BACKGROUND Fast-track surgery (FTS), also known as enhanced recovery after surgery, is a multidisciplinary approach to accelerate recovery, reduce complications, minimise hospital stay without increasing readmission rates, and reduce health care costs, all without compromising patient safety. The advantages of FTS in abdominal surgery most likely extend to gynaecological surgery, but this is an...

Endometriosis is a common monoclonal benign proliferative disorder that may give rise to pelvic malignancy. Epithelial ovarian carcinoma is responsible for a large proportion of gynaecological cancer-associated deaths. Early diagnosis is difficult and screening is generally unsuccessful. Knowledge of the risk factors for the development of endometriosis and progression to malignancy may assist ...

In recent years there have been a significant number of changes in gynaecological pathology practice. Many of these deal with the molecular basis of common and rare gynaecological tumours but there are also many that deal with morphology, terminology and new perspectives. This talk will focus on a few chosen entities and concepts that have been recently introduced and have reached everyday prac...

The book has been divided into two parts : a general and a special part. The general part deals with methods of examination which are of practical value. The special part describes the symptoms of individual diseases and diagnoses in much the same sequence as that followed in the examination of patients. There are some novel features in this book. These deserve special commendation. Chapter V d...

Ultrasound (US) is the first-line imaging tool for assessment of the female pelvis, allowing increasingly high resolution images and excellent soft tissue contrast without need for sedation or radiation. Transabdominal US remains the standard technique; the transperineal approach may be useful in neonates (cloacal malformations, mullerian anomalies, ectopic urethral insertions) and transvaginal...

Women who attended the gynaecology clinic or were admitted to the postpartum ward of Korle Bu Hospital, Accra, Ghana were tested for infection with Chlamydia trachomatis and Neisseria gonorrhoeae. Eight (4.9%) of 162 gynaecological patients were infected with C trachomatis and five (3.1%) with N gonorrhoeae, and respective prevalences among 148 postpartum women were 7.7% (3/39) and 3.4% (5/148)...

Women with End Stage Renal Disease (ESRD) have hormonal imbalance leading to gynaecological and reproductive disturbances. The objective of this study was to see the reproductive and gynaecological problems associated with ESRD. Forty Saudi Arabian women with a diagnosis of ESRD for a period of 60 months were interviewed at the dialysis unit of King Fahd University Hospital, Al Khobar.The avera...

This descriptive epidemiological study aimed to analyse the mortality trends from gynaecological cancer in Serbia. Average annual percentage of change (AAPC) and the corresponding 95% confidence intervals (CIs) were computed for trend using joinpoint regression analysis. Nearly 25,000 gynaecological cancer deaths occurred in Serbia during the 1991-2010 period, with the average annual age-standa...

A 12 month follow up study to assess the impact of symptoms suggestive of irritable bowel syndrome in women presenting to gynaecology clinics with pelvic pain is reported. Of 71 women 37 (52%) had symptoms suggestive of irritable bowel syndrome at presentation. A firm gynaecological diagnosis was reached in only three (8%) women positive for irritable bowel syndrome compared with 15 (44%) witho...

Due to close anatomical proximity of female urinary and genital tract, the ureter, urinary bladder and urethra are vulnerable for injury during gynaecological surgery. In a comparative observational study we evaluated 89cases having benign and clinically high risk gynaecological conditions requiring surgery, for the incidence of urinary tract involvement and to determine whether pre-operative a...