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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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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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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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What’s your glove size, doc?
Can you imagine a team of rowing guys turning up for the Olympic race and they ask the coach: "What boat shall we take today?" A few...
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