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Health Australian women enduring outdated and invasive hysterectomies, UQ surgeon says

04:05  17 may  2018
04:05  17 may  2018 Source:   abc.net.au

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A lack of training for surgeons means up to 40 per cent of women are having open abdominal surgery over less invasive measures, a UQ professor says .

Australian women are having to suffer through invasive hysterectomies because gynaecologists have not updated their surgical skills, a University of Queensland researcher and gynaecologist says . He said this meant those gynaecologists were performing an outdated form of surgery

Professor Andreas Obermair says many surgeons are not trained in laparoscopic surgery.© Pixabay Professor Andreas Obermair says many surgeons are not trained in laparoscopic surgery. Australian women are having to suffer through invasive hysterectomies because gynaecologists have not updated their surgical skills, a University of Queensland researcher and gynaecologist says.

Professor Andreas Obermair said about 28,000 Australian women a year underwent hysterectomies, with 35 to 40 per cent of those carried out through open abdominal operations.

But he said the number of open surgeries needed be drastically reduced in favour of keyhole or vaginal operations.

"All [medical] societies suggest we should limit an abdominal hysterectomy and open surgery approach only to the cases where it's absolutely necessary," he said.

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Aussie Women Enduring ' Outdated ' Hysterectomies . Thousands of Aussie women are being subjected to unnecessarily invasive surgeries every year, expert " Hysterectomy using an incision on the abdomen is almost in free-fall," Mr Robson said . "It is becoming an uncommon operation.

For the finger bun doughnut: Australian women enduring outdated and invasive hysterectomies , UQ surgeon says . A lack of training for surgeons means up to 40 per cent of women are having open abdominal surgery over less invasive measures, a UQ professor says .Professor Andreas

"The risks include pain — obviously when you cut through tummy there will be pain, bleeding, haematoma, slower recovery and also infection."

Professor Obermair said laparoscopic surgery, or keyhole surgery, was better for the patient.

"The recovery is largely improved and quicker," he said.

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Australian women are undergoing unnecessarily invasive hysterectomies due to a lack of “However, we found surgeons were choosing to perform open hysterectomies instead because they were Media: Professor Andreas Obermair, a.obermair@ uq .edu.au, +61 7 3646 5485, Faculty of

UQ ’s Centre for Gynaecological Cancer Research lead surgeon Professor Andreas Obermair headed the 12 year trial. “Thirty thousand women in Australia each year require a hysterectomy for a variety of reasons,” Professor Obermair said .

"We send patients home these days after one or two nights.

"So recovery's better, complication rates are reduced by approximately 30 percent and ... the operation is less expensive than an open abdominal operation."

Lack of regulation and training

Professor Obermair said laparoscopic surgery came to Queensland in the early 2000s but many surgeons across the state were still not trained in the procedure.

He said this meant those gynaecologists were performing an outdated form of surgery, despite overwhelming evidence supporting less invasive measures.

"They haven't been trained — they just feel they can't offer an operation where they haven't been trained and they're not good at," Professor Obermair said.

"It is not so easy to train specialists because the community expects specialists know it all.

"It's hard for a specialist to make time available for surgical training and to upskill."

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