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Article ; Online: Urogynecology digest : Presented by Karl Jallad.

Jallad, Karl

2016 Volume 27, Issue 9, Page(s) 1441–1442

Language	English
Publishing date	2016-09
Publishing country	England
Document type	News
ZDB-ID	1050631-7
ISSN	1433-3023 ; 0937-3462
ISSN (online)	1433-3023
ISSN	0937-3462
DOI	10.1007/s00192-016-3028-2
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Article ; Online: Why Urogynecologists Need to Be on Social Media.

Jallad, Karl / Iglesia, Cheryl B

Female pelvic medicine & reconstructive surgery

2020 Volume 26, Issue 5, Page(s) 281–282

MeSH term(s)	Gynecology/organization & administration ; Humans ; Social Media
Language	English
Publishing date	2020-04-22
Publishing country	United States
Document type	Editorial ; Introductory Journal Article
ZDB-ID	2542707-6
ISSN	2154-4212 ; 2151-8378
ISSN (online)	2154-4212
ISSN	2151-8378
DOI	10.1097/SPV.0000000000000885
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Article ; Online: The efficacy of force of stream assessment for post-operative catheter management: a retrospective cohort study.

Albaini, Obey / Farah, Stephanie / Jallad, Karl

International urogynecology journal

2022 Volume 33, Issue 11, Page(s) 3291–3296

Abstract: Introduction and hypothesis: Postoperative urinary retention is common after urogynecologic procedures. Our objective is to determine the efficacy of force of stream (FOS) assessment without a visual analog scale for postoperative catheter management.!## ...

Abstract	Introduction and hypothesis: Postoperative urinary retention is common after urogynecologic procedures. Our objective is to determine the efficacy of force of stream (FOS) assessment without a visual analog scale for postoperative catheter management. Methods: We conducted a retrospective cohort study of 110 women undergoing an inpatient gynecologic procedure. They were asked to subjectively assess FOS after surgery without a visual analog scale. If it was 50% or better than the usual preoperative void, they were discharged home without a catheter. If < 50%, the catheter was replaced and the patients were sent home and asked to follow up in 3 to 5 days for another void trial. Results: Average age was 56.9 ± 10.2 years; 63.6% underwent surgery for pelvic organ prolapse, 23.6% underwent sling for urinary incontinence, and 12.7% underwent a combination of both. Force of stream was > 50% in 93.6% of the patients; 6.4% had force of stream < 50% and hence were discharged home with a Foley catheter. Only two patients (1.8%) were discharged without a Foley catheter and returned to the emergency department for signs of urinary retention. Sensitivity, specificity, positive and negative predictive values were 77.8%, 100%, 100% and 98.1%, respectively. Conclusion: The subjective assessment of flow of stream is a reliable and safe method to assess postoperative voiding. Given it is less invasive than backfilling the bladder and easier than using a bladder scan, it should be the primary method to assess postoperative voiding.
MeSH term(s)	Aged ; Catheters ; Female ; Humans ; Middle Aged ; Postoperative Complications/diagnosis ; Postoperative Complications/etiology ; Retrospective Studies ; Rivers ; Suburethral Slings ; Urinary Incontinence, Stress/surgery ; Urinary Retention/diagnosis ; Urinary Retention/etiology
Language	English
Publishing date	2022-04-22
Publishing country	England
Document type	Journal Article
ZDB-ID	1050631-7
ISSN	1433-3023 ; 0937-3462
ISSN (online)	1433-3023
ISSN	0937-3462
DOI	10.1007/s00192-022-05096-7
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Article ; Online: A review of monkeypox infection during pregnancy.

Farah, Stephanie / Nasr, Elena / Ramadan, Aya / Sayad, Edouard / Jallad, Karl

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

2022 Volume 161, Issue 3, Page(s) 738–743

Abstract: The present study aimed to review monkeypox infection during pregnancy: its epidemiology and etiology, transmission, clinical manifestations and complications, diagnosis, management, antenatal testing and delivery, prevention, awareness, and ... ...

