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

2. Introduction

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

4. Changes in Mx of menorrhagia

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

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

8. Laparoscopy under Close Surveillance in the Netherlands

9. See one, do one, teach one?

11. Route of Hysterectomies at MMH

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

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

14. Conclusion

15. Conclusion