable
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SYNPOSIS
First, Dr. Boyles explains the importance of patient history and physical examination, along with the need for certain diagnostic tests for proper characterization of the type of urinary incontinence in a patient. She also explores behavioral treatments, pelvic floor physical therapy, vaginal pessaries, and advanced interventions such as urethral bulking and surgery for stress incontinence. The doctors further discuss innovative pharmaceutical and neuromodulation options for urge incontinence.
Dr. Boyles concludes with a mention of patient education resources that are available on her platform, thewomensbladderdoctor.com.
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TIMESTAMPS
00:00 - Introduction
02:35 - The Women’s Bladder Doctor Initiative
07:03 - Types of Urinary Incontinence
11:49 - Diagnostic Approaches to Urinary Incontinence
28:39 - Treatment Algorithms for Urinary Incontinence
31:12 - Bladder Retraining and Pelvic Floor Therapy
40:00 - Urethral Seals and Vaginal Pessaries
50:47 - Treatment for Urgency
57:51 - Future Directions
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RESOURCES
Pearson Ravitz
https://pearsonravitz.com/
The Women’s Bladder Doctor
https://thewomensbladderdoctor.com/ -
Often the first practical thing we’re taught in medical school is the importance of taking a thorough patient history. In this BackTable OBGYN Brief, Dr. Mark Hoffman and Dr. Ted Lee bring us back to the basics and emphasize the importance of conducting a quality patient interview to elucidate symptoms of endometriosis.
The physicians first explore the limitations and practicalities of patient surveys, and move on to discuss the importance of thorough history taking along with specific symptoms to look for. The conversation also delves into the diagnostic challenges and delay of diagnosis in endometriosis patients. They explain the role of surgical diagnosis in endometriosis, emphasizing the necessity of listening to and believing patients’ experiences with chronic pelvic pain.
TIMESTAMPS:
00:00 - Introduction
00:14 - Initial Patient Workup: Surveys and History
01:19 - Key Patient History Indicators
04:24 - Endometriosis Symptoms
07:49 - Treatment Approaches and Surgical Considerations
09:32 - Barriers to Diagnosis
CHECK OUT THE FULL EPISODE
BackTable OBGYN Ep. 30: Ambulatory Workup of Endometriosis Patients
https://www.backtable.com/shows/obgyn/podcasts/30/ambulatory-workup-of-endometriosis-patients -
In the modern era of rapid technological progress and AI, the medical community is abuzz with discussions on how medicine will change and how practice will adapt. In this episode of the BackTable OBGYN podcast, hosts Dr. Mark Hoffman and Dr. Amy Park welcome Dr. Arnold Advincula, a leading figure in minimally invasive and robotic surgery, to discuss the evolution and impact of robotic surgery in the field of gynecology.
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SYNPOSIS
Dr. Advincula shares his journey from training to pioneering robotic-assisted procedures, emphasizing the benefits and challenges faced along the way. The conversation delves into the future of robotics, including the potential of AI in surgery and the integration of digital tools to enhance surgical outcomes. Listeners gain insights into the importance of ergonomic surgery, the advancements in robotic technology, the future of minimally invasive gynecologic surgery, and the collaborative efforts required to elevate patient care in gynecology.
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TIMESTAMPS
00:00 - Introduction
06:05 - Pioneering Robotic Surgery
12:50 - Challenges and Innovations
24:43 - Allure of Robotic Surgery
28:05 - Challenges in Rural Healthcare
35:00 - Future of Minimally Invasive Surgery
42:00 - Advancements in Surgical Training
43:35 - Ergonomics
49:28 - The Future of Gynecologic Surgery
53:06 - Closing Thoughts
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RESOURCES
BackTable OBGYN Ep. 2: Surgeon Ergonomics
https://www.backtable.com/shows/obgyn/podcasts/2/surgeon-ergonomics -
In this BackTable OBGYN Brief, Dr. Mark Hoffman and Dr. Ted Lee discuss the clinical approach to diagnosing endometriosis through physical exam and imaging, and the collaborative surgical approach to treating it.
Dr. Lee explains the importance of detailed patient history and various examination techniques, including palpation and rectovaginal exams, to identify potential signs of endometriosis. He emphasizes the specificity of these exams in differentiating endometriosis pain from other causes. The discussion also covers the role of imaging, such as MRI, particularly in advanced cases, and the collaborative approach with colorectal surgeons for bowel-related complications. Dr. Lee shares insights on the use of physical therapy and managing musculoskeletal pain related to endometriosis, highlighting the importance of multi-disciplinary care for optimal patient outcomes.
