Comfort Zone
One of my surgical mentors made a point of saying “Son, you gotta get out of your comfort zone to excel”.
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Tagged Complications, comfort zone; Comments 1 ; Posted 11 years ago
No urinary jet – what now?
For an increasing number of major gynaecological operations guidelines suggest performing a cystoscopy to confirm the intactness of the bladder and the patency of the ureters.
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Posted 11 years ago
Loop excision of the cervix and the risk of preterm delivery
When asked by my patients whether a LLETZ or cone bipopsy impacted on the risk of a preterm delivery on a subsequent pregnancy, often I became a bit vague in...
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Posted 11 years ago
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 data.
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Tagged registry, SurgicalPerformance, Audit, quality; Posted 11 years ago
The ureter is my friend
Our gynaecological anatomy puts a heavy focus on the female reproductive organs. Though, most of the genital tract is developed out of the Mullerian duct and comprises mostly a vagina,...
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Posted 12 years ago by Andreas Hackethal
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.
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Tagged Audit, Checklist, complaints, Patient experience, SurgicalPerformance; Posted 12 years ago
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 last 10 years.
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Tagged Mirena, lynch, breast cancer; Comments 3 ; Posted 12 years ago
Preperitoneal wound infusion
I realise that in general gynaecology we hardly need to do laparotomies any more except for very big and complex cases.
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Tagged Analgesia, epidural, preperitoneal catheters; Posted 12 years ago
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 to name the most...
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Tagged bleeding, haemostatic agents; Comments 3 ; Posted 12 years ago
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 patients without ascites or...
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Tagged HE4, Ovarian Cancer, Uterine Cancer, Mirena, Metformin; Posted 12 years ago