Category Archives: Endo – consequences

Chester v Afshar, 2004

The primary requirements of a doctor in UK common law are set out in Lord Steyn’s speech in Chester v Afshar, [2004] UKHL 41. A neurosurgeon operated on a journalist. She suffered the rare complication of cord compression. Had the … Continue reading

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Ectopic pregnancy in both tubes

A 36 yo woman with a past history of two surgeries for termination of pregnancy, underwent IVF with replacement of two embryos. Twenty three (23) days after embryo replacement she presented with right sided pain. Investigations including laparoscopy, demonstrated a … Continue reading

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Ectopic pregnancy & prior TOP(s)

A 26 yo woman presented with right-sided pelvic pain at eight weeks gestation. Her pregnancy test was positive and a vaginal ultrasound scan showed an empty uterus with a mass on the right side of the uterus. A laparoscopy was … Continue reading

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More pelvic pain

A 32 yo woman with two children aged 5 & 3 years presented with pain in the 24 hours before the onset of her period. The pain was severe and not relieved by anything other than the start of her … Continue reading

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More endo and IBD

Endometriosis appears to be flavour of the month in the gastroenterological literature. This month (March 2012) there is another paper in the journal , “Gut” showing connections between endometriosis and irritable bowel syndrome (IBS). This study compares 20 women with … Continue reading

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Endo & IBD

This paper published on-line in December in “Gut”. A nation-wide, Danish epidemiological study of 38,000 women showed an increased risk of subsequent inflammatory bowel disease (Crohns disease or ulcerative colitis) at 10-20 years after a surgical diagnosis of endometriosis. Full … Continue reading

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Unintended effects

Conventional gynaecological wisdom, from short term studies in the 1970’s, suggests there are few consequences of surgical curettage procedures for miscarriage or termination of pregnancy (TOP) (1). Many IVF patients have injuries to their uterosacral ligaments with contained uterine nerves, … Continue reading

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Endo – published

I am pleased to report the publication of a full account of “Endometriosis – the denervation-reinnervation view” in “Archives of Obstetrics and Gynaecology”. This is a German Journal that has a history of reporting new and innovative information in obstetrics … Continue reading

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Endometriosis in BJOG

The editor of the British Journal of Obstetrics and Gynaecology, Professor Steer, was kind enough to publish a brief note on the causes of gynaecology in the UK this month in response to an important (technical) article on MR imaging … Continue reading

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Endo in China 1

Endometriosis is common in China. No figures but pelvic pain is the commonest reason for women to attend the gynaecological clinic. BUT it’s distribution is entirely different from that in the UK. As a consequence of the “one-child policy” many … Continue reading

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