Ep. 79 Laparoscopy in Pregnancy: Key Considerations for Surgeons with Dr. Craig Sobolewski
BackTable OBGYN11 Maalis 2025

Ep. 79 Laparoscopy in Pregnancy: Key Considerations for Surgeons with Dr. Craig Sobolewski

What surgical techniques and safety measures are important to consider when operating in a pregnant patient? In this episode of the BackTable OBGYN podcast, Dr. Craig Sobolewski, a minimally invasive GYN surgeon at Duke, speaks with host Dr. Mark Hoffman about the intricacies of laparoscopic surgery in pregnant patients. --- SYNPOSIS The surgeons delve into the critical importance of understanding anatomy and ensuring proper exposure during surgeries, particularly the challenges and techniques for operating during pregnancy. Key discussions include the use of liver retractors, the management of symptomatic ovarian cysts, and the methods for performing and evaluating abdominal cerclages. They also explore the physiological changes in pregnant patients and the adjustments needed for anesthesia, laparoscopic entry, pressures during surgery, and pre/post-operative care. --- TIMESTAMPS 00:00 - Introduction 07:20 - Laparoscopy in Pregnant Patients 11:23 - Common Surgeries During Pregnancy 15:56 - Laparoscopic Surgery Techniques 24:04 - Physiologic Changes in Pregnancy 27:33 - Access Methods and Pressure Considerations 28:53 - Managing Torsion and Cysts in Pregnancy 30:21 - Energy Use and Safety in Pregnant Patients 31:38 - Preoperative and Postoperative Care 34:15 - Cerclage Procedures and Counseling 47:46 - Professional Reflections and Conclusions

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Ep. 39 Sustainable Global Healthcare Missions with Dr. Princess Urbina

Ep. 39 Sustainable Global Healthcare Missions with Dr. Princess Urbina

In this episode of the BackTable OBGYN Podcast, Dr. Princess Urbina shares her experiences with medical mission trips to underserved areas in the Philippines, where she was born, and the logistical ch...

30 Marras 202344min

Ep. 38 Painful Bladder Syndrome with Dr. Jocelyn Fitzgerald

Ep. 38 Painful Bladder Syndrome with Dr. Jocelyn Fitzgerald

In this episode, hosts Dr. Mark Hoffman and Dr. Amy Park invite Dr. Jocelyn Fitzgerald to discuss the relationships among chronic inflammatory pelvic diseases, focusing on painful bladder syndrome / i...

9 Marras 202358min

Ep. 37 In-Depth: Endometrial Ablation with Dr. Barbara Levy

Ep. 37 In-Depth: Endometrial Ablation with Dr. Barbara Levy

This week on BackTable OBGYN, Drs. Mark Hoffman and Amy Park are joined by Dr. Barbara Levy to discuss the latest advancements in endometrial ablation using cryotherapy. Dr. Levy, a professor at Georg...

26 Loka 202358min

Ep. 36 Laparoscopic Hysterectomy Tips and Tricks with Dr. Mark Hoffman

Ep. 36 Laparoscopic Hysterectomy Tips and Tricks with Dr. Mark Hoffman

In this episode, host Dr. Amy Park interviews co-host Dr. Mark Hoffman about laparoscopic hysterectomies. --- SHOW NOTES The episode begins with Mark describing his journey to becoming a minimally ...

12 Loka 20231h 8min

Ep. 35 The Natural Orifice Surgery: Vaginal Hysterectomy with Dr. Amy Park

Ep. 35 The Natural Orifice Surgery: Vaginal Hysterectomy with Dr. Amy Park

In this episode, hosts Dr. Mark Hoffman and Dr. Amy Park have an in-depth discussion on the topic of vaginal hysterectomy. Amy, who handles a substantial caseload of vaginal hysterectomies, takes the ...

28 Syys 202352min

Ep. 34 Advanced Hysteroscopy with Dr. Linda Bradley

Ep. 34 Advanced Hysteroscopy with Dr. Linda Bradley

In this episode, hosts Dr. Mark Hoffman and Dr. Amy Park invite Dr. Linda Bradley to discuss advanced hysteroscopy. Linda is a professor of OB/GYN and Reproductive Biology at Cleveland Clinic as well ...

21 Syys 20231h 4min

Ep. 33 Genitourinary Syndrome of Menopause (GSM): Improving a DRY Topic! With Dr. Rachel Rubin

Ep. 33 Genitourinary Syndrome of Menopause (GSM): Improving a DRY Topic! With Dr. Rachel Rubin

This week on BackTable OBGYN, Dr. Suzette Sutherland and Dr. Rachel Rubin discuss the diagnosis and treatment of genitourinary syndrome of menopause (GSM) with vaginal estrogen. --- EARN CME Reflec...

18 Syys 202345min

Ep. 32 Hysteropexy vs Hysterectomy for Pelvic Organ Prolapse with Dr. Olivia Chang

Ep. 32 Hysteropexy vs Hysterectomy for Pelvic Organ Prolapse with Dr. Olivia Chang

This week on BackTable Urology, Dr. Suzette Sutherland (University of Washington) and Dr. Olivia Chang (UC Irvine) discuss reasons for uterine preservation and hysteropexy techniques for prolapse repa...

13 Syys 202349min

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