Hyperthermic intraperitoneal chemotherapy (HIPEC) in the management of ovarian cancer
Key content
Hyperthermic intraperitoneal chemotherapy (HIPEC) at the time of cytoreductive surgery is a proposed additional treatment in the management of advanced tubo-ovarian cancer.
Additional organisational approvals, costs, changes to theatre infrastructure and pre-, intra-, and post-operative management considerations are required to implement HIPEC in a clinical setting.
Current meta-analysis data suggest that in the setting of interval cytoreductive surgery, HIPEC prolongs overall survival and progression-free survival. There is currently no evidence of benefit in the setting of primary surgery or recurrent disease...
Source: The Obstetrician and Gynaecologist - March 15, 2024 Category: OBGYN Authors: Radha Graham,
Nicola D MacDonald,
Tim A Mould,
Ioannis C Kotsopoulos Tags: Review Source Type: research
What's new in guidance? Urinary incontinence and pelvic organ prolapse (NICE guideline NG 123)
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - March 15, 2024 Category: OBGYN Authors: Swati Jha Tags: Update Source Type: research
Spotlight on … global women's health
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - February 29, 2024 Category: OBGYN Authors: Rasiah Bharathan Tags: Spotlight Source Type: research
Telemedicine and remote training: the impact on obstetrics and gynaecology training
This article presents a framework to ensure training opportunities continue during telemedicine consultations, allowing trainees to develop their skills within the framework of telemedicine to optimise consultations and safe clinical practice.
Remote teaching offers several advantages and disadvantages over face-to-face teaching. The value of each teaching method needs to be considered for the specific setting and the content tailored accordingly. Hybrid delivery is an option now that the infrastructure is in place.
Telementoring includes remote supervision of clinics and expert review of, for example, colposcopy and ultra...
Source: The Obstetrician and Gynaecologist - January 16, 2024 Category: OBGYN Authors: Sughashini Murugesu,
Srdjan Saso,
Jennifer Barcroft,
Shankar Visvanathan,
Tom Bourne,
Karen Joash Tags: Education Source Type: research
The diagnosis and management of vulval intraepithelial neoplasia
Key content
High-risk human papilloma virus (HPV)-associated vulval high-grade squamous intraepithelial lesions and HPV-independent differentiated vulval intraepithelial lesions represent distinct disease processes with different risks of progression to vulval squamous cell carcinoma.
First-line medical management is appropriate for women with biopsy-confirmed vulval high-grade squamous intraepithelial lesions who have been adequately counselled on the risk of occult invasive disease. Topical treatment should be undertaken in the context of a specialist clinic because it is not suitable for all patients.
Surgical managemen...
Source: The Obstetrician and Gynaecologist - January 16, 2024 Category: OBGYN Authors: Ian Henderson,
Fiona Lewis,
Anthony Williams,
Jason Yap,
Archana Krishna Tags: Review Source Type: research
Endometriosis and subfertility
Key content
Medical management of endometriosis is often contraceptive. In contrast, surgical treatment may improve the chance of spontaneous conception. There is conflicting evidence as to whether surgery improves outcomes with assisted conception, and this should be discussed with a specialist in reproductive medicine.
Surgery, particularly for ovarian endometriosis, can cause a decreased ovarian reserve and fertility preservation should be considered.
There is no standard approach to managing endometriosis in the fertility setting. It is important to take a holistic approach to diagnosis and management of the subfertile...
Source: The Obstetrician and Gynaecologist - January 16, 2024 Category: OBGYN Authors: Guy Morris,
Claire Lilly,
Amanda Jefferys,
Oliver O'Donovan,
Valentine Akande Tags: Review Source Type: research
Cosmetic gynaecology
Key content
Female genital cosmetic surgery (FGCS) includes several procedures involving the labia minora, labia majora, clitoris, vagina, mons pubis and genital area; procedures may involve, for example, reduction or augmentation and be surgical or energy based.
Indications for FGCS can be broadly divided into cosmetic and functional reasons.
Counselling on the risks and cosmetic outcomes, as well as sexual and functional results, should be provided, and the woman's expectations discussed.Learning objectives
To develop a holistic view when discussing cosmetic gynaecology concerns, including psychosexual assessment.
To u...
Source: The Obstetrician and Gynaecologist - January 16, 2024 Category: OBGYN Authors: Roberta Bugeja,
James McConnell,
Swati Jha Tags: Review Source Type: research
Issue Information
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - January 16, 2024 Category: OBGYN Tags: Issue Information Source Type: research
MBRRACE ‐UK update: Key messages from the UK and Ireland Confidential Enquiries into Maternal Death and Morbidity 2023
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - January 16, 2024 Category: OBGYN Authors: Allison Felker,
Marian Knight Tags: MBRRACE-UK update Source Type: research
What's new in guidance? Scientific Impact Paper summary
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - January 16, 2024 Category: OBGYN Authors: Saladin Sawan Tags: Update Source Type: research
CPD and SBA questions for volume 26 issue 1
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - January 16, 2024 Category: OBGYN Authors: Justin C Konje Tags: CPD Source Type: research
What I've learnt … with Kate Harding
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - January 16, 2024 Category: OBGYN Authors: Jo Morrison,
Kate Harding Tags: Editor's Note Source Type: research
Editorial
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - January 16, 2024 Category: OBGYN Authors: Jo Morrison Tags: Editorial Source Type: research
