Pelvic-organ-prolapse repair presents unique challenges to the pelvic surgeon. Historically, the unacceptable failure rates with traditional procedures have instigated the many conceptual and technique changes. Critical analysis of the biomechanics…
Contemporary understanding of the dynamic anatomy of pelvic floor support has lead us to new conservative surgery for the management uterine prolapse. The uterus itself does not play any role…
Current studies do not support any benefit of supracervical hysterectomy in reducing perioperative morbidity and adverse effects on pelvic support, sexual and urinary function. Prolapse, pelvic mass and bleeding were…
Vaginal subtotal (or supracervical) hysterectomy and vaginal myomectomy are elegant procedures rarely carried out by the average gynaecologist. Both techniques, however, are easily learned, and in view of the proven…
Vaginal hysterectomy is the method of choice for gynaecologists who carry out hysterectomies. Undertaking this procedure regularly will enhance the gynaecologist’s level of skill and enable conditions such as ovarian…
1. a) T b) T c) T d) F e) T Studies have repeatedly shown that return to normal activities is quicker, there is less febrile morbidity, less analgesic requirements…
1. The following statement(s) is/are true about the pathophysiology of miscarriage: a) The onset of the maternal intraplacental circulation is both precocious and disorganised b) In about 2/3 of miscarriages…
Pregnancy complications such as pre-eclampsia, placental abruption and growth restriction were once thought to represent end-of-pregnancy issues. Currently, the cause of such complications are being increasingly recognised as defective implantation…
Pre-eclampsia and intrauterine growth restriction are responsible for significant maternal and fetal morbidity and mortality worldwide. Identifying pregnancies at highest risk for their development would allow increased surveillance in individual…
Pre-eclampsia remains an important cause of maternal and perinatal mortality. The ability to predict the most severe forms of pre-eclampsia would allow closer surveillance and earlier intervention to improve outcomes….
