Ep. 79 Laparoscopy in Pregnancy: Key Considerations for Surgeons with Dr. Craig Sobolewski
BackTable OBGYN11 Mars 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. 27 Dobbs vs Jackson: How Changing Abortion Laws are Impacting the Medical Workforce with Drs. Beverly Gray and Chloe Peters

Ep. 27 Dobbs vs Jackson: How Changing Abortion Laws are Impacting the Medical Workforce with Drs. Beverly Gray and Chloe Peters

In this episode of BackTable Urology, Dr. Aditya Bagrodia speaks with PGY4 urologist Dr. Chloe Peters (University of Washington) and OB/GYN Dr. Beverly Gray (Duke University) about their work in women...

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Ep. 26 Persistent Pain in Endometriosis Patients with Dr. Isabel Green

Ep. 26 Persistent Pain in Endometriosis Patients with Dr. Isabel Green

In this episode, Drs. Mark Hoffman and Amy Park invite Dr. Isabel Green, fellowship director of MIGS at Mayo Clinic, to speak about persistent pain in endometriosis patients. --- SHOW NOTES Dr. Gre...

29 Juni 202359min

Ep. 25 Placenta Accreta Spectrum (PAS) with Dr. Brett Einerson

Ep. 25 Placenta Accreta Spectrum (PAS) with Dr. Brett Einerson

In this episode, Drs. Mark Hoffman and Amy Park invite Dr. Brett Einerson to speak about the diagnosis and management of placenta accreta spectrum (PAS) disorders. --- EARN CME Reflect on how this ...

15 Juni 20231h 1min

Ep. 24 Opportunistic Salpingectomy with Dr. Rebecca Stone & Kara Long Roche

Ep. 24 Opportunistic Salpingectomy with Dr. Rebecca Stone & Kara Long Roche

In this episode, Drs. Mark Hoffman and Amy Park invite Drs. Rebecca Stone and Kara Long Roche to speak about opportunistic salpingectomy to prevent ovarian cancer, specifically serous carcinoma. --- ...

1 Juni 202358min

Ep. 23 Second Victim and Resilience in OBGYN with Dr. Susan Khalil

Ep. 23 Second Victim and Resilience in OBGYN with Dr. Susan Khalil

In this episode, Drs. Mark Hoffman and Amy Park invite Dr. Susan Khalil, a board-certified OB/GYN and fellowship-trained Minimally Invasive Gynecologic Surgeon at Mount Sinai in New York, to speak abo...

18 Maj 202341min

Ep. 22 Oncofertility with Dr. Leslie Appiah

Ep. 22 Oncofertility with Dr. Leslie Appiah

In this episode, Dr. Leslie Appiah, who is fellowship-trained in Pediatric and Adolescent Gynecology and is the Director of the Fertility Preservation Program at the University of Colorado, discusses ...

4 Maj 202353min

Ep. 21 Social Determinants of Health in OBGYN with Dr. Camille Clare

Ep. 21 Social Determinants of Health in OBGYN with Dr. Camille Clare

In this episode, Dr. Camille Clare, the Chair of the Department of Obstetrics and Gynecology at SUNY Downstate College of Medicine, joins Drs. Mark Hoffman and Amy Park to discuss social determinants ...

20 Apr 202351min

Ep. 20 Uterine Transplant with Dr. Elliott Richards

Ep. 20 Uterine Transplant with Dr. Elliott Richards

In this episode, Dr. Elliot Richards, a true physician-scientist and Director of Research in the Department of Reproductive Endocrinology and Infertility at the Cleveland Clinic, shares about his expe...

6 Apr 20231h 2min

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