By Linda D. Bradley MD, Tommaso Falcone MD
This new textual content offers authoritative in-depth assurance of hysteroscopy, a brief in-office approach for a correct prognosis of irregular vaginal bleeding, uterine adhesions, overseas our bodies, uterine structural defects, anatomic defects, and infertility. greater than 380 full-color pictures supply a real-life perform point of view of the stipulations you are going to stumble upon, and an advantage DVD positive factors three hours of movies that exhibit hysteroscopic tactics played, step by step. This technique helps you to take a right away view of any pathology, with no the chance of radiation publicity, and reduces the probabilities of uterine perforation. Chapters surround an entire variety of scientific issues, together with instrumentation, imaging, problems, and endometrial ablation.
- Includes an advantage DVD with sixty four video clips-3 hours of footage-that demonstrates tips on how to competently practice hysteroscopy innovations, step by step.
- Provides chapters that aspect the instrumentation you will want to successfully practice hysteroscopic techniques.
- Features a whole bankruptcy on imaging, together with saline infusion sonography, conserving you present at the most up-to-date imaging know-how.
- Offers professional advice on endometrial ablation, a common workplace technique used to diagnose and deal with irregular bleeding.
- Presents assurance of diagnostic and operative hysteroscopy, permitting you to include this know-how of accelerating medical use into your perform.
- Features a colour layout with greater than 380 full-color pictures that spotlight options and equip you with a real-life perform perspective.
Read or Download Hysteroscopy: Office Evaluation and Management of the Uterine Cavity: Text PDF
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Extra resources for Hysteroscopy: Office Evaluation and Management of the Uterine Cavity: Text
Theories include abnormal uterine contractions, inefﬁcient expulsion of uterine contents, increased surface area, increased secretion of vasoactive factors, and aberrations of the ﬁbrinolytic system. Fibroids can be located purely within the endometrial cavity, can abut the endometrium with the majority of ﬁbroid intramural, or can be subserosal (Fig. 3–10). Localization of uterine ﬁbroids is essential to determine the surgical route. If an intramural ﬁbroid abuts the endometrium but extends deeply within the myometrium, hysteroscopic myomectomy performed in two surgical stages may be necessary for complete resection.
The PPV of SIS and diagnostic hysteroscopy are equivalent. Therefore, many factors must be taken into consideration when considering whether hysteroscopy or SIS should be the initial diagnostic test Why submucosal ﬁbroids cause abnormal bleeding is debatable. Theories include abnormal uterine contractions, inefﬁcient expulsion of uterine contents, increased surface area, increased secretion of vasoactive factors, and aberrations of the ﬁbrinolytic system. Fibroids can be located purely within the endometrial cavity, can abut the endometrium with the majority of ﬁbroid intramural, or can be subserosal (Fig.
If a patient with a menstrual disorder, who desires fertility, has had prior therapeutic abortions, is it possible that she already has pre-existing synechiae? Likewise, for the patient with abnormal bleeding who has undergone multiple blind D&Cs before you astutely determined that operative hysteroscopic, laparoscopic, or abdominal intervention is necessary: Could she have preexisting intrauterine adhesions? Consider hysteroscopy preoperatively in patients who desire fertility and who have undergone prior blind D&Cs to rule out preexisting uterine synechiae.