Publications by authors named "Dobie L Giles"
Introduction And Hypothesis: There is a need for cost effective interventions that increase surgical preparedness in urogynecology.
Methods: We performed an ancillary prospective economic evaluation of the Telehealth Intervention to Increase Patient Preparedness for Surgery (TIPPS) Trial, a randomized multicenter trial that evaluated the impact of a preoperative telehealth call on surgical preparedness in women undergoing urogynecologic surgery. A within-trial analysis from the health care sector and societal perspective was performed.
Importance: Residency education is moving toward competency-based learning, which requires novel educational methods. One solution is structured learning through a formalized curriculum.
Objective: The purpose of this study is to evaluate the educational aspects of a novel structured curriculum in female pelvic medicine and reconstructive surgery.
Purpose: There is growing evidence of a direct association between pentosan polysulfate (PPS) therapy and the development of macular changes. Using standardized visual acuity (VA) testing and multimodal imaging, we investigated the impact of PPS therapy on vision and described an expanded spectrum of imaging findings among PPS users.
Design: Cross-sectional screening study.
Updated Prevalence of Urinary Incontinence in Women: 2015-2018 National Population-Based Survey Data.
Female Pelvic Med Reconstr Surg
April 2022
Objectives: This study aimed to update estimates of urinary incontinence (UI) prevalence and associated risk factors for adult women in the United States, using the National Health and Nutrition Examination Survey (NHANES).
Methods: We used descriptive analysis of 2015-2018 NHANES weighted data for women to estimate prevalence and characterize UI types and severity. Logistic regression modeling determined adjusted associations with UI.
Introduction And Hypothesis: Methods to increase surgical preparedness in urogynecology are lacking. Our objective was to evaluate the impact of a preoperative provider-initiated telehealth call on surgical preparedness.
Methods: This was a multicenter randomized controlled trial.
Introduction And Hypothesis: To determine whether consultation with pelvic floor physical therapy (PFPT) at the time of initial urogynecologic evaluation increases adherence to PFPT and to identify factors associated with PFPT attendance and completion.
Methods: We performed a retrospective chart review of all patients evaluated for new urogynecology consultation at our institution in a 1-year period, abstracting data about demographics, diagnoses, and PFPT referral, attendance, and completion. Descriptive analyses compared patients who were referred to, attended, and completed PFPT, stratified by whether they saw PFPT the same day as their initial urogynecologic consultation.
Preemptive Analgesia in Minimally Invasive Gynecologic Surgery.
J Minim Invasive Gynecol
February 2019
Preemptive analgesia is an intervention provided before initiating painful stimuli that may reduce or prevent subsequent pain. This systematic review examines the evidence supporting the practice of preemptive analgesia in minimally invasive gynecologic surgery (MIGS). We searched PubMed, Cochrane Register for Controlled Trials, and Embase from inception through February 26, 2018.
View Article and Find Full Text PDFRobotic transperitoneal infrarenal aortic lymphadenectomy: technique and results.
Int J Gynecol Cancer
January 2010
Article Synopsis
- - The study aimed to assess the feasibility and outcomes of a robotic surgical technique called transperitoneal infrarenal aortic lymphadenectomy, particularly in treating gynecologic cancers.
- - Researchers developed the technique in female cadavers and tracked results from 33 patients, finding an average surgical time of 42 minutes and an average of 12.9 lymph nodes removed per patient.
- - The findings indicate that this robotic procedure is both safe and effective, although it requires specific adjustments like table rotation and extra trocar sites when used alongside other robotic pelvic surgeries.
Objective: We assessed safety and efficacy of an open laparoscopic entry technique.
Methods: A retrospective review of all patients undergoing laparoscopy via open laparoscopic access over an 8-year period from January 1, 1998 to December 31, 2006 is presented.
Results: During the study period, 2010 consecutive subjects underwent laparoscopy.
Background: Laparoscopic sacrocolpopexy (LSCP) offers a minimally invasive approach for treating vaginal vault prolapse. The Da Vinci robotic surgical system may decrease the difficulty of the procedure. The objective of this study was to describe the surgical technique of robotic-assisted sacrocolpopexy (RASCP) and evaluate its feasibility, safety, learning curve, and perioperative complications.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to evaluate how effective watching a 6-minute educational video is in helping candidates learn laparoscopic suturing skills.
- Conducted at a tertiary care academic medical center, the study involved 12 medical candidates who were assessed on their suturing tasks before and after viewing the video.
- Results showed a 20% improvement in task completion times after watching the video, indicating that the video was a beneficial tool for mastering basic laparoscopic suturing techniques.
Background: Several complications are associated with healing after pelvic reconstructive surgery for stress urinary incontinence. These include infection, hemorrhage, erosion, and fistula formation.
Case: A 67-year-old woman presented with simultaneously draining vaginal and suprapubic sinuses.