Abstract	The present study aimed to review monkeypox infection during pregnancy: its epidemiology and etiology, transmission, clinical manifestations and complications, diagnosis, management, antenatal testing and delivery, prevention, awareness, and recommendations. Monkeypox can spread via vertical transmission. The usual clinical symptoms include fever, rash (vesicles, crust), new genital lesions, or sore throat. It is only recommended to use cidofovir in pregnant patients when they are severely infected with monkeypox. All woman who are at high risk of exposure for monkeypox need to be vaccinated with the smallpox vaccine regardless of their pregnancy status. Monitoring includes regular non-stress test monitoring in addition to ultrasound performed at various stages of pregnancy. High index of suspicion, informed physicians, reporting of cases, and support of research are all needed for the management of monkeypox infection during pregnancy.
MeSH term(s)	Humans ; Female ; Pregnancy ; Mpox (monkeypox)/diagnosis ; Mpox (monkeypox)/epidemiology ; Mpox (monkeypox)/therapy ; Smallpox Vaccine/adverse effects ; Cidofovir ; Infectious Disease Transmission, Vertical ; Physicians
Chemical Substances	Smallpox Vaccine ; Cidofovir (JIL713Q00N)
Language	English
Publishing date	2022-12-01
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	80149-5
ISSN	1879-3479 ; 0020-7292
ISSN (online)	1879-3479
ISSN	0020-7292
DOI	10.1002/ijgo.14577
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Zs.A 355: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Cholera Infection Risks and Cholera Vaccine Safety in Pregnancy.

El Hayek, Pamela / Boueri, Myriam / Nasr, Leah / Aoun, Christine / Sayad, Edouard / Jallad, Karl

Infectious diseases in obstetrics and gynecology

2023 Volume 2023, Page(s) 4563797

Abstract: Introduction: Discuss the impact of cholera infection on pregnant women, fetus, and neonates and review the safety of cholera vaccines in pregnancy.: Methods: This study was carried out as a narrative review during November 2022. A thorough ... ...

Abstract	Introduction: Discuss the impact of cholera infection on pregnant women, fetus, and neonates and review the safety of cholera vaccines in pregnancy. Methods: This study was carried out as a narrative review during November 2022. A thorough literature review was conducted on the following databases: PubMed, Scopus, SciELO, CINAHL, Web of Science, and ScienceDirect. The following parameters were assessed from the included studies: type of cholera vaccine, cholera symptoms, cholera treatment, effect of cholera on pregnancy, effect of cholera treatment on pregnancy, effect of cholera vaccine on pregnancy, risk factors for fetuses and neonates, and prevention of cholera. The authors independently extracted data from the 24 included studies. Results: Cholera infection is a serious threat on pregnancy as it could lead to increased stillbirths and neonatal death. Fetal death was shown to occur mainly in the third trimester as most of the pregnant women infected with cholera had spontaneous abortions even after controlling for other confounding variables such as maternal age, dehydration level, and vomiting. Neonatal death was attributed mainly to congenital malformations and low Apgar scores with no improvements. Besides, cholera vaccines have shown to be safe in pregnancy and have proven to lower fetal and neonatal malformations among vaccinated compared to nonvaccinated pregnant women. Conclusion: This narrative summarizes the different complications due to cholera infection in pregnancy. It also reviews the safety of cholera vaccine administration in pregnant women.
MeSH term(s)	Infant, Newborn ; Pregnancy ; Female ; Humans ; Cholera Vaccines/adverse effects ; Cholera/epidemiology ; Cholera/prevention & control ; Cholera/complications ; Perinatal Death ; Abortion, Spontaneous ; Stillbirth
Chemical Substances	Cholera Vaccines
Language	English
Publishing date	2023-05-22
Publishing country	Egypt
Document type	Journal Article ; Review
ZDB-ID	1176776-5
ISSN	1098-0997 ; 1064-7449
ISSN (online)	1098-0997
ISSN	1064-7449
DOI	10.1155/2023/4563797
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Article ; Online: The Feasibility and Safety of vNOTES Hysterectomy and Uterosacral Ligament Suspension: A Case Series.

Farah, Stephanie / Albaini, Obey / Al Jardali, Marwa / Daccache, Aimee / Jallad, Karl

Journal of minimally invasive gynecology

2023 Volume 30, Issue 5, Page(s) 414–417

Abstract: The transvaginal natural orifice transluminal endoscopic surgery (vNOTES) is a recently introduced surgical approach that is even less invasive than conventional laparoscopy or robotic surgery. We conducted this study to report our experience in vNOTES ... ...