TIMESTAMPS
00:00 - Introduction
00:15 - Initial Patient Assessment for Endometriosis
01:00 - Detailed Physical Exam Techniques
07:00 - Imaging and Further Diagnostic Steps
10:55 - Collaborative Surgical Approach
CHECK OUT THE FULL EPISODE
BackTable OBGYN Ep. 30: Ambulatory Workup of Endometriosis Patients
https://www.backtable.com/shows/obgyn/podcasts/30/ambulatory-workup-of-endometriosis-patients -
In this episode of the BackTable OBGYN podcast, host Dr. Mark Hoffman is joined by MIGS specialist Dr. Uchenna Acholonu to discuss the intricacies of complex gynecologic surgeries, focusing particularly on handling large uteruses during total laparoscopic hysterectomy (TLH).
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SYNPOSIS
The discussion begins with talk of the doctors’ practices and friendship. They then cover comprehensive patient evaluations and various surgical techniques, including skeletonizing the uterines, colpotomy tricks, uterine manipulators, and morcellation. Dr. Acholonu also shares his personal routines and preferences, including the use of a flexible scope to get around the big uterus. The duo exchange insights on surgical techniques, patient-centered care, and the continuous learning necessary in the medical field. They emphasize the significance of safety, adequate planning, and the benefits of engaging in community networks for better surgical outcomes. The conversation concludes with a light-hearted note on their shared experiences and camaraderie, offering both educational value and a glimpse into the dynamic relationship between two seasoned professionals.
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TIMESTAMPS
00:00 - Introduction
04:01 - Building a Subspecialty Practice
07:34 - Patient Referrals
12:41 - Surgical Approach
16:06- The Big Uterus
28:36 - Surgical Steps in TLH, Skeletonizing the Uterines
32:56 - Challenges and Solutions
36:49 - Energy Sources and Surgical Tools
42:34 - Colpotomy
44:43 - Tissue Extraction and Morcellation
50:27 - Closing and Post-Operative Care
52:05 - Use of Lupron
53:16 - Final Thoughts -
In this BackTable OBGYN Brief, host Dr. Mark Hoffman interviews Dr. Jan Baekelandt from Belgium about vNOTES (vaginal natural orifice transluminal endoscopic surgery) incision placement to allow future vaginal deliveries and prevent dyspareunia.
First, Dr. Hoffman discusses the nuances of laparoscopy, particularly the preference for smaller incisions to reduce hernia rates and postoperative pain. The conversation covers the specifics of performing colpotomy and the risks associated with different types of incisions, including vaginal and abdominal. Dr. Baekelandt emphasizes the importance of proper training and starting with simpler cases when introducing new surgical techniques like vNOTES.
TIMESTAMPS
00:00 - Introduction
00:32 - Concerns About Hernia Rates and Incisions
01:05 - Vaginal Incisions and Their Implications
02:35 - Vaginal Deliveries After vNOTES
03:55 - Dyspareunia After vNOTES
04:13 - Technical Details on Incision Placement
05:53 - Closing Techniques
06:45 - Advice for Surgeons Introducing vNOTES
CHECK OUT THE FULL EPISODE
BackTable OBGYN Ep 31: The vNOTES Procedure
https://www.backtable.com/shows/obgyn/podcasts/31/the-vnotes-procedure -
In this BackTable OBGYN Brief, host Dr. Mark Hoffman speaks with Dr. Jan Baekelandt about the specific challenges and complications associated with vNOTES, as well as contraindications to be mindful of.
They discuss the nuances of uterine artery management and the benefits and risks of the Alexis ring, especially for hemostasis. The doctors go on to discuss contraindications for vNOTES, including complex endometriosis and pelvic scarring. Dr. Baekelandt also shares insights on avoiding ureteric and bladder injuries and future direction of vNOTES.
TIMESTAMPS
00:00 - Introduction
00:14 - Understanding vNOTES Complications
00:50 - Techniques for Uterine Artery Management
02:13 - Hemostasis
03:24 - Challenges with Ureter and Bladder Management
09:44 - Contraindications to vNOTES
12:07 - Future Directions
CHECK OUT THE FULL EPISODE
BackTable OBGYN Ep 31: The vNOTES Procedure
https://www.backtable.com/shows/obgyn/podcasts/31/the-vnotes-procedure -
Gynecologic oncology experts Dr. Matthew Powell from Washington University School of Medicine and Dr. Amanda Fader from Johns Hopkins Hospital discuss the increasing rates of endometrial cancer along with future directions of treatments and screenings.
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SYNPOSIS
First, the physicians discuss trends in endometrial cancer rates and delve into the factors driving these trends, such as the obesity epidemic and aging population. They explore the differences between endometrioid and non-endometrioid cancers, along with the impact of racial and geographic disparities. The conversation also covers advances in diagnostics and treatments—including immunotherapy and targeted therapies—and the critical need for better awareness, screening practices, and research funding to combat this public health threat.
