When should the bowel surgeon get involved with endometriosis involving the bowel?

The answer seems simple. The bowel surgeon should be involved early in the process. I agree. The bowel surgeon should ideally have the seen the patient in a pre-operative consultation to discuss the planned procedure, results and potential complications.  The intra-operative timing is the critical thing. If the gynaecologist has minimal surgical skills then invariably…

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Dilemmas and controversies in the management of ovarian endometriosis and infertilty

A recent consensus statement on endometriosis and infertility indicates that some women may benefit from a combination of assisted reproduction and surgery.  Unfortunately the data are limited and somewhat conflicting. This is not uncommon when surgery is involved as there is inevitably a degree of operator (or surgeon) dependence. It is self-evident with diseases such…

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Why do I choose Genea for IVF?

Recently one of the largest IVF groups in Australia, IVF Australia, has been sold via private equity interests into a share market floatation (Virtus Health – ASX: VRT).  Whilst for many companies this may be a good idea, I have significant reservations about the subsequent quality of this company in the years to come.  These…

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Management of deeply infiltrating endometriosis involving the rectum

Our new paper just published on this topic. Management of deeply infiltrating endometriosis involving the rectum. CE Koh, K Juszczyk, MJ Cooper, and MJ Solomon Dis Colon Rectum, September 1, 2012; 55(9): 925-31.   BACKGROUND: Rectal endometriosis can cause debilitating symptoms. Rectal resection in this setting has been shown to improve symptoms; however, there remain…

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