Tag Archives: ob/gyn

General Surgery, Ob/Gyn, Print Release

PUBLISHED: Primary Low Transverse C-Section

Primary Low Transverse C-Section
Taylor P. Stewart, MD; Juliana B. Taney, MD
Massachusetts General Hospital

Cesarean sections, often referred to as c-sections, are the most common operation performed for pregnant people across the US. They are viewed as a safe mode of fetal delivery. While there are many indications for planned, non-elective primary cesarean deliveries, there are growing numbers of planned, elective primary c-sections in the US. Vaginal delivery should still be considered in all cases in which an elective c-section is requested. The decision regarding mode of delivery often involves an interdisciplinary discussion between obstetrical, anesthesia, and specialty teams as well as joint decision making between a patient and their provider, taking into consideration their concerns and long-term goals.

In this case, an elective primary c-section was performed on a 31-year-old gravida 1 para 0 patient with a term, singleton gestation in the setting of prior lumbar sacral fusion and pelvic fixation surgeries.

General Surgery, Global Surgery, Ob/Gyn, Preprint Release

PREPRINT RELEASE: Abdominal Hysterectomy for Uterine Fibroids

Abdominal Hysterectomy for Uterine Fibroids
Hospital Leonardo Martinez, Honduras

Col. Arthur C. Wittich, DO
Fort Belvoir Community Hospital (Retired)
World Surgical Foundation

In this case, Dr. Wittich performs an abdominal hysterectomy on a 45-year-old female with symptomatic uterine fibroids. This was performed during a surgical mission in Honduras with the World Surgical Foundation.

Ob/Gyn, Preprint Release

PREPRINT RELEASE: Site-Specific Posterior Colporrhaphy and Perineorrhaphy for Rectocele


Site-Specific Posterior Colporrhaphy and Perineorrhaphy for Rectocele
Massachusetts General Hospital

Lori R. Berkowitz, MD
Assistant Professor of Obstetrics, Gynecology, and Reproductive Biology
Harvard Medical School

Patricia L. Hudson, MD
Female Pelvic Medicine and Reconstructive Surgery Fellow
Harvard Medical School

In this case, Dr. Berkowitz and Dr. Hudson perform a site-specific posterior colporrhaphy at MGH. The patient is a 38-year-old female who presented with fecal incontinence, constipation, and stress urinary incontinence, and was found to have stage II posterior vaginal wall prolapse. She desired definitive surgical management of her prolapse and opted for posterior vaginal repair.

General Surgery, Global Surgery, Ob/Gyn, Preprint Release

PREPRINT RELEASE: Vaginal Hysterectomy, Uterosacral Ligament Suspension, and Excision of Redundant Vaginal Tissue


Vaginal Hysterectomy, Uterosacral Ligament Suspension, and Excision of Redundant Vaginal Tissue
Romblon Provincial Hospital

Col. Arthur C. Wittich, DO
Fort Belvoir Community Hospital (Retired)
World Surgical Foundation

In this case, Dr. Wittich performs a vaginal hysterectomy, a high uterosacral ligament suspension, a round ligament suspension to the distal vaginal cuff, and a reduction of anterior and posterior redundant vaginal tissue. This was performed during a mission to the Philippines with the World Surgical Foundation.

Announcement, General Surgery, Ob/Gyn, Preprint Release

PREPRINT RELEASE: Vaginal Hysterectomy, Uterosacral Ligament Suspension, Anterior Repair, and Perineorrhaphy


Vaginal Hysterectomy, Uterosacral Ligament Suspension, Anterior Repair, and Perineorrhaphy
Massachusetts General Hospital

Emily C. Von Bargen, DO
Female Pelvic Medicine and Reconstructive Surgery Associate Fellowship Director
Harvard Medical School

Patricia L. Hudson, MD
Female Pelvic Medicine and Reconstructive Surgery Fellow
Harvard Medical School

Lori R. Berkowitz, MD
Assistant Professor of Obstetrics, Gynecology, and Reproductive Biology
Harvard Medical School

This is the case of a 75-year-old multiparous female with stage 3 uterovaginal prolapse. Here, Dr. Emily Von Bargen performs a vaginal hysterectomy, uterosacral ligament suspension, anterior repair, and perineorrhaphy in order to alleviate this patient’s symptoms.