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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 One of the major advantages of laparoscopic surgery is that patients...
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Bloodless Surgery
Last week, Pedro Ramirez from the MD Anderson Cancer Center described risk factors for prolonged hospital stay after laparoscopic surgery. More than half of patients had...
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Smokers face a higher risk of surgical complications
A patient with vulval cancer, smoker, needed surgery like many patients we see every day. Of course, we spoke of smoking and the possibility that her...
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Are barbed sutures safe?
Last week, a patient who had a TLH 8 weeks ago contacted me to complain about symptoms suggesting vaginal dehiscence following intercourse. Vaginal vault dehiscence is...
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False positive readings of HE4
A couple of weeks ago a friend and gynaecologist complained about HE4 and in particular about false positive readings. Traditionally we use biomarkers such as HE4...
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Salpingectomy for “Ovarian” Cancer Prevention
Earlier this year we witnessed some hype that removing the fallopian tubes (salpingectomy) would prevent ovarian cancer. Apart from the hype, I never found a clear...
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Adenomyosis
Within the uterus, there are two distinct layers: The endometrium is the inner layer, which is sensitive to hormone receptors. It will grow thicker in the...
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Uterine Fibroids
Uterine fibroids are tumours arising from smooth muscle tissues within the uterus. Another medical term for fibroids is leiomyoma or "myoma". Fibroids are the most common...
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On the other side of the fence
For years I battled with varicose veins on both my legs. First, they looked awful when I was in shorts but more recently they also started...
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Why is ovarian cancer a disease of the elderly at a time when the ovaries are inactive already for a long time?
While young women in their teens and twenties can also be diagnosed with ovarian cancer, the majority of women diagnosed with ovarian cancer are aged 60...
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