Articles & Publications

Resectoscopic Surgery Part I: Overcoming Obstacles and Mastering the Basics

The introduction of the continuous flow gynecologic resectoscope (CFGR) in 1989 revolutionized minimally invasive gynecologic surgery (MIGS) by introducing such intrauterine procedures as hysteroscopic myomectomy, polypectomy, and endometrial ablation. Read Article >

Resectoscopic Surgery Part II: Introducing Ultrasound Guidance for Intermediate-Level Surgical Procedures

In Part II of this three-part series, the author reviewed the importance of resectoscopic surgery and the many advantages it provides to the patient and to the minimally invasive gynecologic surgeon. Read Article >

In the final part of this three-part series, the author applies the basic skills described in the first two parts to advance the gynecologist’s skills to accomplish the most demanding challenges. Read Article >

Office-Based Gynecologic Surgery (OBGS): Past, Present, and Future: Part I

The gynecologist’s office was, historically speaking, the original setting for surgical practice. Read Article >

Office-Based Gynecologic Surgery (OBGS): Past, Present, and Future: Part II

Office-based gynecologic (OBGS) has become an integral part of modern practice. The technological achievements of the past few decades have dramatically improved our ability to diagnose and treat a variety of common issues that affect fertility and menstruation. Read Article >

Endometrial Ablation: Past, Present and Future Part I

Endometrial ablation (EA) is commonly performed minimally invasive technique to manage intractable uterine bleeding that is unresponsive to medical therapy. Read Article >

Endometrial Ablation: Past, Present, and Future Part II

Endometrial ablation (EA) is the most commonly performed surgical procedure for the management of abnormal uterine bleeding unresponsive to medical therapy. Read Article >

Case Reports in Women’s Health

Late-Onset Endometrial Ablation Failure Read Article >

Postablation Endometrial Carcinoma

Read Article >

Should We Abandon the Gynecologic Resectoscope in Favor of Hysteroscopic Morcellators?

The treatment of intrauterine masses, such as endometrial polyps and leiomyomas, has undergone a technological revolution in the past few decades. Read Article >

Diagnosis and treatment of global endometrial ablation failure

One in seven women suffer with abnormal uterine bleeding during their reproductive years, according to Fraser et al. Heavy menstrual bleeding (menorrhagia) is the most common pattern. Global endometrial ablation has become a very popular surgical technique for women complaining of menorrhagia, disinterested in either medical management or definitive therapy – hysterectomy – or where medical management has failed. Read Article >

Post-Ablation Endometrial Carcinoma (PAEC) Following Radiofrequency Endometrial Ablation: A Case Report and Its Implications for Management of Endometrial Ablation Failures

Endometrial ablation (EA) has become one of the most commonly performed gynecologic procedures in the United States and other developed countries. Read Article >

Minimally Invasive Gynecologic Surgery

Evidence-based laparoscopic, hysteroscopic and robotic procedures Read Article >

“See-and-Treat” Hysteroscopy in the Management of Endometrial Polyps

DR. MORRIS WORTMAN: The introduction of small diameter hysteroscopes and resectoscopes—often no larger than a SIS catheter—now allows most women with abnormal ultrasound findings to undergo a single-stage “see-and-treat” hysteroscopy for the management of endometrial polyps. Read Article >

Hysteroscopic Endometrial Resection VS Laparoscopic Supracervical Hysterectomy–A Flawed Conclusion 

Published 2016 in The Journal of Minimally Invasive Gynecology Read Article >

Late-onset Endometrial Ablation Failure – Etiology, Treatment, and Prevention

Published 2015 in The Journal of Minimally Invasive Gynecology Read Article >

The MIGS approach to fixing failed EA

When endometrial ablation fails, ultrasound-guided reoperative hysteroscopic surgery helps patients avoid hysterectomy. Read Article >

Sonographically Guided Hysterscopic Myomectomy (SGHM): Minimizing the Risks and Maximizing Efficiency 

Published in Surgical Technology International. Read Article >

Ultrasound-Guided Reoperative Hysteroscopy for Managing Global Endometrial Ablation Failures

Published 2014 in The Journal of Minimally Invasive Gynecology Read Article >

Operative Hysteroscopy in an Office-Based Surgical Setting: Review of Patient Safety and Satisfaction in 414 Cases

Operative hysteroscopy encompasses an important set of skills in the gynecologic armamentarium for the treatment of infertility, pregnancy loss, and abnormal uterine bleeding. Read Article >

Ultrasound-guided Reoperative Hysteroscopy: Managing Endometrial Ablation Failures

Since 1995, five non-resectoscopic endometrial ablation (NREA) devices have been introduced and extensively employed to manage abnormal uterine bleeding (AUB) in women who have completed their childbearing. Oftentimes, EA is combined with hysteroscopic polypectomy or myomectomy to optimize the management of AUB. Read Article >

Hysterscopic Myomectomy: Pearls and Pitfalls from 24 Years of Practice

Hysteroscopic myomectomy continues to evolve with the introduction of new technologies and instrumention. The author discusses his practices and preferences regarding ultrasound guidance, cervical dilation, fluid monitoring, instrumentation, and patient selection based on long experience performing this procedure. Read Article >

Pain Management for Office-Based Surgery: Expanding Our Flight Envelope

The proliferation of technologies that enable office based surgical procedures accompanied by strong economic incentives creates both opportunities and hazards for gynecologists and their patients. Read Article >

Sonographically Guided Hysteroscopic Endomyometrial Resection

EMR, a hysteroscopic technique, involves the removal of long continuous strips of tissue from the uterine fundus to the internal os resulting in a fairly predictable depth of destruction of endomyometrial tissue throughout the cavity. Read Article >

Instituting an Office-Based Surgery Program in the Gynecologist’s Office

In the last 40 years, a variety of gynecologic procedures have been successfully performed in an office setting. Read Article >

Reoperative Hysteroscopic Surgery in the Management of Patients Who Fail Endometrial Ablation and Resection

Techniques of endometrial destruction, whether ablation or resection, are accepted in treatment of menorrhagia and other forms of abnormal uterine bleeding. Read Article >

Hysteroscopic Endomyometrial Resection

A review of 304 cases. Read Article >

Hysteroscopic Endomyometrial Resection: A New Technique for the treatment of Menorrhagia

Published in 1994 in Obstetrics and Gynecology. Read Article >