Gynaecological emergencies form a large proportion of the workload of a gynaecologist. Diagnosis and treatment of gynaecological emergencies have progressed markedly in the light of evidence-based practice and accurate diagnosis. Combined with a good clinical assessment, this allows for appropriate management.
The findings on initial clinical evaluation may help to differentiate among many potential causes and help plan further evaluation and management. Failure to diagnose and manage any gynaecological emergency at the appropriate time may lead to serious and chronic consequences. Transvaginal ultrasound has developed as an essential tool in the assessment of the majority of emergency gynaecological cases.
Where possible, management is often conservative for conditions such as ovarian cyst haemorrhage, torsion and pelvic infection, to minimise the exposure to surgery and minimise future fertility problems. This tutorial will cover non-pregnancy-related conditions presented to the gynaecologist in an emergency setting. It outlines the increasing use of minimal access surgery, which improves recovery from many emergency conditions.
When you have completed this tutorial you will be able to:
- understand the epidemiology, aetiology, biological behaviour, pathophysiology, clinical characteristics, prognostic features and management of emergency gynaecological problems
- understand the role of ultrasound in the diagnosis and monitoring of women in the emergency gynaecological setting
- perform or instigate appropriate investigations
- demonstrate understanding of laparoscopic surgery in management of common gynaecological emergencies
- counsel patients sensitively about their condition and prognosis in the emergency gynaecology setting
- explain the nature, complications and side effects of emergency medical and surgical treatments.
This eTutorial will take approximately 2 hours to complete.
Last updated May 2019.