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BackTable OBGYN

De: BackTable
  • Resumen

  • The BackTable OBGYN Podcast is a resource for practicing OBGYN's to learn tips, techniques, and practical advice from their peers in the field. Listen here or on the streaming platform of your choice.
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Episodios
  • BackTable Brief: Diagnosis and Management of Endometriosis with Dr. Ted Lee
    Jul 16 2024
    In this BackTable OBGYN Brief, Dr. Mark Hoffman and Dr. Ted Lee discuss the clinical approach to diagnosing endometriosis through physical exam and imaging, and the collaborative surgical approach to treating it. Dr. Lee explains the importance of detailed patient history and various examination techniques, including palpation and rectovaginal exams, to identify potential signs of endometriosis. He emphasizes the specificity of these exams in differentiating endometriosis pain from other causes. The discussion also covers the role of imaging, such as MRI, particularly in advanced cases, and the collaborative approach with colorectal surgeons for bowel-related complications. Dr. Lee shares insights on the use of physical therapy and managing musculoskeletal pain related to endometriosis, highlighting the importance of multi-disciplinary care for optimal patient outcomes. TIMESTAMPS 00:00 - Introduction 00:15 - Initial Patient Assessment for Endometriosis 01:00 - Detailed Physical Exam Techniques 07:00 - Imaging and Further Diagnostic Steps 10:55 - Collaborative Surgical Approach CHECK OUT THE FULL EPISODE BackTable OBGYN Ep. 30: Ambulatory Workup of Endometriosis Patients https://www.backtable.com/shows/obgyn/podcasts/30/ambulatory-workup-of-endometriosis-patients
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    12 m
  • Ep. 59 Tackling the Big Uterus with Dr. Uchenna Acholonu
    Jul 9 2024
    In this episode of the BackTable OBGYN podcast, host Dr. Mark Hoffman is joined by MIGS specialist Dr. Uchenna Acholonu to discuss the intricacies of complex gynecologic surgeries, focusing particularly on handling large uteruses during total laparoscopic hysterectomy (TLH). --- SYNPOSIS The discussion begins with talk of the doctors’ practices and friendship. They then cover comprehensive patient evaluations and various surgical techniques, including skeletonizing the uterines, colpotomy tricks, uterine manipulators, and morcellation. Dr. Acholonu also shares his personal routines and preferences, including the use of a flexible scope to get around the big uterus. The duo exchange insights on surgical techniques, patient-centered care, and the continuous learning necessary in the medical field. They emphasize the significance of safety, adequate planning, and the benefits of engaging in community networks for better surgical outcomes. The conversation concludes with a light-hearted note on their shared experiences and camaraderie, offering both educational value and a glimpse into the dynamic relationship between two seasoned professionals. --- TIMESTAMPS 00:00 - Introduction 04:01 - Building a Subspecialty Practice 07:34 - Patient Referrals 12:41 - Surgical Approach 16:06- The Big Uterus 28:36 - Surgical Steps in TLH, Skeletonizing the Uterines 32:56 - Challenges and Solutions 36:49 - Energy Sources and Surgical Tools 42:34 - Colpotomy 44:43 - Tissue Extraction and Morcellation 50:27 - Closing and Post-Operative Care 52:05 - Use of Lupron 53:16 - Final Thoughts
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    56 m
  • BackTable Brief: vNOTES IV with Dr. Jan Baekelandt
    Jul 5 2024
    In this BackTable OBGYN Brief, host Dr. Mark Hoffman interviews Dr. Jan Baekelandt from Belgium about vNOTES (vaginal natural orifice transluminal endoscopic surgery) incision placement to allow future vaginal deliveries and prevent dyspareunia. First, Dr. Hoffman discusses the nuances of laparoscopy, particularly the preference for smaller incisions to reduce hernia rates and postoperative pain. The conversation covers the specifics of performing colpotomy and the risks associated with different types of incisions, including vaginal and abdominal. Dr. Baekelandt emphasizes the importance of proper training and starting with simpler cases when introducing new surgical techniques like vNOTES. TIMESTAMPS 00:00 - Introduction 00:32 - Concerns About Hernia Rates and Incisions 01:05 - Vaginal Incisions and Their Implications 02:35 - Vaginal Deliveries After vNOTES 03:55 - Dyspareunia After vNOTES 04:13 - Technical Details on Incision Placement 05:53 - Closing Techniques 06:45 - Advice for Surgeons Introducing vNOTES
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    10 m

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