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This article compares the use of ChatGPT, an artificial intelligence language model, with Google Search and institutional sources for providing postoperative patient instructions after gynecological surgery. The study analyzed instructions for five common procedures and evaluated their understandability and actionability using the Patient Education Materials Assessment Tool. The results showed that ChatGPT provided concise instructions with similar understandability scores compared to the other sources, but lower actionability scores and less information on concerning signs and symptoms. The study concludes that while ChatGPT can offer tailored responses, it may compromise patient safety by lacking specific actionable items and important instructions. [Extracted from the article]

Objective: To determine whether deep-infiltrating endometriosis (DE) carries an increased risk of appendiceal endometriosis (AppE) as compared with superficial endometriosis or no endometriosis.Methods: In a retrospective study, data were obtained by chart review of an internal database for women who underwent coincidental appendectomy during benign gynecologic surgery between July 2009 and February 2014 at a tertiary referral center in the USA. Univariate, bivariate, and regression analyses were performed. The primary exposure was surgically documented endometriosis (DE, superficial, or no endometriosis). The primary outcome was AppE.Results: Endometriosis was diagnosed for 151 (38.2%) of 395 women; 82 (54.3%) had DE. The prevalence of AppE was 13.2% (52/395) overall; 8 (11.6%) of 69 women with superficial endometriosis and 32 (39.0%) of 82 with DE were affected. Frequency of AppE was increased among women with DE, abnormal appendix appearance, and surgical indication (all P<0.001). Women with DE had a 5.9-fold (95% confidence interval [CI] 2.9-11.9) higher risk of AppE compared with women without endometriosis, controlling for appendiceal appearance and surgical indication, and a 2.7-fold (95% CI 1.2-6.2) higher risk of AppE compared with those with superficial endometriosis.Conclusion: Women with DE have increased risk of AppE. Coincidental appendectomy should form part of complete endometriosis excision for these patients. [ABSTRACT FROM AUTHOR]

This article examines the costs and carbon emissions associated with virtual preoperative visits in a gynecologic surgery practice. The study found that virtual visits significantly reduced driving costs, CO2 emissions, and driving time compared to in-person visits, with no negative impact on surgical outcomes. The authors emphasize the potential environmental benefits of telemedicine in reducing carbon footprints in healthcare. However, the study has limitations, including its retrospective design and single-center setting. The article provides additional supporting information online and is relevant for library patrons researching the environmental impact and financial implications of virtual healthcare practices. [Extracted from the article]