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Obstetrician & Gynecologist (OB/GYN)
13 years of experience
Video profile
Accepting new patients

Education ?

Medical School Score
Thomas Jefferson University (1997)
  • Currently 2 of 4 apples

Awards & Distinctions ?

Associations
American Board of Obstetrics and Gynecology
American Urogynecologic Society

Affiliations ?

Dr. Vakili is affiliated with 15 hospitals.

Hospital Affilations

Score

Rankings

  • Atlantic City Medical Center-Atlantic Di
    Obstetrician & Gynecologist
    1925 Pacific Ave, Atlantic City, NJ 08401
    • Currently 3 of 4 crosses
    Top 50%
  • Christiana Care Health Services
    4755 Ogletown Stanton Rd, Newark, DE 19718
    • Currently 2 of 4 crosses
  • Cooper University Hospital
    1 Cooper Plz, Camden, NJ 08103
    • Currently 2 of 4 crosses
  • Virtua West Jersey Hospital - Marlton
    Obstetrician & Gynecologist
    94 Brick Rd, Marlton, NJ 08053
    • Currently 2 of 4 crosses
  • Virtua West Jersey Hospital - Voorhees
    94 Brick Rd, Marlton, NJ 08053
    • Currently 2 of 4 crosses
  • Atlanticare Regional Medical Center-Mainland Division
    65 W Jimmie Leeds Rd, Pomona, NJ 08240
  • Wilmington Hospital
    501 W 14th St, Wilmington, DE 19801
  • West Jefferson Medical Center
  • Christiana Hospital
  • Earl K. Long Memorial Hospital
  • Children`s Hospital of New Orleans
  • Lakeside Hospital LA
  • Cooper HospitalUniversity Medical Center, Camden
  • Cooper Medical Center
  • Atlanticare Regional Medical Center-City Division
    1925 Pacific Ave, Atlantic City, NJ 08401
  • Publications & Research

    Dr. Vakili has contributed to 9 publications.
    Title Risk Factors for Mesh Erosion 3 Months Following Vaginal Reconstructive Surgery Using Commercial Kits Vs. Fashioned Mesh-augmented Vaginal Repairs.
    Date April 2010
    Journal International Urogynecology Journal and Pelvic Floor Dysfunction
    Excerpt

    Our objective was to establish the overall graft erosion rate in a synthetic graft-augmented repair 3 months postoperatively.

    Title Anatomic Relationships of the "top-down" Mid-urethral Sling.
    Date July 2009
    Journal The Journal of Reproductive Medicine
    Excerpt

    To determine the anatomic relationships between the "top-down" mid-urethral sling (MUS) and pelvic structures.

    Title Primary Amenorrhea with an Abdominal Mass at the Umbilicus.
    Date May 2009
    Journal Journal of Pediatric and Adolescent Gynecology
    Excerpt

    Transverse vaginal septum is a rare cause of primary amenorrhea. It has a reported incidence of 1:2,100-1:72,000 and a variety of clinical presentations.

    Title 17beta-hydroxysteroid Dehydrogenase 3 Deficiency in a Male Pseudohermaphrodite.
    Date January 2008
    Journal Fertility and Sterility
    Excerpt

    OBJECTIVE: To present the clinical, biochemical, and genetic features of a male pseudohermaphrodite whose condition was caused by 17beta-hydroxysteroid dehydrogenase 3 (17beta-HSD3) deficiency. DESIGN: Case report. SETTING: Gynecology practice in a university teaching hospital. PATIENT(S): A 15-year-old black American male pseudohermaphrodite with 17beta-HSD3 deficiency. INTERVENTION(S): Laboratory evaluation, genetic mutation analysis, bilateral gonadectomy, and hormone replacement. MAIN OUTCOME MEASURE(S): Endocrinologic evaluation and genetic analysis. RESULT(S): A diagnosis of 17beta-HSD3 deficiency made on the basis of hormone evaluation was confirmed through genetic mutation analysis of the HSD17B3 gene. Female phenotype was attained after gonadectomy, passive vaginal dilatation, and hormone therapy. CONCLUSION(S): Deficiency of 17beta-HSD3 was diagnosed in this patient on the basis of endocrinologic evaluation and was confirmed with genetic mutation analysis. The patient was able to retain her female sexual identity after surgical and medical treatment.

    Title Outcomes of Vaginal Reconstructive Surgery with and Without Graft Material.
    Date March 2006
    Journal American Journal of Obstetrics and Gynecology
    Excerpt

    OBJECTIVE: This study was undertaken to evaluate the outcomes of vaginal surgery for pelvic organ prolapse, comparing cases implementing graft augmentation to those without graft augmentation. STUDY DESIGN: This was a retrospective cohort study of 312 patients who underwent vaginal surgery for prolapse from February 1998 to January 2004. RESULTS: Of the 312 patients, 98 (31.4%) had graft augmentation. The median follow-up was 9 months (3-67 months). Graft use was not associated with reduction in recurrent prolapse, recurrent stage 3 prolapse, recurrent incontinence, or additional surgery for prolapse. After controlling for confounders, there was still no difference in surgical outcomes. Complications such as vaginal/graft infection (18.4% vs 4.7%; P < .001) and granulation tissue (38.8% vs 17.3%; P < .001) were more common after cases in which graft was used. CONCLUSION: In the early postoperative period, there was no benefit in using graft for prolapse repair. Graft use leads to a higher rate of postoperative complications.