Abstract	The transvaginal natural orifice transluminal endoscopic surgery (vNOTES) is a recently introduced surgical approach that is even less invasive than conventional laparoscopy or robotic surgery. We conducted this study to report our experience in vNOTES hysterectomy and uterosacral ligament suspension and determine the feasibility and safety of this approach. Surgeries on 23 women were performed by a single surgeon in 1 tertiary medical center. Patient demographics, perioperative data, and follow-up details of 23 women were collected prospectively. Average age was 56.7 ± 8.9 years. Median parity was 3. Nine patients were smokers, and 4 patients had diabetes. Median stage of prolapse was 3. One patient had extensive adhesions, and after vNOTES hysterectomy was completed, decision was made to perform uterosacral suspension by conventional vaginal access. Another patient had intraoperative identification by cystoscopy of unilateral kinking of the ureter that was resolved after the most distal uterosacral stitch was released. Mean uterine weight was 271.9 ± 131.9 g. Average estimated blood loss was 85.22 ± 55.6 mL. Median length of stay in the hospital was 1 day. Only 1 patient had intermittent voiding postoperatively and required an indwelling catheter for 3 days. Hysterectomy and uterosacral ligament suspension when performed via vNOTES is a safe and feasible procedure. Large prospective trials are on the way to continue shedding light on this new surgical modality.
MeSH term(s)	Pregnancy ; Female ; Humans ; Middle Aged ; Aged ; Prospective Studies ; Feasibility Studies ; Uterus/surgery ; Hysterectomy/adverse effects ; Hysterectomy/methods ; Ligaments/surgery ; Natural Orifice Endoscopic Surgery/methods ; Hysterectomy, Vaginal/methods
Language	English
Publishing date	2023-01-14
Publishing country	United States
Document type	Case Reports
ZDB-ID	2186934-0
ISSN	1553-4669 ; 1553-4650
ISSN (online)	1553-4669
ISSN	1553-4650
DOI	10.1016/j.jmig.2023.01.005
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Article ; Online: Natural Orifice Transluminal Endoscopic Surgery (NOTES) in Gynecology.

Jallad, Karl / Walters, Mark D

Clinical obstetrics and gynecology

2017 Volume 60, Issue 2, Page(s) 324–329

Abstract: Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an emerging field in minimally invasive surgery. NOTES can be performed via a variety of approaches, including through the stomach, esophagus, bladder, and rectum, but the majority of cases have ... ...

Abstract	Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an emerging field in minimally invasive surgery. NOTES can be performed via a variety of approaches, including through the stomach, esophagus, bladder, and rectum, but the majority of cases have been performed transvaginally. Potential advantages of natural orifice surgery in gynecology include the lack of abdominal incisions, less operative pain, shorter hospital stay, improved visibility, and the possibility to circumvent extensive lysis of adhesion to reach the pelvic cavity. This chapter provides a historical overview and the potential application of NOTES.
MeSH term(s)	Endoscopy/methods ; Endoscopy/trends ; Gynecologic Surgical Procedures/methods ; Gynecology ; Humans ; Minimally Invasive Surgical Procedures/trends ; Natural Orifice Endoscopic Surgery/methods ; Rectum
Language	English
Publishing date	2017
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	391207-3
ISSN	1532-5520 ; 0009-9201
ISSN (online)	1532-5520
ISSN	0009-9201
DOI	10.1097/GRF.0000000000000280
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Article: Multidisciplinary Approach to the Treatment of Concomitant Rectal and Vaginal Prolapse.

Jallad, Karl / Gurland, Brooke

Clinics in colon and rectal surgery

2016 Volume 29, Issue 2, Page(s) 101–105

Abstract: Rectal prolapse and vaginal prolapse have traditionally been treated as separate entities despite sharing a common pathophysiology. This compartmentalized approach often leads to frustration and suboptimal outcomes. In recent years, there has been a ... ...

Abstract	Rectal prolapse and vaginal prolapse have traditionally been treated as separate entities despite sharing a common pathophysiology. This compartmentalized approach often leads to frustration and suboptimal outcomes. In recent years, there has been a shift to a more patient-centered, multidisciplinary approach. Procedures to repair pelvic organ prolapse are divided into three categories: abdominal, perineal, and a combination of both. Most commonly, a combined minimally invasive abdominal sacral colpopexy and ventral rectopexy is performed to treat concomitant rectal and vaginal prolapse. Combining the two procedures adds little operative time and offers complete pelvic floor repair. The choice of minimally invasive abdominal prolapse repair versus perineal repair depends on the patient's comorbidities, previous surgeries, preference to avoid mesh, and physician's expertise. Surgeons should at least be able to identify these patients and provide the appropriate treatment or refer them to specialized centers.
Language	English
Publishing date	2016-05-31
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2048635-2
ISSN	1531-0043
ISSN	1531-0043
DOI	10.1055/s-0036-1580721
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Article ; Online: #UTOPia: Urogynecology Tag Ontology Project.

