Hysteroscopic sterilisation: a study of women's attitudes to a novel procedure

Laparoscopy is the most common mode of surgery for female tubal sterilisation. Hysteroscopic sterilisation is a new method which can be performed in the outpatient setting under local anaesthetic. We carried out a prospective cohort trial to determine whether women would actually favour hysteroscopic sterilisation over laparoscopic sterilisation. Data analysis in a cohort of 96 women showed that 77% would prefer laparoscopic sterilisation over the hysteroscopic procedure (23%), despite the advantages of an outpatient setting. Age, obstetric history, employment and marital status, access to transport and previous anaesthetic did not significantly influence the choice made.

Modern approaches to management of menorrhagia

Menorrhagia and its management is a common problem in both the primary health-care setting and in hospitals. There is an increasing number of options for management of menorrhagia and these will be discussed in this article.

Preliminary experience with twenty perineal repairs using Indermil tissue adhesive

OBJECTIVE

To assess the use of Indermil tissue adhesive for perineal repair.

SETTING

Leeds General Infirmary, a teaching hospital with 4500 deliveries annually.

METHOD

Over a period of five months, 20 women who sustained either a second degree tear or who had an episiotomy at vaginal delivery had their perineal skin repaired with Indermil tissue adhesive. They were followed up prior to discharge and then by telephone once discharged.

RESULTS

Ten repairs followed normal vaginal deliveries, six were after ventouse deliveries, three after midcavity forceps delivery and one after a rotational forceps delivery. Three women noticed a burning sensation during application of adhesive. At follow up, 13 women were completely without problems, two complained of a sharp sensation from excess adhesive, one had silver nitrate applied at the six week check, two had small defects in the skin which healed well and in two women the skin edges broke down completely but did not need resuturing.

CONCLUSION

Indermil tissue adhesive appears to be a safe and effective method of skin closure for episiotomies and second degree tears. The skin closure is quick and painless.

How do UK gynaecologists manage endometrial carcinoma? A national survey

OBJECTIVE

The objective of this study was to examine the management of endometrial carcinoma in the United Kingdom (UK).

METHODS

Consultant gynaecologists were sent an anonymous postal questionnaire requesting information on investigation and management of endometrial carcinoma.

RESULTS

Completed questionnaires were received from 701 respondents (51% response). Most responders were general gynaecologists who saw less than five new cases of endometrial cancer annually; 98% of respondents preferred surgical procedure for endometrial carcinoma was total abdominal hysterectomy and bilateral salpingo-oophorectomy. There was a wide variation in diagnostic investigations and radiotherapy practice.

Odontogenic ghost cell carcinoma: a case report with immunohistochemical and ultrastructural characterization

The odontogenic ghost cell tumor (OGCT) is the rare, neoplastic variant of the calcifying odontogenic cyst (COC). To date, there have been only four reports of malignant OGCTs, in five patients. We report an additional case of a malignant odontogenic ghost cell tumor that involved the right maxilla of a 20-year-old man. Our report includes its immunocytochemical and ultrastructural characterization.