Changes In Gynaecological Practice

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Presentation transcript:

Changes In Gynaecological Practice Presented by: Doug Barclay Date: Monday 25th June

Introduction

Why HMB? It’s a big problem Ix and Mx have changed Before 1990:

Changes in Mx of menorrhagia

Now: Mirena IUS. Novasure Endometrial Ablation Transcervical Resection of Fibroids Laparoscopic Hysterectomy

Minimal Access Approach 1970 Gynaecologists incorporated laparoscopy 1983 Laparoscopic appendicectomy 1989 First Lap Hysterectomy

Laparoscopy under Close Surveillance in the Netherlands

See one, do one, teach one?

Route of Hysterectomies at MMH

Patient /GP / Specialist Relationship Flattened hierarchies Patient-centred care Loss of continuity Loss of verbal communication

Hilary’s Rules for Medicine (& Life) Turn Up Be Present Tell the Truth Don’t Worry About Your Results

Conclusion

Conclusion  

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