women’s health

womens-health

FDA now discourages use of morcellator

by Medical Staff Office on May 1, 2014

By Henry Sobel, MD, Chair, Women’s and Children’s Services

The FDA recently issued an advisory strongly discouraging the use of uterine power morcellators. Read the MedPage article with the advisory and ACOG comment here.  The FDA’s specific recommendation to physicians is highlighted. Leading hospitals around the country are taking either of two approaches: banning use of the morcellator or having its use restricted to within bags in the abdomen to protect against the risk of spread of potentially malignant tissue. This controversy was the subject of our February Women and Children’s M&M Conference.

Since that discussion efforts have been made to assure that we have the necessary high quality surgical bags, and we do. The use of the power morcellator, the incidence of leiomyosarcoma, and the impact of surgical technique on survival are each of some small increment.  Balanced against that risk is the benefit of the decreased morbidity of the minimally invasive techniques allowed by the use of morcellation.  More informed high level conversation is coming from national medical thought leaders, including ACOG.

With that expectation, having seen different responses at other hospitals, and having gotten differing opinions within our service, at this time I see the prudent action to be the more conservative one of requiring the use of collection bags to isolate the tissue from spread within the abdomen at time of morcellation.

Further, the FDA’s discussion points (highlighted in yellow within the attachment) should be considered as imperatives in any pre-operative discussion where morcellation may be a possibility.  And that should be documented.

Due to the small number of patients impacted by this controversy, the potential for stirring up fear and worry and the fact that we are simply responding to published recommendations, I do not view this as something justifying increased local publicity.  It is a subject you should be familiar with, expect questions about and be able to discuss in an informed manner.  If contacted by a reporter, the best response is to refer them to the AAMC PR  department for comment.

Your comments are welcome.  Thank you.

AAMC among busiest, highest quality hospitals in Baltimore area

by Medical Staff Office on November 20, 2013

The Baltimore Business Journal recently noted AAMC as the third busiest hospital (measured by admissions) in the Baltimore region. In addition, we were noted for high quality in maternity care, surgery, and overall quality as rated by patients. Click here to read the article.

Breast Center Lecture Series

by Medical Staff Office on October 4, 2013

Breast Imaging Part I: Wednesday, October 2, noon, Doordan Institute, 7th floor, Health Sciences Pavilion, Classroom 2
Breast Imaging Part II: Tuesday, October 15, noon, Doordan Institute, 7th floor, Health Sciences Pavilion, Classroom 2
Radiation Therapy for Breast Cancer Part I: Monday, October 28, 5pm, Donner Pavilion, 1st floor Conference Room
Breast Cancer Rehab, Pre- and Post-Op: Wednesday, November 6, noon, 2nd floor, Health Sciences Pavilion, Breast Center Conference Room
Radiation Therapy for Breast Cancer Part II: Monday, November 11, 5pm, Donner Pavilion, 1st floor Conference Room
Pre-op Prep of Breast Surgery Patients and Concierge Services for the Breast Surgical Patient: Tuesday, December 10, 7am, 2nd floor, Hospital Pavilion South, Surgical Services Conference Room

Simulation and educational opportunities at the Earl SAIL Center

by Medical Staff Office on September 19, 2013

The James and Sylvia Earl Simulation to Advance Innovation and Learning Center (SAIL), is a world-class medical simulation and training facility in the Health Sciences Pavilion at AAMC. The Center serves not only the medical profession but also provides tours and educational opportunities for area school children, the community, patients, families, and organizations dedicated to healthcare improvement and patient safety. Here are a few upcoming events at the Earl SAIL Center:

  • Orthopedics Cadaver Lab: September 24
  • OB/GYN Simulation Training: September 26
  • Patient Care Technician Education: September 27
  • Women’s Conference and Tour: October 16
  • GYN Pelvic Floor Reconstruction Cadaver Lab: November 1
  • Breast Surgery Lab: November 1
  • Biomedical and Allied Health Students from Anne Arundel County Public Schools and Glen Burnie High School Tours: November 15 and December 12

What kinds of simulation and learning opportunities can the Earl SAIL Center offer you and your team? Contact Ann Casamento, RN, simulation coordinator, at x4880 or acasamento@AAHS.org.

NAPBC 3-year accreditation approved

by Medical Staff Office on August 2, 2013

From Lorraine Tafra, MD, FACS, medical director of the AAMC Breast Center
The National Accreditation Program for Breast Centers has approved AAMC’s program for another three-year full accreditation. The site surveyor rated all 27 areas reviewed as compliant. Final surveyor remarks include: “An outstanding program providing excellent patient focused care. There are many best practices within this program and the leaders and team members are exceptional.”

Shelley Perkins, MD, Completes Surgical Oncology Breast Fellowship

by Medical Staff Office on June 20, 2013

Congratulations to Shelley Perkins, MD, who recently completed a surgical oncology breast fellowship under Lorraine Tafra, MD, medical director of the AAMC Breast Center. The fellowship is through the Society of Surgical Oncology Breast Fellowship. Dr. Perkins focused on the multidisciplinary treatment of breast cancer and rotated through all areas that treat the disease including radiology, radiation oncology, medical oncology, lymphedema, genetics, research, plastic surgery, and more.  Dr. Perkins’ next position is at the Naval Hospital in San Diego. The Breast Center will welcome incoming fellow, Erica Giblin, MD, later this year. See photos from Dr. Perkins’ graduation party here.