This is a theoretical-reflective study that aimed to analyze the contexts associated with gynaecological care for women with physical disabilities. Discussion consisted of contextual analysis according to Hinds, Chaves and Cypress, leading to four interconnected layers: immediate, specific, general and metacontext. Analysis showed that gynaecological assistance to clients with physical disabili...

Pathology review of gynaecological cancer specimens is often carried out as part of the working of gynaecological oncology multidisciplinary team meetings. This review describes the author's experience regarding the most common issues identified during this process. Ten subjects are covered; these range from histopathological interpretational errors to non-interpretational areas, for example, i...

Quality control, training and education in gynaecological surgery are challenged and urgent measures are emerging. The implementation of a structured and validated program for training and quality control seems the most urgent measurement to be taken. The European Academy of Gynaecological Surgery has made a first attempt to do so. Through a practical and theoretical tests system, the skills of...

Hysterectomy is a frequently performed gynaecological procedure in Pakistan. This surgical procedure is a very stressful event for Pakistani women suffering from severe gynecological diseases and complications. It is also associated with a high incidence of anxiety and depression. Several studies in the West have reported an improvement in symptoms of depression and anxiety in patients undergoi...

The Herbal Vendors are the mobile tribal medicineman seen selling crude medicinal plants and their products on the busy streets of many Indian cities. They give herbal treatment for many human ailments and diseases especially the more difficult and chronic ones. They claim to have herbal remedies for some gynaecological disorders in women such as Menorrhagia, leucorrhoea and also to restore fer...

Five hundred and nine Laparoscopic examinations performed between 1987-91, (147 procedures for evaluation of gynaecologic pelvic pain and 313 for infertility) revealed ectopic pregnancy (27%), twisted ovarian cyst (18%) and acute pelvic inflammatory disease (14%) in cases of acute gynaecologic pain, and endometriosis (17%) and chronic pelvic inflammatory disease (16%) in chronic pelvic pain. Ad...

Pneumoperitoneum is usually associated with gastrointestinal perforation or following surgical and endoscopic procedures. We report a rare case of spontaneously perforated pyometra presenting with generalised peritonitis and pneumoperitoneum. Perforation of the uterus is also unusual and often associated with the presence of an intrauterine device, a gravid uterus or malignancy. Our case illus...

1.1 Laparoscopic surgery Minimally Invasive Surgery (MIS) has changed the way surgery is performed in Operating Rooms (OR). MIS techniques are increasing their relevance in almost all surgical specialities, and have become the recommended standard in many procedures, displacing open surgery. Laparoscopy, one of the most common MIS approaches, has been adopted by several surgical sub-specialties...

Not infrequently the back is the site of a pain which at times may be very disabling. This is well known to occur in various spinal conditions involving the skeletal structures. It is also recognized as a feature at times of gynaecological disorders, organic nervous diseases, and states of anxiety and hysteria. Much less appreciated is the fact that backache may be caused by various intra-abdom...