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The future of gynecologic surgery is less invasive, more precise, and closer than you think. In this episode of the BackTable OBGYN podcast, host Dr. Mark Hoffman welcomes Dr. Noam Smorgick, Director of Minimally Invasive Gynecologic Surgery at Shamir Hospital in Israel. They discuss Dr. Smorgick’s journey into the field of OBGYN and her innovative approaches to intrauterine adhesion management and hysteroscopic surgery for complex pathologies. --- SYNPOSIS Topics include the advantages of hysteroscopic management over traditional methods, the importance of maintaining fertility, the nuances of the Israeli healthcare system, and the development of new surgical instruments and procedures. The episode also highlights shared decision-making in patient care and looks ahead to the future direction of gynecologic surgery. Dr. Smorgick shares insights from recent studies and her experiences, making it a valuable listen for practitioners and anyone interested in gynecologic surgery advancements. --- TIMESTAMPS 00:00 - Introduction 02:05 - Dr. Smorgick’s Journey to Medicine 05:01 - Insights into Israeli Healthcare System 10:20 - Intrauterine Adhesions and Hysteroscopic Management 11:28 - Research on Retained Products of Conception 15:07 - Comparing Management of Pregnancy Loss 22:02 - Future Directions in Hysteroscopic Surgery 23:46 - Infertility Treatments in Israel 25:50 - Managing Uterine Septums and Adhesions 28:03 - Shared Decision Making in Surgery 32:03 - Techniques and Tools for Metroplasty 33:08 - Adhesion Prevention Strategies 35:35 - Postoperative Care and Follow-Up 36:59 - Office Hysteroscopy Procedures 38:05 - Reusable vs. Disposable Instruments 45:51 - Future of Hysteroscopy --- RESOURCES Netherlands Publication: Prevalence of intrauterine adhesions after the application of hyaluronic acid gel after dilatation and curettage in women with at least one previous curettage: short-term outcomes of a multicenter, prospective randomized controlled trial: https://pubmed.ncbi.nlm.nih.gov/28390... Dr. Smorgick’s Publications: A comparison of reproductive outcomes following hysteroscopic management versus dilatation and curettage of retained products of conception: https://pubmed.ncbi.nlm.nih.gov/24997... Hysteroscopy-assisted suction curettage for early pregnancy loss: does it reduce retained products of conception and postoperative intrauterine adhesions?: https://pubmed.ncbi.nlm.nih.gov/37782... --- The BackTable OBGYN Podcast is a resource for obstetricians and gynecologists to learn tips, techniques, and practical advice on all things OBGYN. Learn from your peers and level up your practice. Get notified when new episodes drop! Subscribe to the BackTable OBGYN Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular updates. ► https://www.backtable.com/shows/obgyn... #OBGYN92 #gynecology #infertility #fertility