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Haemostatic agents (Floseal, Surgiflo)
I have been asked to describe in what areas patients benefit from haemostatic agents. Haemostatic agents include Floseal, Surgiflo, Tisseel, Surgicel, Fibrillar or Surgicel Snow, only...
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Preperitoneal wound infusion
I realise that in general gynaecology we hardly need to do laparotomies any more except for very big and complex cases. Even in gynaecological oncology most...
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Mirena for Lynch patients?
In gynaecology we moved from major surgery through laparotomy, to laparoscopic surgery to single incision surgery and finally to non-surgical treatment of endometrial pathology within the...
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The top 5 failures to disclose risk at informed consent
In most countries, doctors have a duty to explain the possibility of surgical risks and possible complications before surgery to patients. In the vast majority these...
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The ureter is my friend
Our gynaecological anatomy puts a heavy focus on the female reproductive organs. Though, most of the genital tract is developed out of the Mullerian duct and...
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Loop excision of the cervix and the risk of preterm delivery
When asked by my patients whether a LLETZ or cone bipopsy impacted on the risk of a preterm delivery on a subsequent pregnancy, often I became...
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No urinary jet – what now?
For an increasing number of major gynaecological operations guidelines suggest performing a cystoscopy[http://obermair.info/latest-news/blog/should-a-cystoscopy-be-always-performed-after-laparoscopic-hysterectomy/] to confirm the intactness of the bladder and the patency of the ureters....
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Comfort Zone
One of my surgical mentors made a point of saying “Son, you gotta get out of your comfort zone to excel”. If we operate always within...
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Surgical Smoke
In laparoscopic surgery diathermy-generated fume annoyes not only me but a lot of surgeons. It affects the visibility in surgery, requires to clean the scope repeatedly....
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Preoperative Guidelines for Surgery on Elderly
Most gynaecologists see patients at 6 weeks from surgery. By contrast, most postoperative issues actually arise in the early postoperative period. Urinary tract and other infections,...
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