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TIMESTAMPS
00:00 - Introduction
03:11 - Types of Endometrial Cancer
04:44 - Rising Rates and Risk Factors
08:03 - Disparities in Endometrial Cancer Care
10:37 - Symptoms and Diagnosis
13:52 - Ultrasound vs. Biopsy
16:17 - Challenges in Biopsies
20:58 - Management/Treatment Approaches
23:03 - Geographic Disparities/Access to Care
26:07 - Vaginal Brachytherapy
32:11 - Innovations in Treatment and Research
40:34 - Future Directions: Endometrial Screening
43:54 - AI in Gynecologic Oncology
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RESOURCES
Beavis, A. L., Blechter, B., Najjar, O., Fader, A. N., Katebi Kashi, P., & Rositch, A. F. (2023). Identifying women 45 years and younger at elevated risk for endometrial hyperplasia or cancer. Gynecologic Oncology, 174, 98–105. https://doi.org/10.1016/j.ygyno.2023.04.019
Mirza, M. R., Sharma, S., Roed, H., Landrum, L. M., Gilbert, L., Gold, M. A., Novák, Z., Edelson, M., Meirovitz, M., Diaz, J. P., Huygh, G., Buscema, J., Pothuri, B., Eshed, H. D., Coleman, R. L., Slomovitz, B. M., Kostadinov, R., Stevens, S., Ronzino, G., & Powell, M. A. (2024). Post hoc analysis of progression-free survival (PFS) and overall survival (OS) by mechanism of mismatch repair (MMR) protein loss in patients with endometrial cancer (EC) treated with Dostarlimab plus chemotherapy in the ruby trial. Journal of Clinical Oncology, 42(16_suppl), 5606–5606. https://doi.org/10.1200/jco.2024.42.16_suppl.5606
Society of Gynecologic Oncology (SGO):
https://www.sgo.org/ -
Dr. Aditya Bagrodia sits down with Elie Toubiana, founder and CEO of ScribeMD.ai, to discuss the transformative potential of artificial intelligence (AI) in medical documentation.
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SYNPOSIS
Their conversation covers the capabilities and benefits of using an AI-driven medical scribe that ensures HIPAA compliance, reduces physician burnout, and enhances patient interactions. Elie also shares his insights about the technology’s adaptability across various medical fields. Finally, Dr. Bagrodia and Elie discuss ethical considerations surrounding applications of AI in other aspects of healthcare, such as medical workup and diagnosis.
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TIMESTAMPS
00:00 - Introduction
06:00 - How ScribeMD AI Works
14:14 - Integration with EMR
20:31 - Legal Considerations with AI Technology
26:34 - Cost Implications of AI Scribes
38:46 - Future of AI in Medical Diagnosis
41:45 - Conclusion and Final Thoughts
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RESOURCES
ScribeMD.ai
https://www.scribemd.ai/ -
Hosts Dr. Mark Hoffman and Dr. Amy Park invite Dr. Vadim Morozov, a minimally invasive gynecologic surgeon at MedStar Washington Hospital Center, to discuss the applications and implications of artificial intelligence (AI) in gynecologic surgery both currently and in the future.
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SYNPOSIS
Dr. Morozov shares his insights on the basics of AI as well as how it is currently being used in medicine and research. He shares his experiences working with AI to develop algorithms for robotic gynecologic procedures. Furthermore, he predicts the direction AI is going in medicine and highlights the complexities and ethical considerations of integrating AI into medical practice. The conversation delves into the advancements, potentials, and concerns surrounding AI, addressing its impact on surgery, privacy, and the future of medical practice.
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TIMESTAMPS
00:00 - Introduction
03:52 - AI in Gynecologic Surgery
06:10 - Understanding AI Basics
13:24 - AI in Medical Applications
17:09 - Future of AI in Medicine
33:24 - AI in Surgery
45:10 - Data and Privacy Concerns
57:35 - Call to Action: Get Involved
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RESOURCES
BUMP Study:
Goodday, S.M., Karlin, E., Brooks, A. et al. Better Understanding of the Metamorphosis of Pregnancy (BUMP): protocol for a digital feasibility study in women from preconception to postpartum. npj Digit. Med. 5, 40 (2022). https://doi.org/10.1038/s41746-022-00579-9 -
In this BackTable OBGYN Brief, host Dr. Mark Hoffman and Dr. Jan Baekelandt explore the benefits of vNOTES, especially in certain patient populations – obese patients, patients with a history of multiple abdominal surgeries, and those with a large uterus.
Dr. Baekelandt highlights the aesthetic advantages of minimized scarring in vNOTES alongside clinical benefits such as reduced postoperative pain, lower analgesia use, and shorter hospitalization times. They discuss the outcomes of randomized controlled trials that compare vNOTES with laparoscopy and the specific groups of patients who benefit most from vNOTES. The episode also delves into the technical aspects of vNOTES and its potential advantages in oncology procedures.
