Why still hysterectomy?
Over the past years the performance of hysterectomy has gained a somewhat bad press: rather like the D & C of old, one may well have the feeling that a hysterectomy is advocated without any real justification and other options, more targeted
Best Obstetric Expert Witness
Pyper Medical Services are delighted to announce that Ruth Mason has won “Best Obstetric Expert Witness (UK)” for 2024, which has been awarded by Acquisition International in their Expert Witness survey. Ruth said, “It is a great honour to realise that
TVTO and chronic right sided pelvic pain
Julie developed right sided pelvic pain, 10 weeks after the insertion of a Tension-free Vaginal Tape – Obturator (TVT-O). She alleged that the operation had been performed in a negligent manner, and had caused the chronic pain. The PMS report noted
Vaginal Sacro-Spinous Fixation (VSSF) causing injury to the right ureter
Rachel underwent a vaginal sacrospinous fixation (VSSF) with anterior repair to treat a vaginal prolapse. She presented with a urinary fistula 3 weeks later, and had to undergo major surgery to reimplant the right ureter. The PMS report stated that the
The Dangers of Hysteroscopy and Polypectomy in 2021
A letter to the British Society of Gynaecological Endoscopy I do some medicolegal work and have a special interest in hysteroscopic surgery. The reason for writing to you is that I have now prepared 6 reports on women who have suffered
Bladder Injury in the course of a vaginal delivery
Pandora developed a vesicovaginal fistula after an instrumental delivery in 2008. She was treated with an indwelling catheter for three months, before undergoing a vesicovaginal fistula repair. As negligence had already been established, PMS was instructed to prepare a condition
Overdistention of bladder following vaginal delivery
Dina was 31 when she underwent forceps delivery of her first child in February 2005. A few days later presented with a distended lower abdomen, and an ultrasound scan found the bladder to be over-distended. She subsequently required management with
Retained swab following vaginal delivery
Gertrude was delivered by forceps in 2001 at 39 weeks gestation. Following delivery she suffered a pelvic pain and developed an offensive vaginal discharge. On examination a tampon and a swab were found in the vagina. By 2004, the baby,
Extreme prematurity – Damage to the Fetus
Saga underwent a Caesarean section at 25 weeks. Her baby, Noah, was subsequently diagnosed with cerebal palsy. PMS was instructed to investigate Saga's antenatal care, labour and delivery. The Expert Report concluded that Noah's cerebal palsy was due to his
Anaphylactic shock during labour
Ursula had an eventful first pregnancy. Induction of labour for post maturity was arranged in 23rd May 2007. Labour was established the next day after artificial rupture of membrane and Sytocinon infusion.The second stage of labour was detected at 6pm,


