Outcomes of women diagnosed and treated for low-risk gestational trophoblastic neoplasia at the Queensland Trophoblast Centre (QTC).

Background: Gestational trophoblastic neoplasia (GTN) is classified as a highly curable group of pregnancy-related malignancies; however, approximately 15% will be persistent and require chemotherapy. Up to 25% of these women will develop resistance and 2% will develop disease relapse after initial chemotherapy. Despite the need for further chemotherapy in these women, cure rates are high.

Total laparoscopic hysterectomy: the Brisbane learning curve.

Background: Total laparoscopic hysterectomy (TLH) is becoming more commonly used for gynaecological malignancies.

Aims: To describe our experience with TLH since its introduction to our tertiary referral centre for gynaecological cancer in 2003.

Methods: Retrospective analysis of the first 120 consecutive cases of TLH performed at our gynaecological cancer centre.

The use of an overlay autogenous tissue (OAT) patch to control intra-operative haemorrhage of the spleen.

Background: During major abdomino-pelvic surgery, there is a risk of severe haemorrhage. When routine measures at haemostasis fail, the overlay autogenous tissue (OAT) patch may be useful to control bleeding.

Case: We present a case report of the use of the use of an OAT patch to control haemorrhage of the spleen incurred during tertiary cytoreduction.