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Prolonged hospitalization after laparoscopy: Identifying risk factors

Pedro T Ramirez, Department of Gynecologic Oncology and Reproductive Medicine, MD Anderson Cancer Center, Houston, TX

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Preoperative Guidelines for Surgery on Elderly

Last week the American College of Surgeons (ACS) and the American Geriatrics Society (AGS) issued new guidelines for the preoperative care of patients aged 65+ years.

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Total Abdominal Hysterectomy is becoming out-dated

When I started my work as a gynaecological surgeon in Queensland in 2003, I was keen to see Total Abdominal Hysterectomy (TAH) be replaced by Laparoscopic Hysterectomy by the time...

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Life long learning

One day, when I was a young registrar in Vienna, I accidentally made a small bowel injury at entry into the abdomen. I was visibly upset because of my failure.

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What do astronauts do...

By Engelbert Hanzal

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Bean bag

Last week we discussed how we get more “head down” rather than “pelvis up” at Trendelenburg position simply by sliding the operating theatre table so that the fulcrum of the...

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Operating table modified

First, I’d like to thank all of you who provided feedback to previous articles. I like to see this blog as a gynaecological coffee house where people like you and...

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Who is the best to do a prophylactic, risk-reducing surgery for BRCA – General gynaecologist or gynaecological oncologist?

I received an email from one of my patients last week. She knows about her BRCA mutation for a year and saw me 8 months ago to discuss her options.

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Should a Cystoscopy be always performed after laparoscopic hysterectomy?

Evidence is emerging that laparoscopic hysterectomy is the treatment of choice if a vaginal hysterectomy is not feasible. Injuries of the ureters or the bladder are uncommon after Laparoscopic Hysterectomy.

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No more wound dressing

Until recently my practice received a significant number of phone calls from patients enquiring when the wound dressing could or would have to come off, what if they peeled off...

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