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My surgical training experience – a trainee’s perspective
Having just completed six years of O&G training is a good time to reflect on my past training, and specifically in relation to my surgical experience....
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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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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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HE4 in ovarian and uterine cancer
A couple of years we introduced HE4 as a tumour marker for pelvic masses. The idea was to differentiate benign ovarian masses from ovarian cancer in...
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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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Registries don’t work for doctors
In order to measure and improve the quality of health care, professional societies and Colleges (on behalf of government organisations) feel a strong need to collect...
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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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Breast cancer - hysterectomy and removal of ovaries and tubes
It is well possible that patients diagnosed with breast cancer have been undertreated in the past. A study to be published soon shows that breast cancer patients...
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