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

Jaksot(126)

BackTable Brief: Genitourinary Syndrome of Menopause: Mitigating Risks and Enhancing Treatment with Dr. Rachel Rubin

BackTable Brief: Genitourinary Syndrome of Menopause: Mitigating Risks and Enhancing Treatment with Dr. Rachel Rubin

How can we address barriers to care for women with genitourinary syndrome of menopause? In this episode, host Dr. Suzette Sutherland and Dr. Rachel Rubin discuss the challenges and misconceptions arou...

25 Loka 202411min

BackTable Brief: Debunking Estrogen Myths with Dr. Rachel Rubin

BackTable Brief: Debunking Estrogen Myths with Dr. Rachel Rubin

How can we educate women about vaginal estrogen for genitourinary syndrome of menopause, especially given the black box warning? In this Brief, Dr. Rachel Rubin and host Dr. Suzette Sutherland discuss...

22 Loka 202413min

Ep. 67 Non-Opioid Pain Management in GYN Surgery with Dr. Paula Bilica and Dr. Steven McCarus

Ep. 67 Non-Opioid Pain Management in GYN Surgery with Dr. Paula Bilica and Dr. Steven McCarus

Everyone knows about the dangers of opioids, but how can physicians provide quality postoperative pain control without opioids? This episode of the BackTable OBGYN podcast, hosted by Dr. Amy Park, fea...

15 Loka 202444min

BackTable Brief: Managing Genitourinary Syndrome of Menopause with Dr. Rachel Rubin

BackTable Brief: Managing Genitourinary Syndrome of Menopause with Dr. Rachel Rubin

OBGYN Briefs - Managing Genitourinary Syndrome of Menopause Frequent UTIs and vaginal atrophy/dryness are common signs of genitourinary syndrome of menopause (GSM). In this Brief, Dr. Rachel Rubin di...

8 Loka 202412min

Ep. 66 Peripartum Pelvic Floor Disorders Explained with Dr. Lisa Hickman

Ep. 66 Peripartum Pelvic Floor Disorders Explained with Dr. Lisa Hickman

Pregnancy and childbirth have a significant impact on the pelvic floor, often more than patients realize and even more still than most of our current postpartum care models are designed to address. In...

1 Loka 202454min

Ep. 65 Thoracic Endometriosis: Beyond the Pelvis in Diagnosis with Dr. Shanti Mohling

Ep. 65 Thoracic Endometriosis: Beyond the Pelvis in Diagnosis with Dr. Shanti Mohling

Thoracic endometriosis occurs in about 12% of patients with advanced endometriosis. Due in part to its lower incidence and inherent diagnostic challenges, many providers are not well-versed in the wor...

17 Syys 202449min

BackTable Brief: Do Cranberry Supplements Work for UTI Prevention? and Other Recommendations with Dr. Anne Cameron

BackTable Brief: Do Cranberry Supplements Work for UTI Prevention? and Other Recommendations with Dr. Anne Cameron

Can cranberry juice prevent UTIs? In this BackTable OBGYN Brief, Dr. Suzette Sutherland and Dr. Anne Cameron discuss various strategies for preventing recurrent UTIs, including which supplements are e...

10 Syys 202413min

Ep. 64 Vulvovaginal Disorders: Diagnosis and Treatment Approaches with Dr. Hope Haefner

Ep. 64 Vulvovaginal Disorders: Diagnosis and Treatment Approaches with Dr. Hope Haefner

Vulvovaginal disorders can be very complex to manage, and many OBGYNs struggle with diagnosis and treatment, especially if topical steroids don’t improve symptoms. In this episode of the BackTable OBG...

3 Syys 202448min

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