    Title Fetal Fibronectin As a Predictor of Vaginal Birth in Nulliparas Undergoing Preinduction Cervical Ripening.
    Date February 2006
    Journal Obstetrics and Gynecology
    Excerpt

    OBJECTIVE: We sought to evaluate whether the presence of a positive fetal fibronectin (> or = 50 ng/mL) in nulliparous women undergoing preinduction cervical ripening with the intracervical Foley catheter predicted vaginal birth. METHODS: This was a prospective blinded observational trial of nulliparous women undergoing preinduction cervical ripening. We excluded women who had a contraindication to vaginal birth. Cervical and vaginal fetal fibronectin specimens were obtained before preinduction cervical ripening with an intracervical Foley catheter. The managing obstetrician was blinded to these results. RESULTS: A total of 241 women met the inclusion criteria, of which 54.4% delivered vaginally. There was no difference in the rate of vaginal delivery among women with either a positive cervical fetal fibronectin (positive fetal fibronectin 55.8% compared with negative fetal fibronectin 53.3%, P = .70) or positive vaginal fetal fibronectin (positive fetal fibronectin 57.6% compared with negative fetal fibronectin 53.3%, P = .56). Women with a positive cervical fetal fibronectin did have a shorter duration of cervical ripening (fetal fibronectin-positive 229 +/- 220 minutes compared with fetal fibronectin-negative 379 +/- 193 minutes, P < .05), duration of oxytocin (fetal fibronectin-positive 655 +/- 555 minutes compared with fetal fibronectin-negative 731.5 +/- 342 minutes, P < .025) and required lower maximal doses of oxytocin (fetal fibronectin-positive 18.4 mIU/min compared with fetal fibronectin-negative 21.8 mIU/min, P = .005). Women with a positive vaginal fetal fibronectin demonstrated only a shorter duration of cervical ripening compared with their fetal fibronectin negative counterparts (fetal fibronectin-positive 300 +/- 216 minutes compared with fetal fibronectin-negative 345 +/- 201 minutes, P < .05). CONCLUSION: Fetal fibronectin does not predict vaginal delivery in nulliparous women requiring preinduction cervical ripening. LEVEL OF EVIDENCE: II-2.

    Title Levator Contraction Strength and Genital Hiatus As Risk Factors for Recurrent Pelvic Organ Prolapse.
    Date June 2005
    Journal American Journal of Obstetrics and Gynecology
    Excerpt

    OBJECTIVE: To correlate levator ani contraction strength and genital hiatus measurements with surgical failure in prolapse. STUDY DESIGN: This retrospective study involved chart review for documentation of levator contraction strength, genital hiatus measurement, and recurrent pelvic floor disorders in women who underwent surgery for prolapse. RESULTS: The recurrent prolapse rate was 34.6%. Median follow-up interval was 5 months. Diminished levator strength was associated with recurrent prolapse (35.8% versus 0%; P = .017). A genital hiatus 5 cm or greater was associated with recurrent prolapse (44.2% vs 27.8%; P = .034). Inability to contract the levator ani was associated with urinary incontinence (35.1% vs 18.8%; P = .023). Increasing levator contraction strength was associated with a decreased reoperation rate for pelvic floor disorders, whereas genital hiatus correlated best with recurrent prolapse. CONCLUSION: Diminished levator ani contraction strength and a widened genital hiatus correlate with an increase in surgical failures in the early postoperative period. These tools are useful for counseling a patient concerning surgery for prolapse.

    Title The Incidence of Urinary Tract Injury During Hysterectomy: a Prospective Analysis Based on Universal Cystoscopy.
    Date June 2005
    Journal American Journal of Obstetrics and Gynecology
    Excerpt

    OBJECTIVE: To evaluate the incidence of urinary tract injury due to hysterectomy for benign disease. STUDY DESIGN: Patients were enrolled prospectively from 3 sites. All patients undergoing abdominal, vaginal, or laparoscopic hysterectomy for benign disease underwent diagnostic cystourethroscopy. RESULTS: Four hundred seventy-one patients participated. Ninety-six percent (24/25) of urinary tract injuries were detected intraoperatively. There were 8 cases of ureteral injury (1.7%) and 17 cases of bladder injury (3.6%). Ureteral injury was associated with concurrent prolapse surgery (7.3% vs 1.2%; P = .025). Bladder injury was associated with concurrent anti-incontinence procedures (12.5% vs 3.1%; P = .049). Abdominal hysterectomy was associated with a higher incidence of ureteral injury (2.2% vs 1.2%) but this was not significant. Only 12.5% of ureteral injuries and 35.3% of bladder injuries were detected before cystoscopy. CONCLUSION: The incidence of urinary tract injury during hysterectomy is 4.8%. Surgery for prolapse or incontinence increases the risk. Routine use of cystoscopy during hysterectomy should be considered.

    Title A Comprehensive Pelvic Dissection Course Improves Obstetrics and Gynecology Resident Proficiency in Surgical Anatomy.
    Date November 2003
    Journal American Journal of Obstetrics and Gynecology
    Excerpt

    OBJECTIVE: This study was undertaken to evaluate the impact of a pelvic dissection course on resident proficiency in surgical anatomy. STUDY DESIGN: Over a 1-year period, residents attended a course consisting of pretesting and posttesting, lectures, and pelvic dissection. Tests results were analyzed using paired Student t test, analysis of variance, and Kruskal-Wallis statistics. RESULTS: Of 42 residents, 24 completed all testing (study cohort). On written and practical examinations, resident scores improved a median of 42% and 29% (both P<.0001). Postgraduate year (PGY) 2 demonstrated the greatest improvement on the practical and PGY-3s demonstrated the greatest improvement on the written. Baseline written and practical results discriminated PGY level (construct validity): PGY-2=PGY-3<PGY-4 on written pretest, PGY-2<PGY-3=PGY-4 on practical pretest. No difference between resident cohorts was seen in either posttest. CONCLUSION: Resident surgical anatomy proficiency is measurably improved by a comprehensive course.

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