Obgyn Key

Fig. 12.1 An enlarged uterus due to a 8 cm deep anterior wall intramural/submucosal fibroid Harmonic scalpel, monopolar diathermy attached to a hook or scissors, plasma energy or laser may…

Fig. 19.1 Myomectomy technique Whether treatment with GnRh agonist before myomectomy offers any significant advantage is still a matter of debate. Benefits claimed include the following: resolution of preoperative anemia…

Fig. 18.1 Traditional classification of congenital uterine anomalies as described by the American Fertility Society (From AFS [8], with permission) However, since that classification, a plethora of publications appeared in…

Fig. 13.1 (a) Axial MRI (T2 weighted), (b) Coronal maximum intensity projection of contrast enhanced MR Angiogram pre-embolisation shows enlarged uterine arteries, and (c) post embolisation shows reduction in size…

Fig. 20.1 Septate uterus and its variants according to the new ESHRE/ESGE classification system (From Grimbizis et al. [14], with permission) Septate uterus is further subdivided in partial septate (Class…

Fig. 11.1 Bonney’s myomectomy clamp (Adapted from Bonney [13], with permission) Fig. 11.2 Application of Bonney’s myomectomy clamp (Adapted from Bonney [13], with permission) Preoperative Assessment Comprehensive pre-operative assessment is…

Fig. 15.1 Placement of a laparoscopic adjustable gastric band Average weight loss achieved following gastric banding is approximately 50 % of excess body weight loss [9], which although successful, is…

Fig. 22.1 For implantation to occur a blastocyst must attach to and invade the endometrium under the influence of both oestrogen and progesterone (From Coughlin et al. [40], with permission)…

Whole abdomen and pelvic radiation greater or equal to 15 Gy in pre pubertal or 10 Gy in post pubertal girls especially in combination with any alkylating agents Craniospinal radiation…

Fig. 5.1 Excision of large ovarian endometrioma. Intact ovarian endometrioma (left), stripping off the cyst wall (middle), separated cyst wall (right) Endometriomas and Reproductive Performance Ovulation Benaglia and co-workers scanned…