Search

Oophorectomy causes more harm than good in many women undergoing hysterectomy for benign disease CASE Hysterectomy candidate asks about her ovaries A 51-year-old premenopausal woman complains of severe menorrhagia that [...]

CASE 1 Menorrhagia with anemia G.L. is a 44-year-old G2P2 who comes to the office for a second opinion on treatment for menorrhagia and a 10-weeks--size fibroid uterus. She reports […]

CASE 1 Rapid growth = cancer? Mrs. G., 47 years old, has had uterine fibroids the size of a 12-week pregnancy for about 6 years. At today's examination, however, her […]

Gynecologists have long suggested that prophylactic oophorectomy is the best way to decrease the rate of ovarian cancer. (1) In fact, calculations suggest that routine oophorectomy for women over 40 [...]

Women who have undergone menopause and develop masses on the ovaries or fallopian tubes usually undergo exploratory laparotomy (surgical opening of the abdomen), with the aim of removal of ovarian cancer, if found. This is done in spite of the fact that most such masses are benign; thus, a screening approach that allows selection of only those masses likely to be malignant is needed. To evaluate the accuracy of a diagnostic approach that uses ultrasonography and determination of levels of a tumor marker known as CA 125 in the blood (high levels of which indicate malignancy), results from laparoscopic visualization and treatment of 25 postmenopausal patients are presented. The patients were considered likely to have benign masses, according to results from the preoperative tests. Results confirmed this prediction, in all cases. The operations were of short duration (average, 73 minutes), patients remained in the hospital an average of 12 hours after surgery, and they returned to normal activity a few days later. Two surgical complications occurred (a perforated bladder and an injury to the large bowel), and one patient required laparotomy. Thus, 22 patients were successfully treated with minimal surgical intervention. These diagnostic and surgical approaches are recommended for certain carefully selected postmenopausal women. (Consumer Summary produced by Reliance Medical Information, Inc.)

Environmental companies can enhance their performance by obtaining ISO 9000 and ISO 14000 certification. The former attests to quality while the latter is a proposed measure of environmental management. One company which has gone this route is EG and G Inc., a maker of instruments, optoelectronic and mechanical components. It is currently upgrading its environmental management systems to determine how it may register for ISO 14000 in the least time possible.

Watch these, and more, expert surgical technique and commentary videos in the EXPLORE: Multimedia section [...]

Yes, but the model needs to be validated in other populations and data sets before it can be set to clinical use. For this case-control study of 2,461 women in [...]

'THE FDA'S REVIEW OF THE DATA ON OPEN POWER MORCELLATION WAS 'INADEQUATE, IRRESPONSIBLE' AND A 'DISSERVICE TO WOMEN'' WILLIAM H. PARKER, MD (AUDIO COMMENTARY; NOVEMBER 2014) In the February issue [...]

"IS OVARIAN CA SCREENING EFFECTIVE IN POSTMENOPAUSAL WOMEN?" ANDREW M. KAUNITZ, MD (EXAMINING THE EVIDENCE, JUNE) Dr. Kaunitz posits that ovarian cancer screening may be effective in postmenopausal women--but even […]