Download PDF by Jacques Donnez: Atlas of operative laparoscopy and hysteroscopy

By Jacques Donnez

ISBN-10: 041538415X

ISBN-13: 9780415384155

It is a new version of 1 of the trendy classics of gynecological surgical procedure. supplying an in depth and fantastically illustrated advisor to laparoscopic and hysteroscopic strategies, the booklet has been greatly revised and up-to-date considering ebook of the second one version. There are few texts that so effectively offer in-depth info on minimally invasive gynaecologic surgical procedure. This informative and thorough paintings of reference presents either practising surgeons and trainees with an atlas, a textbook of gynecology, and a surgical guide. The insurance is finished, together with huge sections on gynaecologic oncology, urogynecology, uncomplicated rules, and instrumentation. issues are highlighted with authoritative tips on tips on how to steer clear of and deal with them

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Extra info for Atlas of operative laparoscopy and hysteroscopy

Example text

It is very curious that two evidence-based medicine (EBM) (degree 1) studies on the same subject reached two completely different conclusions. In the first study35, 341 infertile women (20–39 years of age) with minimal or mild endometriosis were randomized into two groups: either laparoscopic resection or ablation of the endometriotic lesions (n = 172), or diagnostic laparoscopy (n = 165). 7%, respectively, were achieved. The authors concluded that laparoscopic resection or ablation of minimal and mild endometriosis enhances fecundity in infertile women.

Red flame-like lesions and glandular excrescences are probably the first stage of early implantation of endometrial glands and stroma. The significantly higher stromal vascularization and epithelial mitotic index could be responsible for the invasion of ectopic sites by glands and stroma. Thereafter, menstrual shedding from viable endometrial implants could initiate an inflammatory reaction, provoking a scarification process which encloses the implant. The presence of intraluminal debris is responsible for the typical black coloration of the same lesion.

A power setting of 40–50 W is used. The debulking of endometriotic implants is best performed using a continuous firing mode. If a lesion is overlying a vital structure such as the ureter, urinary bladder, colon or larger blood vessels, a retroperitoneal injection of fluid (hydrodissection and hydroprotection) provides safer vaporization of the lesions. This technique allows a l00–200-µm depth of vaporization, thus substantially limiting the depth of penetration. 13) provokes the bubbling of old blood, followed by a curdy white material, representing vaporization of the stromal layer.

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Atlas of operative laparoscopy and hysteroscopy by Jacques Donnez

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