Davenport, Abigail / Hoang, Elizabeth / Jallad, Karl / Park, Amy J / Fitzgerald, Jocelyn / Iglesia, Cheryl B

Female pelvic medicine & reconstructive surgery

2021 Volume 27, Issue 9, Page(s) 538–540

Abstract: Objective: The objective of this study was to review and analyze the current social media status of urogynecology/female pelvic medicine and reconstructive surgery on Twitter and create a tag ontology.: Methods: A "tag ontology" is a standardized ... ...

Abstract	Objective: The objective of this study was to review and analyze the current social media status of urogynecology/female pelvic medicine and reconstructive surgery on Twitter and create a tag ontology. Methods: A "tag ontology" is a standardized list of hashtags used to organize specific subject matter within a social media platform. We used an online social media analytics tool, Symplur to identify tweets and hashtags related to #urogynecology between January 2018 and July 2020. Hashtags identified using Symplur were verified manually via Twitter inquiries and reviewed by urogynecology social medial influencers for external validation. The hashtags were selected based on frequency of use, social media influencer opinion, and clinical relevance. Results: We identified 6,847 tweets and 2,946 users. Our ontology includes 67 terms categorized into 5 groups (urinary, prolapse, anus/rectum, vulva, and other). Using "Symplur Rank," the 2 top influencers included @FPMRS and @FPMRSJournal. Conclusions: Adaptation of a standardized hashtag ontology facilitates communication between providers and patients about pertinent health care issues. Our study has created a urogynecology-specific ontology based on 2018-2020 Twitter usage.
MeSH term(s)	Communication ; Female ; Humans ; Social Media ; Utopias
Language	English
Publishing date	2021-04-22
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2542707-6
ISSN	2154-4212 ; 2151-8378
ISSN (online)	2154-4212
ISSN	2151-8378
DOI	10.1097/SPV.0000000000001053
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Zs.A 4599: Show issues

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Article ; Online: Cost comparison of gynecologic procedures between the US and a developing country: an observational study.

Abouzeid, Bassel / Hasbani, Georges El / Abouzeid, Jawad / Halleit, Souheil / Jallad, Karl

Journal of robotic surgery

2021 Volume 16, Issue 1, Page(s) 113–117

Abstract: The Unites States spends on healthcare, with women's health being included, more than what middle-to-low-income countries, such as Lebanon, do. Compared to the United States, Lebanon has negligible data on the amounts spent on healthcare including female ...

Abstract	The Unites States spends on healthcare, with women's health being included, more than what middle-to-low-income countries, such as Lebanon, do. Compared to the United States, Lebanon has negligible data on the amounts spent on healthcare including female health services. In this study, we try to assess the cost differences of common gynecologic procedures between Lebanon and the United States, trying to fill the gap of missing data in Lebanon and identifying potential factors that can lead to high healthcare cost in the United States. Retrospective chart review. Chart review in Lebanon and surgery cost estimate in the US. A total of 505 patients was included in Lebanon, where patients were divided into 3 classes of insurance depending on the services provided. Cost of common gynecologic procedures in US dollars. The data collected were stratified according to insurance statuses of the patients. Using the ANOVA test, a comparison was performed between different insurance categories of patients in the US and patients in Lebanon. Forty percent of Lebanese patients were covered by second-class insurance. Total abdominal hysterectomy with removal of corpus and cervix was the most common gynecologic procedure. In addition, there was a significant difference in the mean total bill between first-class and third-class insured patients. When comparing Lebanon to the United States, the mean total bill was significantly higher for insured and non-insured United States patients than patients in Lebanon, except for open myomectomy where the difference between the mean total bill in Lebanon and the United States was nonsignificant. There is a significant difference in the cost of Cesarean delivery, sub-classes of hysterectomy, and laparoscopic myomectomy between Lebanon and the United States, even when patients are classified according to their insurance status, which necessitates interventions in the United States to cut down costs.
MeSH term(s)	Developing Countries ; Female ; Health Care Costs ; Humans ; Insurance Coverage ; Pregnancy ; Retrospective Studies ; Robotic Surgical Procedures/methods
Language	English
Publishing date	2021-02-26
Publishing country	England
Document type	Journal Article ; Observational Study
ZDB-ID	2268283-1
ISSN	1863-2491 ; 1863-2483
ISSN (online)	1863-2491
ISSN	1863-2483
DOI	10.1007/s11701-021-01215-6
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