2018
Cesarean Scar Pregnancy, Incidence, and Recurrence
Grechukhina O, Deshmukh U, Fan L, Kohari K, Abdel-Razeq S, Bahtiyar MO, Sfakianaki AK. Cesarean Scar Pregnancy, Incidence, and Recurrence. Obstetrics And Gynecology 2018, 132: 1285-1295. PMID: 30303911, DOI: 10.1097/aog.0000000000002940.Peer-Reviewed Original ResearchMeSH KeywordsAbortifacient Agents, NonsteroidalAdultCesarean SectionCicatrixCombined Modality TherapyCurettageFemaleHumansHysteroscopyMethotrexatePotassium ChloridePregnancyPregnancy RatePregnancy, EctopicRecurrenceTertiary Care CentersUterine Artery EmbolizationUterine Balloon TamponadeWatchful WaitingYoung AdultConceptsCesarean scar pregnancyScar pregnancySubsequent pregnancy outcomeLocal methotrexatePregnancy outcomesTreatment modalitiesRecurrent cesarean scar pregnancyBilateral uterine artery embolizationElectronic medical record reviewYale-New Haven HospitalSubsequent spontaneous conceptionViable intrauterine pregnancyPrior cesarean deliveryMedical record reviewTime of diagnosisUterine artery embolizationPotassium chloride injectionFetal cardiac activityProducts of conceptionIntrauterine pregnancyPregnancy characteristicsSystemic methotrexateExpectant managementMethotrexate therapyArtery embolizationDecreased Surgical Site Infection Rate in Hysterectomy
Andiman SE, Xu X, Boyce JM, Ludwig EM, Rillstone HRW, Desai VB, Fan LL. Decreased Surgical Site Infection Rate in Hysterectomy. Obstetrics And Gynecology 2018, 131: 991-999. PMID: 29742666, DOI: 10.1097/aog.0000000000002594.Peer-Reviewed Original ResearchConceptsSurgical site infection prevention bundleSurgical site infection rateInfection prevention bundleSurgical site infectionPrevention bundleSite infectionInfection rateHospital stayStudy periodPostoperative readmission rateProportion of patientsRate of readmissionMultivariable regression analysisImplementation periodQuality improvement studyPerioperative normothermiaClinical characteristicsPostoperative dayReadmission ratesAntibiotic dosingRetrospective analysisSustained reductionSurgical preparationHysterectomyPatientsOccult Gynecologic Cancer in Women Undergoing Hysterectomy or Myomectomy for Benign Indications
Desai VB, Wright JD, Schwartz PE, Jorgensen EM, Fan L, Litkouhi B, Lin H, Gross CP, Xu X. Occult Gynecologic Cancer in Women Undergoing Hysterectomy or Myomectomy for Benign Indications. Obstetrics And Gynecology 2018, 131: 642-651. PMID: 29528920, DOI: 10.1097/aog.0000000000002521.Peer-Reviewed Original ResearchConceptsCorpus uteriCervix uteriOvarian malignancyBenign indicationsSurgical routeSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramLaparoscopic-assisted vaginal hysterectomySurgical Quality Improvement ProgramLaparoscopic supracervical hysterectomyPrimary outcome measureBeginning of surgeryLogistic regression analysisQuality Improvement ProgramTotal laparoscopicPatient agePatient characteristicsSupracervical hysterectomyVaginal hysterectomyGynecologic cancerUndetected malignancyOvarian cancerHysterectomyOutcome measuresAmerican College
2016
Inpatient Laparoscopic Hysterectomy in the United States: Trends and Factors Associated With Approach Selection
Desai VB, Guo XM, Fan L, Wright JD, Xu X. Inpatient Laparoscopic Hysterectomy in the United States: Trends and Factors Associated With Approach Selection. Journal Of Minimally Invasive Gynecology 2016, 24: 151-158.e1. PMID: 27614151, DOI: 10.1016/j.jmig.2016.08.830.Peer-Reviewed Original ResearchConceptsLaparoscopic supracervical hysterectomyTotal laparoscopic hysterectomyLaparoscopic approachLaparoscopic hysterectomyNational Inpatient SampleHospital characteristicsPatient race/ethnicityFemale adult patientsClinical Modification codesDifferent laparoscopic approachesAssociation of patientHospital teaching statusHospital inpatient careBenign laparoscopic hysterectomyRace/ethnicityNonobstetric indicationsAdult patientsVaginal hysterectomyClinical factorsSupracervical hysterectomyBenign indicationsComorbid conditionsRetrospective studyNinth RevisionNIS database