Day 3 | Session 9: Ultrasound - shades of grey

Free communications: Outcomes comparison for benign gynaecologic laparotomy before and after enhanced recovery after surgery (ERAS®) implementation in a Philippine private tertiary hospital

Objective: We determined the frequency of compliance to the Enhanced Recovery after Surgery (ERAS®) Guidelines and the difference in outcomes of benign gynaecologic surgeries between pre- and post- ERAS implementation, specifically: length of stay, complications, readmission, re-operation, 30-day morbidity, and mortality rate. 

Dr Marianne Real
Obstetrician-Gynaecologist Junior Consultant
The Medical City

Dr Marianne Julian Real is a licensed Occupational Therapist in the Philippines and United States of America who pursued a degree in Doctor of Medicine from the De La Salle Medical and Health Sciences Institute under a scholarship program. She completed her post-graduate internship in the University of the Philippines – Philippine General Hospital in 2016. In June of 2022, she graduated from her Obstetrics and Gynaecology Residency Training in The Medical City, Philippines. 

TOA management – living in the grey zone

At Middlemore Hospital we see over 100 people with TOA every year. There are no guidelines and often these cases can be complex and challenging.  I will discuss lessons learnt from the last 10 years of data, what literature is out there, and share some thoughts on how to improve management and outcomes for our patients.

Dr Sarah Corbett
(Ngati Rangiwewehi)
Specialist Gynaecologist, Te Whatu Ora Counties Manukau

Sarah is a specialist Gynaecologist who has completed her fellowship in complex gynaecological laparoscopy and minimal access surgery, and was awarded an AGES (Australasian Gynaecological Endoscopy & Surgery) qualification in 2016.

She has worked at Te Whatu Ora Counties Manukau since the start of her training in 2009, and for the last 6 years as a specialist. For the last 5 years she has co-led the complex endometriosis team at CMDHB.

Her passion and previous research interest is in improving access to obstetric and gynaecological  care particularly for Māori and Pasifika women. To that end she has led the way in her hospital with the use of outpatient hysteroscopy to treat polyps and small submucosal fibroids under local anaesthetic,  which led to her current project looking at bringing hysteroscopic and colposcopic clinics into community settings.

O-RADS: a new way for sonographers and gynaecologists to work together

Many sonographers and radiologists have been guilty of poor reporting practices when it comes to ovarian masses. Subjective impressions and vague terms such as "complex mass" have often been used to describe ovarian findings, but these are clinically unhelpful. O-RADS aims to improve the consistency and accuracy of ovarian lesion assessment and reporting to assist clinicians in streamlining patient management. 

Martin Necas
Specialist Sonographer, Associate Clinical Director of Ultrasound, Waikato Hospital

Martin Necas is a specialist sonographer and an associate clinical director of ultrasound at Waikato Hospital, in Hamilton, New Zealand. Martin is an ultrasound enthusiast, clinical instructor, university lecturer, researcher, and an author or co-author of 25 peer reviewed scientific papers and clinical guidelines as well as a textbook on artifacts in diagnostic ultrasound. Martin is a prolific conference speaker, having contributed over 250 presentations, workshops, and webinars. Martin is a strong advocate for efficient, evidence-based and clinically targeted utilisation of ultrasound imaging.

Fringe medicine - imaging ectopics at the endometrial borders

The diagnostic challenge of ectopic pregnancy is amplified when implantation occurs close to the endometrial border. This talk will discuss practical approaches to diagnosing interstitial ectopic, cervical ectopic and caesarean scar pregnancy including pitfalls and prognostic information.

Dr David Perry
Obstetric and Paediatric Radiologist, National Women's Health

David is an Obstetric and Paediatric radiologist at National Women's Health, Starship Children's Health and Auckland Radiology Group. He has active research interests with the Liggins institute, was a Rouse Travelling Fellow for RANZCR and has interests in placental and fetal imaging including imaging of the Placental Accreta Spectrum and fetal MRI.