Endoscopy In Infertility Part Ii A Perspective On Laparoscopy Ecab

Author : Urvashi Prasad Jha
Publisher : Elsevier Health Sciences
Page : 235 pages
File Size : 54,9 Mb
Release : 2013-07-12
Category : Medical
ISBN : 9788131232293

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Endoscopy in Infertility - Part II - A Perspective on Laparoscopy - ECAB by Urvashi Prasad Jha Pdf

Historically, gynecologic endoscopy began in the 1930s with the development of diagnostic laparoscopy, but today gynecologic endoscopy, both laparoscopy and hysteroscopy, has become an essential part of gynecologic surgery. In present practice, the benefits of laparoscopy, hysteroscopy, and minimally invasive surgical procedures have become safely entrenched behind undeniable facts, to the patients as well as the hospitals. The endoscopic gynecologic surgery now involves the whole gamut of fetal surgery, embryoscopy, outpatient local anesthetic laparoscopy, total laparoscopic hysterectomy, and embolization of myomas. Another interesting fact to come to the fore is that, increasingly, the traditional treatments for infertility are being rendered obsolete by advanced reproductive technologies and gynecologic endoscopy. Endoscopy in Infertility has addressed the relevant issues with dexterity by substantiating with relevant clinical experiences of its authors, who are among the pioneers in this field.

Author : Suneeta Mittal
Publisher : Elsevier Health Sciences
Page : 159 pages
File Size : 50,8 Mb
Release : 2013-07-12
Category : Medical
ISBN : 9788131232330

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Threatened Miscarriage - ECAB by Suneeta Mittal Pdf

Even though it seems simple the ability of the mother’s body to retain and nurture the fetus, which is of a non-identical genetic makeup, throughout the gestational period requires a delicate balance of hormonal orchestration to achieve the required immunological permissiveness. The obvious outcome of a failure to achieve this is rejection of the fetal "semi-allograft", which manifests as threatened miscarriage. The occurrence of threatened miscarriage or symptoms suggestive of it is fraught with anxiety both for the patient and the obstetrician, especially if the baby is eagerly awaited. In such a situation, a correct diagnosis and prompt evaluation is imperative to start immediate interventions and prevent the expulsion of the fetus. However it is equally important to rule out the other conditions that may mimic threatened miscarriage and avoid unnecessary interventions. This clinical update handbook attempts to address these and other issues associated with this potentially elusive condition. The first chapter serves to give a concise yet relevant overview about this topic. The various modes of presentation as well as the management protocol are elaborately covered in the second chapter. The chapter on Diagnostic Modalities explains how the risk factors and investigative findings can be used to predict and make an early diagnosis of the condition. It has also touched upon the other conditions that mimic threatened miscarriage and how those can be differentiated from it. The role of stress and how it affects the immunomodulation which is the basis of maternal tolerance of the fetus, is explored in detail in the fourth chapter. The last chapter highlights the complications associated with inappropriate treatment of the condition and explores the adverse effects and relative safety of the recommended treatment protocol. Most of the chapters also include several case reviews that illustrate the aspects covered and are enriched with the vast repertoire of personal experience of the eminent authors.

Author : Kamini Rao
Publisher : Elsevier Health Sciences
Page : 148 pages
File Size : 49,9 Mb
Release : 2012-06-15
Category : Medical
ISBN : 9788131232347

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Managing Infertility - ECAB by Kamini Rao Pdf

Assisted reproduction refers to a number of advanced techniques that aid fertilization in a couple diagnosed to have reduced fertility such as in women who have irreversible damage to their fallopian tubes or cervical mucous problems. These techniques can also benefit couples with unexplained infertility. Before 1978, infertility diagnosis and treatment revolved around surgical interventions such as fallopian tube(s) repair or inserting sperms into the uterus. Thus, the management was applicable and aimed at removing the mechanical blockage that prevented the fertilization of egg. Then ca.me Louise Brown and Dr. Patrick Steptoe, a couple who were destined to be associated forever in the infertility history books forever. This is because in 1978, Dr. Steptoe made it possible for Louise to conceive in a laboratory in England with IVF. From this turning point in the science of infertility, came techniques that addressed the biochemical and hormonal aspects of infertility thus marking the beginning of a whole new subspecialty called Reproductive Endocrinology. With Dr. Steptoe’s technique, called IVF (In Vitro Fertilization), couples who otherwise had no problems that could be surgically treated now had another option. With the inclusion of Information technology in all aspects of our life, the explosion of Assisted Reproduction Technologies (ART) has resulted in further sophistication of additional techniques, now responsible for the existence of over 20,000 human beings a year that would never have existed. ART deals with all aspects of the science of conception, be it investigating the couple, or determining their ovarian reserve to application of the most appropriate technique to aid conception in that couple.

