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. 76 Clinical Pearls: Managing Endometriosis Post-Hysterectomy with Dr. Emad Mikhail

Ep. 76 Clinical Pearls: Managing Endometriosis Post-Hysterectomy with Dr. Emad Mikhail

There are many challenges when it comes to operating on a post-hysterectomy patient, especially when they have endometriosis. In this episode of BackTable OBGYN, Dr. Emad Mikhail, an associate profess...

14 Jan 202558min

Ep. 75 From Systemic Barriers to Action: OBGYN DEI Efforts with Dr. Teni Brown

Ep. 75 From Systemic Barriers to Action: OBGYN DEI Efforts with Dr. Teni Brown

There are tangible ways to advocate for health equity and address demographic disparities in patient care and the healthcare workforce. In this episode of the BackTable OBGYN Podcast, Dr. Teni Brown, ...

7 Jan 20251h 2min

BackTable Brief: Bridging the Orgasm Gap: A Dialogue on Female Sexual Wellness with Dr. Kelly Casperson

BackTable Brief: Bridging the Orgasm Gap: A Dialogue on Female Sexual Wellness with Dr. Kelly Casperson

OBGYN Briefs - Bridging the Orgasm Gap Female sexual wellness is a topic that deserves more research, education, and attention, both for our patients and for providers. In this BackTable OBGYN Brief,...

31 Dec 202412min

BackTable Brief: Effective Strategies for Getting Access to Non-Opioid Analgesics in OBGYN Surgery with Dr. Steven McCarus and Dr. Paula Bilica

BackTable Brief: Effective Strategies for Getting Access to Non-Opioid Analgesics in OBGYN Surgery with Dr. Steven McCarus and Dr. Paula Bilica

Proper pain management after surgery is essential to promote healing and improve patient satisfaction. In this BackTable OBGYN Brief, Dr. Steven McCarus and Dr. Paula Bilica discuss how to advocate fo...

20 Dec 202417min

Ep. 74 Leadership and Mentorship in OBGYN with Dr. Starr Hampton

Ep. 74 Leadership and Mentorship in OBGYN with Dr. Starr Hampton

Curious about how to leave your mark as a mentor and leader in the field of OBGYN? In this episode of the BackTable OBGYN Podcast, Dr. Starr Hampton, a professor of OBGYN and Senior Associate Dean for...

17 Dec 20241h 4min

Ep. 73 Robotic Surgery in Pregnancy: Techniques and Challenges with Dr. Jamal Mourad

Ep. 73 Robotic Surgery in Pregnancy: Techniques and Challenges with Dr. Jamal Mourad

Operating on the pregnant patient can be intimidating, but there are many ways to do so safely. In this episode of the BackTable OBGYN podcast Dr. Jamal Mourad, a MIG surgeon at Mayo Clinic, joins hos...

10 Dec 202459min

BackTable Brief: The Role of Non-Opioid Pain Management in Surgery with Dr. Paula Bilica and Dr. Steven McCarus

BackTable Brief: The Role of Non-Opioid Pain Management in Surgery with Dr. Paula Bilica and Dr. Steven McCarus

Postoperative pain control is an essential aspect of patient recovery and satisfaction. While pain management is important in all surgical settings, C-sections, hysterectomies, and myomectomies are pa...

3 Dec 202418min

Ep. 72 Transforming Peer Review: From Punitive to Productive with Dr. Maggie Mueller

Ep. 72 Transforming Peer Review: From Punitive to Productive with Dr. Maggie Mueller

Peer review can be a daunting process as a physician, but there are ways to focus the process on constructive feedback and quality improvement rather than criticism and punishment. In this episode of ...

26 Nov 202445min

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