Search

Your search keyword '"Schimpf, Megan O."' showing total 4 results
Start Over Author "Schimpf, Megan O." Search Limiters Available in Library Collection
4 results on '"Schimpf, Megan O."'

1. 10 practical, evidence-based recommendations for perioperative antibiotic prophylaxis: your surgical outcomes will improve by following these evidence- and policy-backed strategies

Author

Schimpf, Megan O.

Subjects
Gynecology, Operative -- Health aspects -- Patient outcomes, Antibiotics -- Usage -- Health aspects, Surgery -- Complications, Health
Abstract

Antibiotic prophylaxis for gynecologic surgery has become a widely accepted practice to reduce post-surgical infections, which can lengthen hospital stay, worsen pain, prolong recovery, and lead to other complications. Recommendations [...]

Published
2012

2. Vesicovaginal Fistula Repair Without Intentional Cystotomy Using the Laparoscopic Robotic Approach: a Case Report

Author

Schimpf, Megan O., Morgenstern, Jeffrey H., Tulikangas, Paul K., and Wagner, Joseph R.

Subjects
Adult, Vesicovaginal Fistula, Urinary incontinence, Humans, Robotic surgery, Female, Laparoscopy, Case Reports, Cystotomy, Robotics, Laparoscopic surgery, Hysterectomy
Abstract

Background and Objectives: Fistulas inaccessible from the vagina may require abdominal repair; we sought to evaluate the robotic-assisted laparoscopic approach for this procedure. Methods: A 41-year-old nulliparous woman presented with urinary incontinence following an abdominal hysterectomy, and office evaluation identified a vesicovaginal fistula. After discussion with the patient regarding the surgical options, the robotic approach was chosen to facilitate precise dissection, fine visualization, and suturing. A stent was placed from the bladder into the vagina, and no intentional cystotomy was made. The bladder was dissected away from the anterior vaginal wall at the fistula site, and the defects were closed independently with interposition of a fatty epiploica from the sigmoid colon. Total operative time was approximately 4 hours, and robotic time was about 2.5 hours. Results: At 3 months after surgery, the patient had no recurrent symptoms. Conclusions: The robotic-assisted laparoscopic approach is a viable option for successful repair of a vesicovaginal fistula in a patient in whom a vaginal approach is not indicated.

Published
2007

3. Robot-assisted laparoscopic distal ureteral surgery.

Author

Schimpf MO and Wagner JR

Subjects
Adult, Aged, Aged, 80 and over, Female, Humans, Intraoperative Complications, Length of Stay statistics & numerical data, Male, Middle Aged, Postoperative Complications, Treatment Outcome, Ureter surgery, Laparoscopy methods, Robotics, Ureteral Diseases surgery
Abstract

Background: The use of robotic assistance in adult genitourinary surgery has been successful in many operations, leading surgeons to test its use in other applications as well., Methods: Based on our use during prostatectomy, we have applied robotic surgery to complex distal ureteral surgeries since 2004 with successful outcomes., Results: A series of 11 patients who underwent robot-assisted laparoscopic distal ureteral surgery is presented. These surgeries include distal ureterectomy for ureteral cancer with reimplantation, as well as reimplantation with and without Boari flap or psoas hitch for benign conditions., Conclusions: Robot-assisted laparoscopic surgery can be successfully applied to patients requiring distal ureteral surgery. Maintenance of the principles of open surgery is paramount.

Published
2009

4. Robot-assisted laparoscopic ileal ureter.

Author

Wagner JR, Schimpf MO, and Cohen JL

Subjects
Adult, Humans, Ileum diagnostic imaging, Male, Radiography, Ureter diagnostic imaging, Ileum surgery, Laparoscopy methods, Plastic Surgery Procedures methods, Robotics, Ureter surgery
Abstract

Background and Objectives: A patient with a solitary kidney, cysteine stones, and recurrent ureteral strictures underwent robot-assisted laparoscopic ureterectomy with ileal ureter formation., Methods: Using a transperitoneal, 4-port robotic approach, we removed the strictured ureter and created an ileal ureter. The ileal-pyelo and ileal-vesical anastomoses were performed using the robotic system. An extracorporeal bowel anastomosis was performed using stapling devices. Operative time was 9 hours with negligible blood loss, and the patient was discharged after 5 days., Results: A cystogram at 10 days demonstrated patent anastomoses without extravasation. The patient continues to do well 48 months later., Conclusion: Robot-assisted laparoscopic ileal ureter replacement is feasible with excellent long-term outcome.

Published
2008

Catalog

Books, media, physical & digital resources
See catalog results