Office Based Gynecologic Surgical Procedures

Recent trends in medicine have pushed many gynecologic procedures to the outpatient setting, whether in-office, in small medical ambulatory surgery centers, or in procedure rooms. Office-Based Gynecologic Surgical Procedures covers both basic and advanced procedures, from biopsy and saline ultrasound to cystoscopy. It answers the "How?", "What?", and "When?" of setting up, preparing for, and confidently performing office procedures. While appropriate training and certification in these procedures such as cystoscopy and hysteroscopy is needed, this book is an excellent resource for advice and tips on how to safely transition from the technique used in the operating room. It also provides the necessary algorithms and in-depth instructions pertinent to performing these types of procedures effectively in the office setting. A chapter on patient safety in the office is also included. Office-Based Gynecologic Surgical Procedures is ideal for established OBGYNs in practice who want to expand their range of procedures offered in-office, fellows in Women's Health, advanced nurse practitioners, recent OBGYN residency graduates, and family medicine physicians eager to familiarize themselves with women's health procedures.

Gynecology is a procedure-related field that, like other specialties, has moved toward minimally invasive procedures that can be performed in the office setting. This issue of the Obstetrics and Gynecology Clinics covers the most commonly performed gynecologic procedures performed in the office setting. Colposcopy, Cryosurgery, LEEP, sterilization, D and C, and Urogynecologic procedures are all covered, along with articles on surgically implanted contraceptives and surgical abortion.

Office based procedures in surgical fields are rapidly growing allowing for quicker diagnosis and treatment. This new book, A Practical Guide to Office Gynecologic Procedures provides the step-by-step guide to office-based procedures physicians need to treat women in the ambulatory setting. Covering the most commonly used office gynecologic procedures, this new book covers indications, proper positioning, anesthesia and equipment needed for over 35 office-based procedures. Chapters also present careful guidance on effective patient management. Perform gynecologic procedures in a cost-effective ambulatory setting, while improving the outcome for your patients with this easy-to-use clinical reference.

This book describes and discusses the most commonly used office gynecologic procedures. The goal is to facilitate optimal management of our patients and their gynecologic problems. Written by the faculty, fellows and residents of the Stanford Department of Obstetrics and Gynecology who took great care to include the details for the performance of excellent office-based diagnosis and treatment, this book is an important tool for practitioners of our specialty. I extend my gratitude to Dr. Paul Blumenthal and my colleagues for this valuable effort and their commitment to outstanding patient care"--Provided by publisher

This ideal and quick reference book is written in a reader-friendly style by accomplished experts in their field. The book is directed to women s health professionals who currently perform, or wish to perform gynecologic and urogynecologic procedures in the office. You will find this text to be comprehensive and current with great images and useful tools. This is one of the only books that present all pertinent information on office procedures in gynecology and urogynecology in a concise and easy-to-read manner. With this book in hand you will be able to build your confidence and understanding of procedures, with chapters that cover the most widely performed gynecologic and urogynecologic office interventions. Understand the legal and safety issues that are encountered in the office. Learn procedural protocols from the experts. Obtain clinical pearls which provide a useful summary of the most important points in each chapter. Access tables with CPT codes for all the procedures described."

Dealing with a new surgical procedure for out-patients, this book is the result of surgical practice and teaching experience in the field of hysteroscopic procedures.

Gynecology is principally an operative specialty and the range of gynecologic procedures managed is constantly expanding due to improved instrumentation and minimally invasive techniques. Covering the entire spectrum of gynecologic surgery through a case-based, digestible format, procedures such as vaginal, transvaginal, hysteroscopic, laparoscopic, robotic, and abdominal procedures are included, as well as common surgical challenges and complications. For each case, a clinical vignette outlines the situation and the clinical context of the patient, followed by a comprehensive discussion of the evidence-based management approach and key teaching points. The decision to operate, contraindications, alternatives to surgery and preoperative counseling is discussed in detail along with the level of care needed for each case. Readers will improve their knowledge base of gynecologic surgery and gain multiple tools to overcome common surgical obstacles.

As hospital costs escalate and gynaecologists become more skilled at non-invasive techniques, a growing number of diagnostic and therapeutic procedures can be carried out in the office under short-acting or local anesthesia. The second edition of this handbook for practicing gynaecologists reflects this change, and covers all diagnostic and therapeutic procedures possible in the office setting. This is greatly to the patient's advantage from a psychological as well as an economical and logistical standpoint. The important advances here in terms of new equipment and techniques include laparoscopy for sterilization and biopsy, the use of ultrasound in pregnancy termination, to name a few. Other diagnostic procedures (breast, vulvar and vaginal biopsies; urethrocystoscopy; and endometrial biospy) and other local therapeutic maneuvers (eg, conization) can also be performed in the office, as well as minor procedures performed in the first trimester of pregnancy (eg, amniocentesis).