Endometrial cancers are the most common gynaecological malignancies in the UKwith approximately 4500 new cases occur each year and the incidence is rising. Increasingly there is evidence-based management and centralized specialist care of women with endometrial cancer. Women with high grade disease, deepmyometrial invasion or lymphadenopathy should bemanaged by specialist gynaecological oncolog...

Advising patients when to drive after surgery is a common practice which gynaecologists need to do on a regular basis as a part of their duty to patients. We carried out a literature search regarding advice given on driving after gynaecological surgical procedures, and found no study or research on this area. We then carried out a questionnaire survey of 99 gynaecologists in Northern Ireland. W...

Background: Post-operative anaemia is often a reflection of pre-operative work-up and anaemia. In addition. also determined by co-morbidities patients prior to surgery. The prevalence post-operative varies based on surgical specialties the experience surgeon; rates as high 85% have been recorded in orthopaedic surgeries. Aim: To determine anaemic at Rivers State University Teaching Hospital (RS...

circulating cortisol concentration was found during surgery with the combined technique as retrobulbar block had denervated the eye. Our conclusion was not that retrobulbar block failed to prevent a stress response; indeed it obviously does block the endocrine and metabolic response to cataract surgery. The major finding was that, despite an obviously adequate retrobulbar block preventing the s...

BACKGROUND A moderate insufflation pressure and deep neuromuscular blockade (NMB) have been recommended in laparoscopic surgery in consideration of the possible reduction in splanchnic perfusion due to the CO2-pneumoperitoneum. Since the liver is the major organ for rocuronium metabolism, the question of whether NMB of rocuronium would change with the variation of liver perfusion during pneumop...

Gastric bypass is one of the most frequently performed surgical procedures in bariatric surgery. A neoplasm within the gastric pouch is a somewhat infrequent complication but with important survival consequences. We present the case of a 51-year-old woman who developed an adenocarcinoma in the bypassed stomach three years after bariatric surgery; the tumour was incidentally discovered after gyn...

In a randomized, double-blind study, we have compared the prophylactic antiemetic efficacy of ondansetron with that of metoclopramide in 123 patients undergoing general anaesthesia for day-case gynaecological laparoscopic surgery. The patients received either i.v. ondansetron 4 mg or metoclopramide 10 mg immediately before a standard anaesthetic. The number of patients with no nausea or vomitin...