By Thomas Römer
The diagnostic research of menstrual disorder and sterility is a regimen a part of gynecological perform. Hysteroscopy can extend the spectrum of diagnostic percentages. The second revised version of this guide goals to familiarise the gynecologist with diagnostical hysteroscopy. approximately a hundred color plates facilitate the purchase of this system in addition to the right kind review of findings. The e-book is conceived for novices to hysteroscopy and will give a contribution to the additional institution of this technique. This 2d revised variation comprises ninety case reports of gynecological perform.
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The diagnostic research of menstrual disorder and sterility is a regimen a part of gynecological perform. Hysteroscopy can extend the spectrum of diagnostic chances. The second revised variation of this instruction manual goals to familiarise the gynecologist with diagnostical hysteroscopy. approximately a hundred color plates facilitate the purchase of this method in addition to the right kind review of findings.
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Extra resources for Diagnostic Hysteroscopy: A practical guide 2nd Edition
Sonography uterus malformation the uterus malformation was discovered by an externally performed laparoscopy but not clearly specified. Now again diagnostic assessment before planned IVF (tubal factor) 2 endometrium areas 4. Hysteroscopy uterus septus extending up to the internal os of the uterus (5 cm) 5. Therapy À laparoscopy: fundal area of the uterus smooth and wide À transcervical septum dissection and IUD insertion Attention: Before any intervention of assisted reproduction (especially IVF/ICSI) a hysteroscopic examination of the uterine cavity should be performed.
Therapy laparoscopic resection of the endometriosis, chromopertubation (bilaterally positive) none 6. Histology Corpus polyp with a patient wanting a child 43 39-year-old patient 1. Clinical diagnosis 2. Anamnesis 3. Sonography desire to have a child, myoma on the posterior wall known isthmic myoma on the posterior wall, growing, for 2 years desire to have a child 4-cm isthmic, subserous-intramural myoma on the posterior wall, endometrium thickness: 8 mm (8th day of menstrual cycle) 4. Hysteroscopy small corpus polyp in the left tubal cornua, otherwise regular cavity, tubal ostia free bilaterally 5.
Sonography uterus unicornis desire for a child for 2 years, during childhood nephrectomy on the right uterus displaced to the left side, endometrium thickness: 6 mm (post menstruationem) 4. Hysteroscopy small cavity, narrowed to the left, only one tubal ostium, circular structure of the cavity 5. Therapy laparoscopy: uterus unicornis on the left without rudimentary cornual horn on the right, resection of the endometriosis Douglas, chromopertubation on the left positive Attention: The uterus unicornis is a very rare malformation and often combined with a malformation of the urinary tract.
Diagnostic Hysteroscopy: A practical guide 2nd Edition by Thomas Römer