TIMESTAMPS
00:00 - Introduction
00:14 - Benefits of vNOTES
03:21 - Special Patient Groups
06:10 - Technical Aspects and Surgical Techniques
08:31 - Oncology Applications and Future Potential
CHECK OUT THE FULL EPISODE
BackTable OBGYN Ep 31: The vNOTES Procedure
https://www.backtable.com/shows/obgyn/podcasts/31/the-vnotes-procedure -
In this BackTable OBGYN Brief, host Dr. Mark Hoffman interviews Dr. Jan Baekelandt about the basics and history of vaginal natural orifice transluminal endoscopic surgery (vNOTES), including its learning curve for surgeons.
Dr. Baekelandt explains the benefits of performing gynecological operations through the vagina rather than the abdominal wall, allowing for quicker recovery and reduced invasiveness. They discuss the historical context of vNOTES, the integration of laparoscopic tools, and the challenges and learning curves associated with mastering this dual-skillset procedure.
TIMESTAMPS
00:00 - Introduction
00:14 - Understanding vNOTES
02:10 - Dr. Baekelandt’s Journey with vNOTES
04:03 - History and Technological Advancements
05:00 - TLH vs. vNOTES
07:36 - Challenges and Learning Curve in vNOTES
CHECK OUT THE FULL EPISODE
BackTable OBGYN Ep 31: The vNOTES Procedure
https://www.backtable.com/shows/obgyn/podcasts/31/the-vnotes-procedure -
This episode of the BackTable OBGYN podcast features Dr. Barbara Levy, an OBGYN and seasoned expert in medical coding and reimbursement, discussing the nuances of medical billing, the process of creating medical codes, and how medical practices and expenses are valued differently.
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Cerene Cryotherapy
https://cerene.com/healthcare-professionals/
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SYNPOSIS
Key topics from this episode include the impact of indirect practice expenses, the role of different organizations in surveying costs and implementing new codes, the importance of coding for procedure reimbursement, and a task force’s findings on gender disparities in coding. The conversation transitions into the practical implications of where procedures are performed (office vs. surgical center vs. hospital) and how this impacts payment and patient costs. Dr. Levy emphasizes the efficiency and patient benefits of office-based procedures, exemplified by the Cerene cryotherapy ablation device. The complexities of the reimbursement system, including work Relative Value Units (RVUs), facility fees, and the push towards bundling services, are unpacked. The episode underscores the importance of understanding healthcare economics to advocate effectively for patient care improvements.
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TIMESTAMPS
00:00 - Introduction
02:24 - History of Medical Coding
11:32 - The Process of Medical Code Creation
21:15 - Understanding RVUs and Practice Expenses
26:35 - Challenges of Accurately Valuing Procedures
32:05 - Changing Codes/Reimbursement: Endometriosis Example
36:06 - The Art and Science of Medical Coding
39:26 - Site of Service and Facility Fees
51:15 - Benefits of Outpatient Procedures
55:46 - Example: Cerene Cryoablation
58:14 - Addressing Gender Disparities in Medical Reimbursement
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RESOURCES
ACOG Resources on Coding and Billing:
https://www.acog.org/practice-management/coding -
In this episode of the BackTable OBGYN podcast, Drs. Kimberly (Kim) Kenton and Margaret (Maggie) Mueller discuss advancements in patient recovery guidelines, particularly after gynecologic surgeries.
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SYNPOSIS
The discussion first covers the evolution of post-operative care protocols, emphasizing the lack of evidence behind traditional post-op restrictions and highlighting recent studies that suggest liberal post-operative activities might lead to better recovery outcomes without compromising surgical results. Additionally, the episode touches on the impact of minimally invasive surgical techniques, such as single port surgeries, on patient recovery times and hospital system efficiencies. Finally, the conversation delves into the shift towards team-based care, where nurses and nurse practitioners actively participate in pre-op counseling, educating patients, and enhancing the overall healthcare team’s efficiency. The overarching theme is the crucial role of evidence-based practice in improving patient care and recovery in obstetrics and gynecology.
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TIMESTAMPS
00:00 - Introduction
02:57 - Exploring Postoperative Restrictions in Gynecologic Surgery
20:56 - Adapting Postoperative Visits
26:02 - Recovery Times, Hospital Stays, and the Impact on Patients and Healthcare
35:58 - Team-Based Care and Communication Strategies
44:38 - Surgical Techniques and Recovery Insights
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RESOURCES
Mueller MG, Kenton K. Activity Restrictions After Gynecologic Surgery. Obstet Gynecol. 2024 Mar 01; 143(3):378-382. PMID: 38207325; PMCID: PMC10863662. - Mehr anzeigen