Author : Urvashi P Jha
Publisher : Elsevier Health Sciences
Page : 90 pages
File Size : 55,6 Mb
Release : 2009-12-15
Category : Medical
ISBN : 9788131232286

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Endoscopy in Infertility - ECAB by Urvashi P Jha Pdf

Historically, gynecologic endoscopy began in the 1930s with the development of diagnostic laparoscopy, but today gynecologic endoscopy has become an essential part of gynecologic surgery. In present practice, the benefits of hysteroscopy have become safely entrenched behind undeniable facts, to the hospitals as well as the patients. Hysteroscopy can be regarded as the gold standard for the evaluation of the uterine cavity in cases of abnormal uterine bleeding, infertility, recurrent pregnancy loss, and suspected intrauterine out-growth. It can be performed in the office setting (outpatient hysteroscopy) or as a day-case procedure, under general anesthesia (inpatient hysteroscopy). Outpatient hysteroscopy has been shown to be as accurate as inpatient hysteroscopy, and it has the advantage of reduced anesthetic risks, enhanced time–cost effectiveness, and patient preference. The factors behind the success of outpatient hysteroscopy are instrument quality, characteristics of the distension medium, the ability and experience of the operators, and recent technical advances, such as the introduction of small-diameter rigid and flexible hysteroscopes. The future looks to further simplification of instrumentation and hence, high safety and accuracy and expedited performance. "Hysteroscopy in Infertility" has addressed the relevant issues with dexterity by substantiating with relevant clinical experiences of authors, who are among the pioneers in this field.

Author : Sujata Misra
Publisher : Elsevier Health Sciences
Page : 160 pages
File Size : 45,8 Mb
Release : 2012-07-26
Category : Medical
ISBN : 9788131232354

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Thyroid Dysfunction and Pregnancy - ECAB by Sujata Misra Pdf

It is an established fact that thyroid hormones play an important role in the metabolism of the body. Pregnancy is a state of significant hormonal as well as metabolic changes, and thyroid hormones have a significant impact on maternal metabolism and fetal development during pregnancy. The fetus relies on maternal thyroid hormone for the development of the CNS, especially in the early stages of gestation, and uncorrected maternal hypothyroidism in this period can leave the child with permanent life-long neurological deficits. From the maternal point of view, a thyroid dysfunction encountered during pregnancy may continue even after delivery as postpartum thyroiditis. Hence, any thyroid dysfunction, be it hypo- or hyperthyroidism, can have serious deleterious consequences if not detected promptly and managed properly. The established guidelines and newer trends for the treatment of thyroid dysfunction are discussed in this update. Thyroid hypofunction has also been known to affect the fertility of women in reproductive age group. With the increasing incidence of infertility and advent of methods to treat them, the early detection and adequate treatment of thyroid hypofunction becomes an unavoidable part of assisted reproductive techniques, in the present day scenario. Even subclinical thyroid disorders can affect the reproductive capacity of non-pregnant women and impact the fetomaternal wellbeing in those who conceive. However, not all cases of subclinical hypothyroidism warrant pharmacological treatment. The guidelines for treatment of subclinical hypothyroidism in the pregnant and non-pregnant states are discussed in detail in this clinical update. An important aspect of reproductive health is family planning, and one of the commonly used means to achieve it is hormonal contraceptives. The interaction of thyroid hormones with hormonal contraceptives and the means of testing thyroid dysfunction in an individual taking hormonal contraceptives have been elucidated in this update.

Author : Gita Ganguly Mukherjee
Publisher : Elsevier Health Sciences
Page : 159 pages
File Size : 48,9 Mb
Release : 2012-07-05
Category : Medical
ISBN : 9788131232224

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Polycystic Ovary Syndrome - ECAB by Gita Ganguly Mukherjee Pdf

PCOS is a complex endocrinopathy with wide-ranging variations and clinical manifestations. In the field of gynecology, the clinician is called upon to treat problems of menstrual irregularity, acne and hirsutism, infertility, obesity, and for education on long-term consequences. The mainstay of pharmacological treatment aims at ovarian suppression of androgen secretion. The most effective medical therapy for hirsutism in these cases thus appears to be antiandrogen drugs. The patients need to undergo the therapies for long periods and also understand the need of maintenance. Electrolysis and laser photothermolysis are considered the most effective cosmetic procedures. PCOS is a heterogeneous disorder and no single etiological factor fully accounts for the whole spectrum of the abnormalities in this condition. Only a few genes and mutations show considerable evidence of association with PCOS. Variable manifestation observed within PCOS patients may be due to the interaction with environmental factors with protective genomic variant and predisposing genes. The eminent authors of "Polycystic Ovary Syndrome" have enumerated the various options available described in detail their experiences regarding the various aspects of the condition.

