Controversies in the management of endometriosis: should we expand the definition?

Endometriosis is currently defined as the presence of endometrial glands and stroma outside the uterus. Unfortunately this definition, whilst widely utilised, is also widely recognised as only a part of the underlying disease process. At this point in time the underlying etiology of endometriosis is unknown despite large bodies of research. The simplistic use of…

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Avoid the low volume surgeon

I have just read an interesting article in relation to surgeon volume and outcomes in benign hysterectomy. The data, however, can be extrapolated to other areas of surgery. The thinking behind the concept is not new and was famously discussed in Malcolm Gladwell’s popular book, “Outliers”. He argued that 10,000 hours of deliberate practice is…

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The Promotion of Robotic Gynecologic Surgery by US Hospitals: Are Our Patients Being Misled?

The Promotion of Robotic Gynecologic Surgery by Hospitals: Are Our Patients Being Misled?. Medscape. Oct 12, 2012. Hello. I’m Andrew Kaunitz, Professor and Associate Chair of the Department of Obstetrics and Gynecology at the University of Florida College of Medicine in Jacksonville, Florida. Today I’d like to discuss the promotion of robotic gynecologic surgery by…

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Scar endometriosis

Over recent months I have seen an unusual number of patients with endometriosis in various scar sites.  The most common situation follows the performance of a caesarian section with a deposit of endometriosis within the operative field.  More rarely and usually without prior surgery (including laparoscopy) the umbilicus can be affected.  Interestingly I have not…

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