Webinar "Are you closing the right way?" скачать в хорошем качестве

Webinar "Are you closing the right way?"

Are you closing in the right way? Even though many of the gynecological procedures are done with an MIS approach, procedures are still done open to reach the abdominal cavity. One area where there is a knowledge gap on the gynecological profession, is how we enter the abdominal cavity and close the incision. Many studies and clinical guidelines have been published in how to open, and even more importantly, close the abdominal wall. It is time that we, as gynecologists, apply these techniques to reduce the risk of infections, burst abdomen and incisional hernias. The risk for incisional hernia formation is present after all forms of abdominal surgery. A newly published systematic review reports the rate of incisional hernia to be 0.0–5.6% after caesarean section (CS), and the risk for incisional hernia repair surgery seems to be quite small especially while entering the abdomen with the Pfannenstiel incision[1]. The main risk factor is obesity and repeated CS[2]. For the individual patient the risk is small, but on a population basis due to the increasing rates of CS the rates of hernia post CS are higher. In 2030 the estimated rate of CS is 38 million per year globally[3], and this would transfer to a rate of hernia of 760 000 women globally. Although the small bite technique is evaluated in midline incisions, it makes sense to apply principles of high-quality abdominal closure in the Pfannenstiel incision. Join us for an afternoon webinar with Prof Jan Baekelandt, MD PhD who is a trained gynaecologic oncologic surgeon in Belgium, Germany and South-Africa. He currently consults at Imelda Hospital (Bonheiden, Belgium), specializing in gynaecological oncology, and endoscopic and robotic surgery. Assoc. Prof Andrea Stuart, MD PhD who is Head of the Dept. of Gynecology at Helsingborg hospital, Sweden where she also works as a gynecological consultant specialized in benign minimally invasive surgery. She is an associate Professor of Obstetrics and Gynecology at Lund University, Sweden, with multiple on-going research projects and PhD students. Her main area of research concerns different aspects of hysterectomy and gynecological surgery. Gabriel Börner, MD who is consultant in emergency and trauma surgery at the Dept. of Surgery at Helsingborg Hospital. He has a special interest in laparoscopic surgery and interventional endoscopy (ERCP, colonic and upper GI stenting procedures) and is also the founder of Suturion. References: [1] Paulsen CB, Zetner D, Rosenberg J. Incisional hernia after cesarean section: A systematic review. Eur J Obstet Gynecol Reprod Biol. 2020 Jan;244:128-133. doi: 10.1016/j.ejogrb.2019.11.010. Epub 2019 Nov 14. PMID:31785469. [2] Sagi Y, Snelgrove J, Vernon J, D’Souza R, Maxwell C. Wound Disruption Following Caesarean Delivery in Women With Class III Obesity: A Retrospective Observational Study. J Obstet Gynaecol Can. 2019 Jun;41(6):798-804. doi: 10.1016/j.jogc.2018.08.018. Epub 2018 Nov 23. PMID: 30473426. [3] Betran AP, Ye J, Moller AB, Souza JP, Zhang J. Trends and projections of caesarean section rates: global and regional estimates. BMJ Glob Health. 2021 Jun;6(6):e005671. doi: 10.1136/bmjgh-2021-005671. PMID:34130991; PMCID: PMC8208001.