A5067732404- Uterine Myomas and Treatments
- Ectopic Pregnancy Diagnosis and Management
- Endometriosis Research and Treatment
- Maternal and fetal healthcare
- Gynecological conditions and treatments
- Appendicitis Diagnosis and Management
- Gestational Trophoblastic Disease Studies
- Minimally Invasive Surgical Techniques
- COVID-19 and healthcare impacts
- Ovarian cancer diagnosis and treatment
- Diversity and Career in Medicine
- Endometrial and Cervical Cancer Treatments
- Innovations in Medical Education
- Surgical Simulation and Training
- Simulation-Based Education in Healthcare
- COVID-19 Impact on Reproduction
- Reproductive Health and Contraception
- Pregnancy-related medical research
- Intestinal and Peritoneal Adhesions
- Cardiac, Anesthesia and Surgical Outcomes
- Hernia repair and management
- Assisted Reproductive Technology and Twin Pregnancy
- Pelvic floor disorders treatments
- Climate Change and Health Impacts
- Hemostasis and retained surgical items
Whipps Cross University Hospital
2015-2024
University College Hospital
2001-2023
University College London
2001-2023
Barts Health NHS Trust
2014-2023
Queen Mary University of London
2020
European University Cyprus
2020
King's College London
2020
University Hospitals Sussex NHS Foundation Trust
2018
Newham University Hospital
2003
Key content Early abdominal ectopic pregnancy ( EAP ), though rare, has a high mortality rate. There are no pathognomic symptoms of pregnancy. Symptoms akin as for other types pregnancy, thus index suspicion is necessary diagnosis. The tool choice diagnosis ultrasound but it only gives 50% accuracy when used along with clinical evaluation. On occasion, magnetic resonance imaging may help to diagnose . Medical management commonly where potential life‐threatening bleeding anticipated. A number...
Obstetrics and Gynaecology (O&G) is an evolving specialty that encompasses women's health at its core. The COVID-19 pandemic has caused significant patient care challenges, however simultaneously it resulted in the interruption of clinical training cessation all elective work. Our primary aim was to assess impact on experiences O&G trainees. An email invite sent 127 trainees Kent, Surrey Sussex (KSS), inviting them participate anonymous 33-question survey. survey data collected analysed over...
Abstract Background The aim of this study was to analyse the demographic data and peri-operative outcomes women undergoing a laparoscopic myomectomy assess what factors, if any, precluded using approach. Methods A single surgeon observational 323 patients undertaken. Data collected prospectively over 12-year period analysed SPSS. Surgical included operating time, estimated blood loss, conversion laparotomy, intraoperative postoperative complications duration inpatient stay. Results total...
The aim of this study is to evaluate a simulation-based team performance course for medical students and compare its low- high-fidelity components.This prospective crossover observational study. Groups participated in one session twice. Low-fidelity scenarios included management an emergency case on simulated-patient, whereas constituted multiple-trauma cases where simulated-patients wore hyper-realistic suit. Team was assessed objectively, using the TEAM™ tool, subjectively questionnaires....
Acute uterine inversion is a rare and unpredictable obstetric emergency. Mortality morbidity are reduced by early recognition management. Shock replacement must be addressed simultaneously. The importance of teamwork cannot overemphasised. There need for skills drills training because the rarity acute inversion. Learning objectives: To understand pathophysiology. to able evaluate critically general management principles. Ethical issues: Management guided relatively small evidence base,...
With technological advancement and increasing skill in minimal access surgery, laparoscopic myomectomy is increasingly performed for the management of symptomatic fibroids appropriately selected women. We present a series 125 consecutive myomectomies to assess whether number, size location affect length hospital stay. Total 462 myomas were removed from patients. The mean was 7.6 cm number 3.69. None our patients had major intraoperative complication involving bladder or bowel. Our laparotomy...
Background and Objectives: Obstetrics Gynaecology (O&G) training continues to face challenges caused by the COVID-19 pandemic, particularly in gynaecological surgical training. This follow-up survey captures ongoing effect on O&G trainees highlights future recovery plan considering historical gaps benign gynaecology. Materials Methods: an anonymised was emailed all Kent, Surrey Sussex (KSS). Responses were collected over 6 weeks. Main Outcome Measures Results: 53% of responded. In...
This article investigates if severe morbidity associated with ectopic pregnancy (EP) is related to patient characteristics or the quality of care after presentation. a retrospective study women who had surgical management tubal EP between 2008 and 2012. Severe maternal was defined as blood loss ≥800 mL. Women white ethnicity were statistically more likely have <800 mL (p = .0228). The risk factors significantly higher in .0139). incidence substandard low both groups although due misdiagnosis...
Operative laparoscopy (OL) is considered the gold standard surgical treatment of ectopic pregnancy (EP). We questioned whether a training programme to foster OL able ensure that all women needing management are treated by irrespective site EP, haemodynamic status and clinical complexity.A 13-year cohort study 963 who underwent was conducted. instituted 'universal OL' in 2003 for types EP status.There were 802 prospective (2003-2013) 161 retrospective arm (2000-2002). The rate before 34%....
Women with recurrent ectopic pregnancy (EP) represent a unique cohort of patients in whom diagnostic expertise is paramount. We determined whether EP associated significant differences patient demographics, clinical presentation, risk factors and surgical findings when compared primary EP.A retrospective case-control study all EPs diagnosed from 2003 to 2014, at Whipps Cross University Hospital, London.In the above period 849 were surgically managed (758 91 EPs). Recurrent significantly...