{"title":"What's new in guidance? Urinary incontinence and pelvic organ prolapse (NICE guideline NG 123)","authors":"Swati Jha","doi":"10.1111/tog.12914","DOIUrl":"https://doi.org/10.1111/tog.12914","url":null,"abstract":"","PeriodicalId":509656,"journal":{"name":"The Obstetrician & Gynaecologist","volume":"17 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140240595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Radha Graham, Nicola D Macdonald, Tim A Mould, Ioannis C Kotsopoulos
{"title":"Hyperthermic intraperitoneal chemotherapy (HIPEC) in the management of ovarian cancer","authors":"Radha Graham, Nicola D Macdonald, Tim A Mould, Ioannis C Kotsopoulos","doi":"10.1111/tog.12916","DOIUrl":"https://doi.org/10.1111/tog.12916","url":null,"abstract":"\u0000Hyperthermic intraperitoneal chemotherapy (HIPEC) at the time of cytoreductive surgery is a proposed additional treatment in the management of advanced tubo‐ovarian cancer.\u0000Additional organisational approvals, costs, changes to theatre infrastructure and pre‐, intra‐, and post‐operative management considerations are required to implement HIPEC in a clinical setting.\u0000Current meta‐analysis data suggest that in the setting of interval cytoreductive surgery, HIPEC prolongs overall survival and progression‐free survival. There is currently no evidence of benefit in the setting of primary surgery or recurrent disease, but results of ongoing clinical trials are pending.\u0000\u0000To understand the mechanism of action, safety and efficacy of HIPEC as an adjuvant treatment in tubo‐ovarian cancer.\u0000\u0000Because of variation in treatment protocols and heterogeneity of reported outcomes, HIPEC has not yet been adopted into standard practice. Further studies assessing its benefit, mainly in the setting of primary cytoreduction, are ongoing.\u0000","PeriodicalId":509656,"journal":{"name":"The Obstetrician & Gynaecologist","volume":"10 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140239149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ian Henderson, Fiona Lewis, Anthony Williams, Jason Yap, Archana Krishna
{"title":"The diagnosis and management of vulval intraepithelial neoplasia","authors":"Ian Henderson, Fiona Lewis, Anthony Williams, Jason Yap, Archana Krishna","doi":"10.1111/tog.12906","DOIUrl":"https://doi.org/10.1111/tog.12906","url":null,"abstract":"High‐risk human papilloma virus (HPV)‐associated vulval high‐grade squamous intraepithelial lesions and HPV‐independent differentiated vulval intraepithelial lesions represent distinct disease processes with different risks of progression to vulval squamous cell carcinoma. First‐line medical management is appropriate for women with biopsy‐confirmed vulval high‐grade squamous intraepithelial lesions who have been adequately counselled on the risk of occult invasive disease. Topical treatment should be undertaken in the context of a specialist clinic because it is not suitable for all patients. Surgical management is needed for differentiated vulval intraepithelial neoplasia. To understand the clinical, histological, and pathological classification of squamous intraepithelial lesions and diagnostic challenges. To be able to contribute to the multidisciplinary investigation and diagnosis of squamous intraepithelial lesions. To understand the basis for patient‐centred counselling on the investigation, diagnosis and treatment of suspected squamous intraepithelial lesions. Treatment must be tailored towards the patient's appreciation of risk and benefit, informed by the clinical and pathological features of the disease.","PeriodicalId":509656,"journal":{"name":"The Obstetrician & Gynaecologist","volume":"4 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139166848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What's new in guidance? Scientific Impact Paper summary","authors":"Saladin Sawan","doi":"10.1111/tog.12907","DOIUrl":"https://doi.org/10.1111/tog.12907","url":null,"abstract":"","PeriodicalId":509656,"journal":{"name":"The Obstetrician & Gynaecologist","volume":"266 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139173216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cosmetic gynaecology","authors":"Roberta Bugeja, James McConnell, Swati Jha","doi":"10.1111/tog.12905","DOIUrl":"https://doi.org/10.1111/tog.12905","url":null,"abstract":"Female genital cosmetic surgery (FGCS) includes several procedures involving the labia minora, labia majora, clitoris, vagina, mons pubis and genital area; procedures may involve, for example, reduction or augmentation and be surgical or energy based. Indications for FGCS can be broadly divided into cosmetic and functional reasons. Counselling on the risks and cosmetic outcomes, as well as sexual and functional results, should be provided, and the woman's expectations discussed. To develop a holistic view when discussing cosmetic gynaecology concerns, including psychosexual assessment. To understand the procedures that are currently available, the evidence‐base behind these procedures, and their risks and benefits. To understand the implications of genital cosmetic surgery on patients, including their psychosexual wellbeing, and the legality of these procedures with reference to female genital mutilation (FGM). The ‘postcode lottery’ in commissioning cosmetic gynaecological procedures in the UK leads to the question: should they be available on the NHS? Who should be performing cosmetic gynaecological procedures: the plastic surgeons who do little vaginal surgery, or the gynaecologists? There is currently no formal training in this area for gynaecologists.","PeriodicalId":509656,"journal":{"name":"The Obstetrician & Gynaecologist","volume":"59 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139183386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MBRRACE‐UK update: Key messages from the UK and Ireland Confidential Enquiries into Maternal Death and Morbidity 2023","authors":"Allison Felker, Marian Knight","doi":"10.1111/tog.12902","DOIUrl":"https://doi.org/10.1111/tog.12902","url":null,"abstract":"","PeriodicalId":509656,"journal":{"name":"The Obstetrician & Gynaecologist","volume":"188 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139224970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}