Obstetrics and Gynaecology Forum - Volume 21, Issue 2, 2011
Volume 21, Issue 2, 2011
Author A.P. MacdonaldSource: Obstetrics and Gynaecology Forum 21, pp 1 –3 (2011)More Less
Continuing Professional Development (CPD) has been recognised as a necessity world wide for clinicians to maintain clinical competence and remain up to date in an environment of rapidly increasing knowledge. South Africa is no exception and in 2000 introduced Continuing Medical Education (CME) where all physicians were required to submit proof of attendance at CME meetings and to accumulate the required number of points.
Author Lou PistoriusSource: Obstetrics and Gynaecology Forum 21, pp 8 –9 (2011)More Less
In medicine, it seems that technology and pharmacology are inspiring each other with the same synergism as computer hardware and software.
As example of this, the survival of smaller and smaller babies has steadily been increasing over the past few decades. Very low birth weight (below 1500g) has had to be redefined to include extremely low birth weight (below 1000g), and severe prematurity (below 32 weeks) to include extreme prematurity (below 28 weeks).
Author R.H.M. VerheijenSource: Obstetrics and Gynaecology Forum 21, pp 11 –12 (2011)More Less
Robot technology feeds one's imagination. Called after the Czech play "robota", robot suggests "to be able to act without human interference and being able to constantly adapt to the situation and the task". As such, the term "robotic surgery" is incorrect. It would be better to refer to surgical robots as "master slave instruments" as robotic surgery is completely executed by the surgeon, be it by means of distant manipulation. Although the current surgical robots were initially developed to perform procedures at great distance (either in military dangerous areas or in space), its use as telesurgery is still very limited and practically not feasible.
Source: Obstetrics and Gynaecology Forum 21, pp 13 –19 (2011)More Less
Laparoscopy offers great exposure and surgical detail, reduces blood loss and the need for excessive abdominal packing and bowel manipulation making it an excellent modality to perform pelvic floor surgery. Laparoscopic repair of level I or apical vaginal prolapse may be challenging, due to the need for extensive dissection and advanced suturing skills. However it offers the efficacy of open abdominal sacrocolpopexy, such as lower recurrence rates and less dyspareunia than sacrospinous fixation, as well as the reduced morbidity of a laparoscopic approach.
Author Priya Soma-PillaySource: Obstetrics and Gynaecology Forum 21, pp 21 –23 (2011)More Less
The "systematic observation of patients" began about 430 years before the birth of Christ when Hippocrates and other Greek doctors began to look at the issues of poor health and disease by using a process of reasoning and observation. This process subsequently led to the evolution of the clinical quartet of observation, palpation, percussion and auscultation and for many centuries important diagnoses were made using the approach of history taking and clinical evaluation. The use of technology in modern medicine has complemented this process of systematic clinical evaluation and for some disease conditions technology-assisted diagnosis is superior to clinical evaluation alone. Medical technology and specifically the advances of modern ultrasound are becoming ever more important in obstetrics.
Author Miems KleynhansSource: Obstetrics and Gynaecology Forum 21, pp 25 –27 (2011)More Less
During our academical years in the government setting (training as well as working as consultants) we see pathology, a lot, severe and far progressed. There is limited time to fully examine the patient and to make a proper diagnosis, there is very seldom time to get to know your patient and discuss fears and emotions. It is known that we need to manage disease by looking at mind-body interactions and this should include the assessment of biological, psychological and social aetiological factors - thus the biopsychosocial model.