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…
DetailsThe 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…
DetailsOccasionally 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…
DetailsEndometriosis 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…
DetailsThe 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…
DetailsA recent series of articles in The Guardian again reveals the significant financial and debilitating cost of this terrible disease. My friend and colleague, Dr Geoff Reid outlines the tremendous impact this has on women and their partners. Increasingly it is becoming clear that advanced cases require multi-specialised teams to cope with the different facets…
DetailsA recent editorial article in the American literature has called for the separation of obstetrics from gynaecology. This sentiment has been raised increasingly around the western world as a consequence of a decrease in the overall number of operations performed and an increase in the number of surgeons. The situation has arisen as a result…
DetailsOur recent paper has just been published: Bowel and bladder function after resection of deeply infiltrating endometriosis. Responding to our questionnaire, women reported significant improvement in urinary and bowel dysfunction postoperatively.
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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