John M. Grant

Measuring the outcomes of surgery for gynaecological cancer is straightforward, for women and their surgeons will agree that length of survival and survival to five years are the most important. For benign gynaecological conditions however …

It is difficult to ascertain the prevalence of a condition, such as chronic pelvic pain, which has few physical manifestations, but this has been accomplished successfully by Krina Zondervan and her colleagues (pages 1149–1155). The authors…

The traditional definitive treatment of endometriosis is total abdominal hysterectomy and bilateral salpingooophorectomy but as R. D. Clayton and colleagues point out (pages 740744), even this radical surgery may fail to alleviate symptoms …

In the hierarchy of clinical evidence uncontrolled case series occupy a lowly position, well below that of randomised trials. Is it a paradox therefore that most of the evidence of effective surgical treatments comes not from randomised tri…

Perinatal postmortetns give tangible information about organic disease, but much of the practice of obstetrics and gynaecology involves the treatment of psychosomatic illness which is poorly understood. The psychological antecedents of chro…

In another systematic review (pages 163–168) Beda Hartmann and Johannes Huber identified reports in the English and German literature relevant to perceived contraindications to hormone replacement therapy. The authors concentrated on cardio…

Dysfunctional uterine bleeding is an important problem in perimenopausal women and is the commonest indication for hysterectomy, usually performed abdominally. Three articles in this issue are concerned with alternatives to abdominal hyster…