Jamal Mourad

Interests

Research

Robotic and laparoscopic surgery

Teaching

Surgical Gynecology

Courses

No activities entered.

Scholarly Contributions

Chapters

• Mourad, J., Henderson, S., & Magrina, J. (2018). Complications of Laparoscopy. In Minimally Invasive Gynecology - An Evidence Based Approach(pp 363-374). Springer.

Journals/Publications

• Mahnert, N., Aguirre, A., Roy, K., Mourad, J., Foote, J. A., & Steck-Bayat, K. (2018). Surgical Equipment Price Awareness Amongst Obstetrician Gynecologists.. Journal of the Society of Laparoendoscopic Surgeons.
• Mahnert, N., Aguirre, A., Roy, K. H., Mourad, J., Foote, J. A., & Steck-Bayat, K. (2019). Surgical Equipment Price Awareness Amongst Obstetrician Gynecologists.. Journal of the Society of Laparoendoscopic Surgeons.
• Mourad, J., & Burke, Y. Z. (2019). Needleless Robotic-Assisted Abdominal Cerclage in Pregnant and Nonpregnant Patients. Journal of minimally invasive gynecology, 23(3), 298-9.
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  To demonstrate the step-by-step surgical technique of "needle-free" robotic-assisted transabdominal cerclage placement.
• Smith, R. B., Brink, J., Hu, C., Gerkin, R., Perlow, J. H., & Mourad, J. (2019). Robotic Transabdominal Cerclage vs Laparotomy: A Comparison of Obstetric and Surgical Outcomes. Journal of minimally invasive gynecology.
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  To compare obstetric and surgical outcomes of transabdominal cerclage (TAC) via laparotomy (TAC-LAP) versus robotic-assisted (TAC-RA) approaches.
• Steck-Bayat, K. P., Foote, J. A., Mourad, J., Roy, K. H., Aguirre, A. G., & Mahnert, N. D. (2019). Surgical Equipment Price Awareness Amongst Obstetrician-Gynecologists. JSLS : Journal of the Society of Laparoendoscopic Surgeons, 23(2).
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  Physicians typically have little information of surgical device pricing, although this trend has not been studied in the field of obstetrics and gynecology. We therefore aimed to determine how accurately obstetrician-gynecologists estimate surgical device prices, and to identify factors associated with accuracy.
• Steck-Bayat, K. P., Henderson, S., Aguirre, A. G., Smith, R. B., Mahnert, N. M., Gerkin, R. D., & Mourad, J. (2019). Prospective randomized controlled trial comparing cephalad migration in robotic gynecologic surgery using egg-crate foam versus the Pink Pad. Journal of robotic surgery.
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  The objectives of the study were to compare the cephalad migration of two patient positioning pads used in robotic gynecologic surgery and to determine if any correlation exists between cephalad movement and time in Trendelenburg position or body mass index. This was a prospective randomized controlled open-label trial (Canadian Task Force classification I). Sixty women undergoing robotic-assisted laparoscopic gynecologic surgery were randomized to the Pink Pad system or egg-crate foam pre-operatively. Patients were placed under general anesthesia and then positioned in dorsal lithotomy. The locations of the iliac crest, acromion process, and buttock were marked on the table before and after surgery to calculate cephalad migration during surgery. The primary outcome was centimeters of cephalad migration at the three anatomic landmarks. Comparing the Pink Pad (n = 24) to the egg-crate group (n = 26) revealed similar mean cephalad migration at the iliac crest (4.8 cm vs 4.3 cm, p = 0.56) and the shoulder (4.6 cm vs 3.9 cm, p = 0.39), and less cephalad migration at the buttock (median 3.0 cm vs 2.0 cm, p = 0.041). The total time in Trendelenburg was not correlated with cephalad migration at any anatomic landmark. Body mass index was positively correlated with cephalad migration only at the iliac crest (p = 0.032) regardless of pad type. The egg-crate foam resulted in less cephalad migration at all anatomic sites and significantly less migration at the buttocks compared to the Pink Pad. This suggests that the less-costly egg-crate foam is noninferior to the Pink Pad system and trends at superiority.
• Tyan, P., Mourad, J., Wright, B., Winter, M., Garza, D., Smith, R., Brink, J., Wei, C., & Moawad, G. (2019). Robot-assisted transabdominal cerclage for the prevention of preterm birth: A multicenter experience. European journal of obstetrics, gynecology, and reproductive biology, 232, 70-74.
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  High-risk pregnancy stratification and the use of Progesterone and prophylactic cerclage based on prior obstetrical outcomes and cervical length screening have been successful in curbing the impact of preterm birth. However, a large number of women will still suffer from preterm delivery even with optimal management. Experts agree that a transabdominal cerclage is the next best option for women who fail a transvaginal cerclage in a prior pregnancy. Our primary objective with this study is to assess the obstetric benefits and feasibility of robotic-assisted transabdominal cerclage in high-risk women projected to have poor obstetric outcomes.

Presentations

• Mourad, J. (2018, December). Avoiding Injury in Pelvic Surgery – Anatomical Implications. AAGL - Dignity Health, St Joseph’s Medical Center. Phoenix, AZ.
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  Workshop on Surgical Anatomy of The Pelvis and Procedures in Patients With Chronic Pelvic Pain
• Mourad, J. (2018, May). Faculty - ASSESS Course. ACOG National Meeting. Washington DC.
• Mourad, J. (2018, November). TAC tips and Tricks. AAGL. Plenary 3 Robotics, Group B.
• Mourad, J. (2018, October). Porcine Laparoscopic Lab - TLH. FMIGS and OBGYN Residency Program. Phoenix, AZ: Banner University Medical Center - Phoenix.
• Mourad, J., Smith, R., & Aguirre, A. (2018, November). Robotic-Assisted Transabdominal Cerclage: A Triplet Pregnancy. AAGL. Video Session 9, Group A.