Evaluating the Impact of Office Hysteroscopy in a Military Treatment Facility.

Introduction: Office hysteroscopy has become a cornerstone of modern gynecologic care through the advent of advanced technology and emphasis on an efficient healthcare system. In 2017, Medicare announced an increase in office hysteroscopy reimbursement by 237%, giving an incentive for gynecologists to move from the operating room into the clinic. The U.

Review of Sterilization Techniques and Clinical Updates.

Sterilization is the most common form of contraception used worldwide and is highly effective in preventing unintended pregnancy. Each of the available sterilization methods has unique advantages and disadvantages that influence the choice of approach for each individual patient. Salpingectomy for sterilization has become more popular in recent years, with mounting evidence suggesting a protective effect against ovarian cancers originating in the fallopian tube.

Comparison of two simulation systems to support robotic-assisted surgical training: a pilot study (Swine model).

Objective: To compare the efficacy of simulation-based training between the Mimic dV- Trainer and traditional dry lab da Vinci robot training.

Design: A prospective randomized study analyzing the performance of 20 robotics-naive participants. Participants were enrolled in an online da Vinci Intuitive Surgical didactic training module, followed by training in use of the da Vinci standard surgical robot.

Incidental gynecological findings on computed tomographic colonography: prevalence and outcomes.

Objectives: Computed tomographic colonography (CTC) is an investigational method for detecting colorectal polyps. Our objectives were to determine the prevalence of gynecologic findings found incidentally on CTC, and to determine the incidence of additional radiological studies and surgical procedures.

Methods: An electronic database identified female patients who underwent CTC at Walter Reed Army Medical Center from January 2002 to July 2005.

Too little time to teach? Medical student education and the resident work-hour restriction.

Objective: The purpose of this study was to examine the impact of the resident duty-hour restriction on medical student education through a survey of faculty, residents, and interns, with interns providing experience as students relative to implementation of work-hour restrictions.

Methods: A survey was performed at two (one military and one civilian) obstetrics and gynecology residency programs. Additional surveys were obtained from an Association of Professors of Gynecology and Obstetrics workshop, which included military and nonmilitary attendees.

Simulation training improves resident performance in operative hysteroscopic resection techniques.

Objective: The purpose of this study was to determine whether a simulated training scenario improved resident performance in operative hysteroscopic resection.

Study Design: An interventional cohort study evaluated the ability of a hysteroscopic simulation model to improve resident performance in hysteroscopy. Residents were evaluated on operative hysteroscopy before training and at 1 and 6 months after training.

Utility of ultrasound in the combat theater: experiences of a gynecologist during Operation Iraqi Freedom/Operation Enduring Freedom.

Objective: The purpose of this study was to evaluate the utility of ultrasound in a combat theater.

Methods: A retrospective review of gynecology visits was evaluated at Camp Doha, Kuwait, from August 2003 through April 2004. Of the 1,737 visits, 237 required pelvic ultrasound.

Sexually transmitted diseases in Operation Iraqi Freedom/Operation Enduring Freedom.

Objective: To identify the incidence of sexually transmitted diseases (STDs) in a female active duty population deployed in support of Operation Iraqi Freedom/Operation Enduring Freedom was the objective of this study.

Methods: Retrospective chart review was completed on all soldiers seeking outpatient gynecologic care at Camp Doha, Kuwait, from September 2003 through March 2004. Descriptive statistical analysis was performed on data from all patients identified as having an STD.

Pelvic pain presenting in a combat environment.

Objective: The objective was to identify the incidence of pain disorders in the deployed female active duty population in support of Operation Iraqi Freedom.

Methods: Retrospective chart review was completed on all patients who were seen for gynecologic services at Camp Doha, Kuwait, from September 2003 through March 2004. One thousand seven hundred thirty-seven patients were identified.

Laparoscopic appendectomy: a series of cases utilizing laparosonic coagulating shears as compared to endo-GIA and endoshears.

Objective: To report a series of laparoscopic appendectomies utilizing laparosonic coagulating shears (LCS) (harmonic scalpel).

Study Design: We conducted a retrospective chart underwent laparoscopic appendectomy at Walter Reed Army Medical Center between January 1, 1996, and December 31, 2001. Procedures were included if only 1 instrument was utilized for transection of the appendix: endoshears, endo-GIA (Tyco U.