Download Atlas of Endometriosis, Third Edition ( Encyclopedia of by Caroline Overton, Robert W. Shaw, Lindsay McMillan, Colin PDF

By Caroline Overton, Robert W. Shaw, Lindsay McMillan, Colin Davis

This superbly and comprehensively illustrated Atlas offers an invaluable academic instrument for trainees and normal ObGyns who is probably not up to date with fresh learn within the . The publication is a completely revised 3rd version summarizing advances within the analysis and administration of the illness. fairly improved for this variation are sections on ultrasound and MRI imaging, and non-surgical interventions. New for this variation are aseries of case-histories that extend on subject matters into consideration and elevate the pedagogic worth. For the 1st time, illustrations could be totally built-in with the textual content. as with any Atlases, the visible method isvalued by means of many shoppers as a brief and remarkable approach to assimilating crucial info on a subject matter or affliction.

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Templeton A, Morris DJK, Parslow W. Factors that affect the outcome of in vitro fertilisation treatment. Lancet 1996; 348: 1402–6. 31. Eiserman J, Gast MJ, Pineda J, Odem RR, Collins JL. Tumour necrosis factor in peritoneal fluid of women undergoing laparoscopic surgery. Fertil Steril 1988; 50: 573–9. 47. Jansen RPS. Minimal endometriosis and reduced fecundability: prospective evidence from an artifical insemination by donor program. Fertil Steril 1986; 46: 141–3. 32. Fakih H, Baggett B, Holtz G et al.

Diffuse low-level internal echoes occur in 95% of endometriomas. qxp 7/25/2007 7:32 PM Page 27 CLINICAL FINDINGS Hyperechoic wall foci and multilocularity also point towards an endometrioma. Endometriomas are usually adherent to the pelvic side wall. This immobility is a useful diagnostic indicator. In the case of deeply infiltrating endometriosis, particularly with deep deposits greater than 3 cm in diameter, there may be involvement of the ureter. 17). 5 Transvaginal ultrasound scan showing the typical ground glass appearance of an endometrioma The pouch of Douglas is a potential space, and is not well seen by computed tomography (CT) unless distended by fluid or a mass.

Two randomised trials of the laparoscopic treatment of ovarian endometriomas larger than 3 cm were included. 56). 29). The authors concluded that excisional surgery provided a more favourable outcome than drainage and ablation. However, no data as to the effect of either approach were found in women who subsequently underwent assisted reproductive techniques. A general consensus is that ovarian endometriomas larger than 4 cm should be removed, both to reduce pain and to improve spontaneous conception rates.

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