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Failure to rescue
Earlier this week, I learned about a new indicator to measure surgical quality. "Failure the rescue" stands for our inability to save a patient’s life as...
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In what locations are super obese patients slim and easy to operate?
Obese and super obese women in particular benefit froma laparoscopic approach if they need pelvic surgery. Open surgery carries a lot of risks, and in particular...
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FREE SurgicalPerformance Audit in Obstetrics and Gynaecology
If you think about it for a second it is pretty clear: You cannot improve outcomes that you don’t measure. I got in contact with the idea...
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RANZCOG complications survey
*Dr Elizabeth Varughese* I am an Obstetrician and Gynaecologist in a small country town in NSW. When I set up my practice 2 years ago, I had trained...
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Surgical Checklists
Surgical Checklists demonstrated a significant reduction in postoperative morbidity and mortality in more than one very large study. The first study was conducted by WHO with a...
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Salpingectomy to reduce "ovarian cancer" risk
A few weeks ago we discussed the role of salpingectomy[http://obermair.info/latest-news/blog/salpingectomy-for-ovarian-cancer-prevention/] (without removing the ovaries) to prevent ovarian cancer. We agreed that … Historical data suggest that...
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Bowel & Bladder injury
A couple of months ago, I attended an AGES conference on surgical disasters. I am interested in surgical complications professionally and academically[/research/publications/]. The majority of participants...
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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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