Traditional clinical research Value-based clinical quality improvement Intent Testing of hypotheses Improving value  Traditional clinical research Clinical quality improvement   Pro Con Comparison Pre-market FDA requirement Costly and lengthy…

Gynecologic Endometriosis Pelvic inflammatory disease, chronic endometritis, chronic salpingitis Pelvic congestion syndrome Ovarian remnant syndrome Residual ovary syndrome Vulvodynia Vulvar vestibulitis Vaginismus Urologic Interstitial cystitis/painful bladder syndrome Chronic urethritis Gastrointestinal…

Fig. 41.1. Osteitis pubalgia on MRI. Fig. 41.2. Right inguinal hernia on MRI. Diagnosis While the reducible right inguinal hernia in this patient was obvious, the patient’s history and physical…

Fig. 39.1. MRI anterior pelvis, non-contrast, with Valsalva and dynamic views demonstrated intact right inguinal hernia repair with no hernia recurrence. T2 axial view here shows intact flat onlay mesh…

Fig. 38.1. Densely adherent small intestine to prior hernia mesh in retroperitoneal space. Due to the chronic, non-neuropathic nature of his groin pain, it was felt that all previous mesh…

Fig. 14.1. Nociceptive pain pathway. Fig. 14.2. Comprehensive view of pain pathway with multimodal points of modulation. Multimodal Analgesics for Acute Pain Management There are multiple analgesics that can be…

Fig. 16.1. The anatomy of posterior floor as viewed through a laparoscope. (a) Inferior epigastric vessels. (b) Genital branch of the genital–femoral nerve. (c) Genital–femoral nerve. (d) Lateral cutaneous nerve….

Fig. 17.1. Intra-articular hip pathology is excluded by painless hip rotation and a negative Stinchfield test. Lumbar Spine Disease   Spine diseases, such as thoracolumbar discogenic pain at multiple levels or…