GYNECOLOGY

Surgical Management of Male Infertility

May 29, 2017 by in GYNECOLOGY Comments Off on Surgical Management of Male Infertility

Technique Indication Benefits Drawbacks Percutaneous epididymal sperm aspiration (PESA) Obstructive Azoospermia Quick, repeatable, less costly, low morbidity, no microsurgical expertise or surgical exploration required Cryopreservation limited as less numbers of…

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Distal Tubal Disease

May 29, 2017 by in GYNECOLOGY Comments Off on Distal Tubal Disease

Fig. 1.1 HSG features of distal tubal disease. (a) Bilateral distal tubal obstruction with hydrosalpinx, the left being more obvious than the right side; (b) Proximal tubal blockage affecting the…

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Principles of Hysteroscopic Surgery

May 29, 2017 by in GYNECOLOGY Comments Off on Principles of Hysteroscopic Surgery

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…

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Uterine Anomalies

May 29, 2017 by in GYNECOLOGY Comments Off on Uterine Anomalies

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…

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Infertility and Uterine Artery Embolisation

May 29, 2017 by in GYNECOLOGY Comments Off on Infertility and Uterine Artery Embolisation

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…

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Abdominal Myomectomy

May 29, 2017 by in GYNECOLOGY Comments Off on Abdominal Myomectomy

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…

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Uterine Septum

May 29, 2017 by in GYNECOLOGY Comments Off on Uterine Septum

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…

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Bariatric Surgery

May 29, 2017 by in GYNECOLOGY Comments Off on Bariatric Surgery

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…

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