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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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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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Blissfully unaware?
Last week I attended a marvellous presentation by Professor Gerald Hickson from Vanderbilt University in Nashville, TN. In brief, he talked about us doctors being accountable...
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Aspiration at anaesthetic
A colleague shared his recent experience with a rather unusual and difficult case last week during the Australian College Scientific Meeting. A sixty-something year old patient deteriorated...
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Create space at laparoscopy
Adequate exposure is a key aspect of any surgical procedure, and this is particularly true in laparoscopy. When operating in the pelvis, visualisation of key anatomical...
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How a fake surgical device was registered
I was wondering for a long time how stringent the requirements are to register a surgical device. It is common knowledge that surgical devices only need to...
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I stopped using V-Loc this week
When I trained with Tony McCartney in Perth, we used an ordinary monofilament suture to close the vagina after a TLH. The suture was introduced through...
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