Surgical-site infection in gynecologic surgery: pathophysiology and prevention.

Surgical-site infections (SSIs) represent a well-known cause of patient morbidity as well as added health care costs. In gynecologic surgery, particularly hysterectomy, SSIs are often the result of a number of risk factors that may or may not be modifiable. As both the Centers for Medicaid and Medicare Services and the Joint Commission on the Accreditation of Healthcare Organizations have identified SSIs as a patient safety priority, gynecologic surgeons continue to seek out the most effective interventions for SSI prevention.

Perioperative management of gynecological surgery patients: does fellow involvement improve performance?

Introduction And Hypothesis: Physicians-in-training play a role in guiding patient care, and their contributions may improve adherence to clinical practice guidelines. However, there is scant information in the literature assessing this impact on perioperative decision-making. The purpose of this study was to determine whether involvement of urogynecology fellows results in closer adherence to guidelines regarding perioperative management of gynecological patients.

Renal insufficiency is not a contraindication for cryoablation of small renal masses.

Objective: Small, incidental renal masses are increasingly discovered in elderly patients with comorbid disease, such as chronic renal insufficiency (CRI). Observation of these masses or nephron-sparing surgery is the standard of care for these patients if possible. Laparoscopic renal cryotherapy (LRC) has been shown to be equivalent to laparoscopic partial nephrectomy in short-term follow-up for management of these masses.

Diagnosing cervical fusion: a comprehensive literature review.

Study Design: Comprehensive literature review.

Purpose: To document the criteria for fusion utilized in these studies to determine if a consensus on the definition of a solid fusion exists.

Overview Of Literature: Numerous studies have reported on fusion rates following anterior cervical arthrodesis.