Whilst surfing the internet over the weekend I came across an article about endometriosis and robotic surgery written by one of the legends of gynaecological laparoscopic surgery, Dr Harry Reich. A man who I am delighted to have met and can call a friend and who has in many ways shaped my surgical career. He…
The first fully-robotic system was approved for clinical use in the USA in 2000. Amazingly that is now almost two decades ago. The last 10 years has seen an explosive growth in the use of robots particularly in the USA but increasingly in Australia. Urology surgeons led the way finding it increasingly useful to perform…
I have recently seen a patient who has been placed in a most unfortunate position. This lady has been in a happy, stable relationship for over 15 years and has been attempting to conceive unsuccessfully for most of that time. Aged 41 when I first met her, she was born with a congenital bowel issue…
This under-researched condition, possibly a variant of endometriosis, can be a critical consideration particularly for patients with endometriosis. The definition is of endometrial glands and stroma growing within the myometrium of the uterus or in other words not dissimilar to endometriosis but growing in the wrong part of the uterus. I liken it to having…
A recent media report from the Sydney Morning Herald confirms the data from Genea over the last few years that single ET at IVF clearly gives superior results. This will have significant implications for units that traditionally transfer multiple embryos. The USA in particular is likely to have a significant change in practice and probably…
The current definition of endometriosis is the presence of endometrial glands and stroma outside the uterus. This limited definition of the disease unfortunately creates unrealistic expectations that simply removing the disease results in a “cure”. The reality is that we are hopelessly lost in understanding this disease and the underlying pathological process. It is known…
Occasionally patients ask if they can be put in a particular time on a list usually first in the morning. I usually attempt to accommodate these requests although other considerations such as the availability of equipment, staffing and health issues of other patients also come into play. More recently I was reading the book “Thinking…
The tables display all procedures and major complications to the end of May 2017. It should be noted that considerable care should be taken when interpreting these numbers. Associate Professor Cooper operates on a large number of patients with significant endometriosis and the risk profile of this group of patients for complications is higher than…
