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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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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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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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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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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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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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Morcellation in Surgical Gynaecology
A few weeks ago the U.S. FDA issued a Safety Alert and recommended that power morcellators be not used for gynaecological procedures such as myomectomy or...
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Do you discuss results over the phone?
Recently, two patients contacted my office to be seen because they were unhappy about the communication with their original doctor. I know those doctors well and...
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The role of the fallopian tubes in reducing ovarian cancer risk
Named after one of the most influential physicians of the 16th century - Gabriele Fallopio - the “fallopian” tubes (or uterine tubes) link a woman’s ovaries...
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