Full Description
This is a unique book in that it brings together the two key investigative techniques in Gynaecology and Obstetrics, namely ultrasound and endoscopy. So often in the past they were regarded by their exponents as rival techniques but it is now recognised that they are complementary to each other. Consequently future trainees in endoscopy should become efficient in transvaginal sonography and vice versa. Ultrasound can be used to study the morphology of the pelvic organs such as the endometrium, myometrium and ovaries, and being non-invasive, safe and convenient can be repeated as often as is deemed necessary to monitor changes over time; for example in the investigation of the infertile woman the development of the dominant follicle, the maturation of the endometrium and the formation of the corpus luteum can be documented throughout the menstrual cycle while growth of ovarian cysts can be precisely measured to determine the need for surgery. A seldom-mentioned strength of the ultrasound examination is its interactive quality, for example by performing abdominal palpation during the scan, the mobility of the uterus and ovaries can be assessed. Also the images as they appear can be shown to the patient to aid understanding. Ultrasound can also determine function and the use of Doppler has been used for example to access endometrial receptivity, follicular maturity and the likelihood of malignancy in the endometrium or ovary.
Contents
Part I: Menorrhagia
Ultrasound and Menorrhagia
Role of Hysteroscopy
Hysteroscopic Fibroid Resection
Transcervical Resection of the Endometrium: Results and Complications
Laparoscopic Subtotal Hysterectomy
Vaginal Hysterectomy
Laparoscopic Myomectomy
Part II: The Postmenopausal Endometrium
Postmenopausal Bleeding: Ultrasound and Hydrosonography versus Hysteroscopy
Endometrial Sampling Techniques
Monitoring Hormone Replacement Therapy
Endometrial Surveillance of Tamoxifen Patients
Part III: Endometrial Cancer
Ultrasound Staging of Endometrial Cancer
Laparoscopy in Patients with Endometrial Cancer
Part IV: Urogynaecology
Anal Endosonography and Incontinence
Laparoscopic Treatment of Uterine and Vault Prolapse
Enterocele Repair
Endoscopic Needle Suspensions
Laparoscopic Sacral Colpopexy and Sacrospinous Fixation
Laparoscopic Colposuspension
Laparoscopic Suburethral Sling Procedure
Part V: Ovarian Masses
The Use of Ultrasound to Assess the Morphology of Ovarian Tumours
Colour Doppler
Statistical Models
Treatment of Adnexal Masses and Laparoscopy
Second-look Laparoscopy in Patients with Ovarian Cancer
Part VI: Endometriosis
Ultrasound Characteristics of Endometriosis
The Ovarian Endometrioma: Pathophysiology, Diagnosis and Surgery
Endometriosis is a surgical Disease
Appendix: the revised AFS classification of endometriosis
Part VII: Disorders of Ovarian Function and Subfertility
Amenorrhoea, PCO Syndrome and Tubal Pathology
The Assessment of Tubal Patency: HyCoSy
Laparoscopic Treatment of Tubal Infectious Disease
3D Ultrasound in the Diagnosis of Congenital Abnormalities
The Role of Endoscopy in Congenital Abnormalities: Diagnosis and Treatment
Appendix: classification of congenital abnormalities
Part VIII: Early Pregnancy Complications
Early Pregnancy Failure
Ultrasound Diagnosis and Management of Miscarriage
Ultrasound Diagnosis and Management of Pregnancy of Unknown Location and
Ectopic Pregnancy
Systemic and Local Therapy of Ectopic Pregnancy
The laparoscopic Approach of Ectopic Pregnancy
Part IX: Early Prenatal Diagnosis and Obstetric Endoscopy
Nuchal Translucency and Early Diagnosis of Congenital Anomalies
Early Amniocentesis
Coelocentesis
Chorion Villus Sampling in the First Trimester
Obstetric Endoscopy
