Department Divisions and Clinical Subspecialties
Division of Maternal Fetal Medicine
The section of MFM (Perinatology) is concerned with the identification and management of women with high risk pregnancies (both maternal and/or fetal problems). Resident High Risk Clinic is held weekly. Undelivered women admitted with pregnancy complication (maternal medical or surgical difficulties or ongoing fetal concerns) are followed by the resident assigned to the MFM service. Principles of obstetric ultrasound are taught by section members.
Division of Minimally Invasive Surgery
Minimally invasive gynecology surgery (MIGS) is a division of gynecology that provides women with innovative, leading-edge options, when surgical intervention is necessary. This division is another facet of our department, in offering minimally invasive surgical options for women who require benign gynecological surgery, female pelvic medicine and reconstructive surgery, gynecologic oncology surgery, or surgeries for fertility.
Commonly treated conditions include abnormal bleeding, endometriosis, uterine fibroids, uterine polyps, ovarian cysts, and pelvic pain.
The minimally invasive gynecologic surgery division provides resident training focused on advanced endoscopic surgery including laparoscopic, hysteroscopic, and robotic-assisted surgery, as well as single incision surgery and vaginal surgery.
The function of the MIGS is to offer surgical expertise in challenging cases that require an advanced skill set. MIGS is associated with significantly less blood loss during surgery, less scarring and significantly less post-operative pain that provides patients with shorter hospital stays which allows patients to return to their lives and activities of daily living sooner.
The LSU Division of Minimally Invasive Gynecologic Surgery division provides comprehensive care for women as well as adolescents.
Division of General Obstetrics and Gynecology
Faculty members in the Division of General Obstetrics and Gynecology practice and teach a wide variety of topics and skills which reflect the widely based practice life of a board certified Obstetrician and Gynecologist. These include:
Diagnosis and out-patient/inpatient management of all ages of female patients with problems such as abnormal bleeding, fertility problems, uterine fibroids, pre-malignant lesions of cervix and uterus, family planning, timing of pregnancy, pelvic and ovarian masses, ectopic pregnancy and sexually transmitted diseases. We teach and utilize pelvic ultrasound routinely.
Diagnosis and management of all facets of obstetrics: Preconception care, routine and high risk prenatal care with vaginal, VBAC and cesarean delivery, and post-conception care, contraception. Our physicians routinely care for patients with multiple medical and surgical co-morbidities. Intra-departmental consultation with faculty Perinatologists is readily available.
Inpatient services include operative and preoperative care of gynecologic patients and medical admission for Ob-Gyn problems. Commonly performed procedures are minimally invasive laparoscopic, robotic, vaginal and traditional hysterectomy, myomectomy, ovarian cystectomy and hysteroscopy. Our department offers ample experience with the entire gamut of gynecology surgery.
The division works closely with LSU Ob-Gyn residents in the public and private clinics and hospitals. We staff and closely supervise a number of gynecology clinics with residents in our and other LSU departments. Our division also maintains an active group Ob-Gyn practice on St. Charles Avenue and at Touro Infirmary.
Division of Reproductive Endocrinology
The Reproductive Endocrinology section is responsible for the establishment of policies and the evaluation and treatment of infertility and endocrinopathies involving female reproductive functions. Particular interests are dysmenorrhea, infertility, tubal microscopy, hyperprolactinemia and polycystic ovarian disease. Special endocrine clinics are supported by an endocrinology laboratory service. Electives for both senior medical students and residents are offered. A yearly endocrinology course is presented. The division works both in The Medical Center of Louisiana and in their private offices. Residents rotate through the private office (The Fertility Institute of New Orleans), which broadens the house officers’ exposure to different patients.
Division of Gynecologic Oncology
The section of Gynecologic Oncology is responsible for cancer screening, policymaking, treatment, and follow-up of patients with a pelvic cancer or a premalignant gynecologic condition. Particular efforts are made to discover premalignant and early malignant lesions through the longstanding Papanicolaou smear and colposcopy screening programs. Ob-Gyn residents on this service are involved in pretreatment staging and management decisions as well as operative and postoperative care. The residents and medical students actively participate in all aspects of diagnosis and treatment including radiation therapy planning, chemotherapy, ICU management, laser procedures, routine gyn surgeries, and radical pelvic operations. Inpatient care is provided in the Medical District of New Orleans at LSU’s University Hospital by rotating teams of 4 Ob-Gyn residents and 3 medical students as well as the Gyn Oncology faculty. Inpatient care is also delivered in a private hospital setting at Touro Infirmary by a rotating team of 3 Ob-Gyn residents and the Gyn Oncology faculty. Outpatient services are available on the LSU Health Sciences Center Campus and at the Memorial Medical Center Campus.
Jernigan, Amelia, MD
Division of Urogynecology
The Urogynecology Section provides comprehensive surgical and non-surgical treatment of pelvic floor disorders such as pelvic organ prolapse, urinary and fecal incontinence, pelvic pain, voiding disturbances, and anatomic abnormalities of the GU tract. This is a clinically based fellowship with a large amount of vaginal reconstructive surgery. The three year fellowship fellows work with a urogynecologist and a female urologist for one year each. The remaining year is devoted to colorectal surgery, research and other elective rotations. Performance of research with publication is expected. The staff and fellows actively participate in resident education, from an anatomic cadaver lab series, to formal lectures, to surgical teaching. A series of Urogynecology lectures are given in a special series each year by the Urogynecology fellows, the Urogyn staff and the senior residents with some help from the fellows. The series also includes practical work with cadavers to reinforce the teaching of surgical techniques as well as anatomy. These lectures are given on some core curriculum days as well as evening sessions in the lab. All topics of urogynecology are covered.