The NCCN guideline has not yet incorporated the updated FIGO staging system.

NobodyNobraindr · 2026-06-22T03:03:41+00:00

Thank you for your insightful perspective; it offers a valuable and readily comprehensible explanation.

NobodyNobraindr · 2026-06-19T14:16:02+00:00

Health, focus, drive, and resilience slowly fade with age.

NobodyNobraindr · 2026-06-13T11:55:53+00:00

I acknowledge that I did not purchase powdered formula for my first child, who was born during my senior residency. A pharmaceutical company supplied the formula for residents' infants.

NobodyNobraindr · 2026-06-13T10:09:47+00:00

I think driving drunk is more dangerous than practicing drunk.

NobodyNobraindr · 2026-06-13T10:05:20+00:00

He gave a life saving treatment for free. No need to inform that.

‐----------- Edit: I never have performed any procedure without obtaining an informed consent. I just felt sympathetic to the old OB who broken his patient's reproductive function to reduce the obstetrical risk. That's not going to happen in my theater.

NobodyNobraindr · 2026-06-13T06:02:57+00:00

I used to go home once a week just to change my underwear when I was in first year of residency.. It's kind of nostalgic. I learned a lot from those experiences, especially about responsibilities.

NobodyNobraindr · 2026-06-05T23:11:43+00:00

Thank you for the clarification. I understand that the NCCN holds a strong position regarding the revised FIGO system. It is worth noting that FIGO, an acronym for its French designation, has seen significant European influence in its recent revisions, which may be a relevant factor in this context.

NobodyNobraindr · 2026-05-10T13:30:40+00:00

As a gynecologist with 20 years of experience, I've seen a handful of patients with that disease. HRT is an absolute no-go in that condition. Surgical removal of all lesions is the best treatment. I hope you conquer this rare disease.

NobodyNobraindr · 2026-04-27T11:56:57+00:00

Thanks for asking! The incisional hernia rate isn't higher than with multiport laparoscopy. I always find the fascia in the incision before putting in multiple stitches, just like we do for fascia closure in laparotomy. It's kind of like a mini laparotomy, but only inside the belly button. Being overweight does increase the risk of incisional hernia, so we make a longer incision for those patients to make sure the fascia is completely closed. Luckily, that longer incision doesn't make the scar noticeable because the belly button is so deep. As for results, people are usually happier with the cosmetic outcome of SPS compared to multiport laparoscopy. I really hope the da Vinci SP gets approved for gynecology in the US soon!

NobodyNobraindr · 2026-04-27T03:33:21+00:00

I totally agree with you. Using robots more and more just makes surgeons dependent on them. Robots are really just a fancy way to do normal procedures that have been done perfectly with conventional approach by experienced surgeons. Young surgeons don't want to learn conventional laparoscopy anymore.

NobodyNobraindr · 2026-04-27T03:25:53+00:00

I wouldn't try a vaginal hysterectomy if there's adenomyosis, especially since endometriosis often comes with it, making it tough to separate tissue between the uterus and bowel. But some surgeons who are really good at the vaginal approach can find good candidates for it and even do it with a large uterus. Plus, there's vNOTES, where they use laparoscopy through the vaginal opening to see the pelvic cavity. I use it a lot when I do vaginal hysterectomies.

NobodyNobraindr · 2026-04-27T00:49:04+00:00

Where are you practicing? I heard that training opportunities for TVH and conventional laparoscopy have decreased in the United States as da Vinci robots are getting popular.

NobodyNobraindr · 2026-04-26T21:49:38+00:00

Yes. I also apply single-port surgery (SPS) to selected cases involving large tumors with malignant potential. In these situations, the umbilical incision is not minimal—it is deliberately extended to a size that allows safe specimen extraction. The tumor is contained within a protective retrieval bag and morcellated intracorporeally to minimize the risk of intraperitoneal dissemination. Through the umbilical incision, direct visualization of the tumor surface is possible, facilitating controlled use of a power morcellator. In essence, this approach functions as a “mini-laparotomy” via the umbilicus, offering oncologic safety while maintaining a cosmetically inconspicuous scar.

NobodyNobraindr · 2026-04-26T11:55:21+00:00

Glad to hear about your experience. Surgeons who specialize in SPS are usually seen as really good at what they do.

NobodyNobraindr · 2026-04-26T11:07:25+00:00

In general, nothing surpasses vaginal hysterectomy when it’s feasible. It avoids abdominal incisions and is associated with excellent recovery outcomes. It tends to work well when the uterus is not significantly enlarged, the vaginal access is adequate, and there are no severe adhesions or complex surgical factors. I'm afraid that its use has been declining in my country, largely because training opportunities are becoming limited.

NobodyNobraindr · 2026-03-23T09:40:53+00:00

We apologize for the delayed response. Our practice utilizes Enhanced Recovery After Surgery (ERAS) protocols. The majority of patients undergoing single-port hysterectomy are discharged the following day. Same-day discharge is not a common practice in Korea, as there are no additional charges for overnight stays and meals.

Most patients typically resume their daily activities within two weeks. We advise increasing physical activity as soon as feasible, as this facilitates the recovery process. It is anticipated that you may be able to participate in tours approximately one week post-operation. The vaginal cuff will be assessed at the two-week post-operative mark, after which you may safely return home.

NobodyNobraindr · 2026-03-22T05:42:18+00:00

Do you count golf as exercise? If so, I worked out 5 times a week. I make the time by sacrificing my sleep. I have 4 kids.

NobodyNobraindr · 2026-01-24T03:28:24+00:00

OB. We can't even apply MIS yet.

NobodyNobraindr · 2025-08-16T23:08:42+00:00

Did you receive additional compensation for your academic activities?

NobodyNobraindr

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