Division of Minimally Invasive Gyn Surgery
MINIMALLY INVASIVE GYNECOLOGIC SURGERY
Jon Ivar Einarsson, MD, MPH, Director
MISSION
Our mission is to be in the forefront of the latest developments in this rapidly evolving surgical field and to translate these into outstanding patient care. We are committed to resident and fellow education and actively participate in quality clinical research projects.
ACCOMPLISHMENTS IN AY 2007-2008
The Division continues to significantly expand the use of MIGS techniques at BWH and affiliated institutions. There has been an increased level of enthusiasm toward MIGS techniques among OB/GYN staff, which we hope will lead to a broader application of them among GYN surgeons. Other accomplishments are:
§ Worked with faculty members to further advance laparoscopic skills.
§ Participated in standardization and upgrade of MIGS equipment at BWH and Faulkner Hospital.
§ Chaired a new session on MIGS at the 45th Annual Update in OB/GYN sponsored by BWH and Harvard Medical School.
§ Established a relationship with South Shore Hospital to further their performance of advanced MIGS techniques.
§ Established a MIGS fellowship to begin AY 08/09.
§ Laparoscopic hysterectomy is now the most common mode of access for hysterectomies at BWH.
RESEARCH NEWS
§ Article published on use of vasopressin during laparoscopic supracervical hysterectomy in collaboration with researchers from Buffalo, NY.
§ Published a randomized trial on use of Scopoderm patch during laparoscopic surgery.
§ Published on the learning curve of LSH, in collaboration with Buffalo researchers.
§ Initiated a randomized clinical trial comparing robotic vs. traditional laparoscopic hysterectomy in collaboration with researchers from the Cleveland Clinic.
§ Initiated a prospective cohort study on patient outcomes following laparoscopic hysterectomy.
§ IRB submitted for a randomized clinical trial comparing laparoscopic total vs. laparoscopic supracervical hysterectomy.
GOALS FOR AY 2008-2009
§ Continue to upgrade MIGS equipment and facilities.
§ Increase hysterectomies performed laparoscopically.
§ Train urogynecology fellows in MIGS techniques with future MIGS fellows rotating in Urogynecology.
§ Advance resident skills in MIGS procedures as well as creating integrated resident training sessions at the newly established STRATUS simulation center.
§ Advance use of MIGS techniques in collaboration with other OB/GYN Divisions.
§ Establish a clinical research network in MIGS in New England area.
§ Promote MIGS among generalist faculty with active OR cooperation.