Posted by on 16 May 2013 | 1 Comments
Tags:
bleeding,
haemostatic agents
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 to name the most common Australian brand names.
Clearly...
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Posted by on 10 May 2013 | 0 Comments
Tags:
HE4,
ovarian cancer,
uterine cancer,
mirena,
metformin,
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 patients without ascites or omental caking. We expected HE4 to be superior to CA125 in pre...
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Posted by on 3 May 2013 | 2 Comments
Tags:
laparoscopy,
port placement,
training
A while ago we produced a teaching video that is used by Lina, the company that markets the McCartney tube for laparoscopic hysterectomy. The video is actually a great step-by-step guide how to set the operation up and how to do it. Step ...
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Posted by on 18 April 2013 | 1 Comments
Tags:
complications,
bowel injury,
bladder injury,
ureteric injury
A couple of months ago, I attended an AGES conference on surgical disasters. I am interested in surgical complications professionally and academically. The majority of participants were general gynaecologists. What caught my interest was...
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Posted by on 12 April 2013 | 0 Comments
Tags:
audit,
complications,
complaints,
patient experience,
ranzcog,
surgicalperformance
To many doctors, to receive a notice of a patient complaint seems random.
Yesterday a study was published in BMJ Quality & Safety that predicts who the doctors at medico-legal risk of recurrent complaints are. If we knew that we a...
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Posted by on 5 April 2013 | 0 Comments
Tags:
research,
cherish foundation,
charity,
Medical researchers in Australia spent 511 person years (one person working for more than 5 centuries!) worth of time preparing research-grant proposals for consideration for funding by the National Health and Medical Research Council (NHM...
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Posted by on 22 March 2013 | 0 Comments
Tags:
salpingectomy,
ovarian cancer,
brca,
prophylactic
A few weeks ago we discussed the role of salpingectomy (without removing the ovaries) to prevent ovarian cancer. We agreed that …
Historical data suggest that tubal ligation decreases the risk of ovarian cancer
There are data emerging th...
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Posted by on 11 March 2013 | 0 Comments
Tags:
checklist,
audit,
surgicalperformance,
complications
Surgical Checklists demonstrated a significant reduction in postoperative morbidity and mortality in more than one very large study.
The first study was conducted by WHO with a heavy focus on the quality of surgery in countries of the deve...
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Posted by Elizabeth Varughese on 8 March 2013 | 5 Comments
Tags:
audit,
surgicalperformance,
RANZCOG,
complications
I am an Obstetrician and Gynaecologist in a small country town in NSW.
When I set up my practice 2 years ago, I had trained with exceptional people and was introduced to a less emotional but more rational approach to surgical complications...
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Posted by on 28 February 2013 | 0 Comments
Tags:
Audit,
SurgicalPerformance
If you think about it for a second it is pretty clear: You cannot improve outcomes that you don’t measure.
I got in contact with the idea of “audit” when I read Atul Gawande’s book “Better”. This is a great book for everybody w...
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