Author : Kamini A Rao
Publisher : JP Medical Ltd
Page : 496 pages
File Size : 40,9 Mb
Release : 2018-04-30
Category : Medical
ISBN : 9789352701575

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The Infertility Manual by Kamini A Rao Pdf

The new edition of this infertility manual has been fully revised to provide clinicians with the latest advances in the diagnosis and management of infertility. Divided into seven sections, the book provides step by step guidance on each stage of the process, from initial examination and identifying the causes of infertility in both females and males, to ovarian stimulation and assisted reproduction techniques. The final section is dedicated to laboratory management covering topics such as follicular fluid screening and oocyte assessment, culture systems, and cryopreservation. The fourth edition includes new chapters on molecular mechanisms such as endometrial receptivity, and implantation; and current trends such as the embryoscope and assisted hatching. The comprehensive text is further enhanced by case studies, clinical photographs, diagrams, flowcharts and tables. Key points Fully revised, new edition providing latest advances in diagnosis and management of infertility Fourth edition features new chapters on molecular mechanisms and current trends Highly illustrated with clinical images, flowcharts and tables Previous edition (9788184486179) published in 2009

Author : Shirish S Sheth,John Studd
Publisher : CRC Press
Page : 388 pages
File Size : 54,6 Mb
Release : 2002-09-26
Category : Medical
ISBN : 1135312575

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Vaginal Hysterectomy by Shirish S Sheth,John Studd Pdf

In recent years advances in laparoscopic technologies have led to renewed interest in the vaginal approach to hysterectomy, which has many proven benefits for patients. This volume, dedicated to explaining and promoting the vaginal route of hysterectomy, is written and edited by an international team of experts and provides a much-needed source of up-to-date information and instruction. Importantly, the authors caution that laparoscopic technology can provide a valuable source of assistance for the gynaecological surgeon in certain circumstances, though only in a percentage of cases. This book, beautifully illustrated with line drawings and full-colour photographs, contains step-by-step surgical techniques, enabling the surgeon to gain confidence and experience so that gradually more challenging operations can be managed successfully via the vaginal route. Acknowledged authorities from around the world take the reader through the indications and contra-indications for the vaginal approach, explain crucial preoperative assessment procedures, and offer an evidence-based elucidation of the 'why', 'when' and 'how' of vaginal hysterectomy. Specific topics considered here include: the nulliparous patient, uterine fiboids, debulking, the use of gonadtrophin-releasing hormone agonists, oophorectomy and prophylactic oophorectomy, adnexectomy for adnexal pathology, genital prolapse, the place of sacrospinous colpopexy, urethral sphincter incompetence, hormone replacement therapy, and the psychological and sexual outcomes of hysterectomy. In addition, the authors set forth the arguments for and against vaginal hysterectomy, abdominal hysterectomy, laparoscopic assistance, and transcervical resection of the endometrium. Combined with a full review of the potential complications, morbidity and mortality associated with the vaginal approach, this book provides the reader with a well-balanced, thorough and considered appraisal of vaginal hysterectomy. As the incidence of hysterectomy worldwide continues to rise, Vaginal Hysterectomy will be an indespensable reference for practising gynaecologists, surgeons, consultants and postgraduates.

Author : Kamini A Rao,Arveen Vohra
Publisher : Jaypee Brothers Medical Publishers
Page : 276 pages
File Size : 48,6 Mb
Release : 2020-01-27
Category : Medical
ISBN : 9789389587180

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Gynecological Emergencies by Kamini A Rao,Arveen Vohra Pdf

Practical guide to diagnosis and management of gynaecological emergencies Fully revised second edition featuring latest advances and many new topics Covers disorders in all age groups, from adolescence and puberty, to reproductive age and post-menopausal Includes discussion on ethical and medicolegal issues Highly illustrated with diagrams, flowcharts and tables

Author : Kamini A Rao,Vyshnavi A Rao
Publisher : Jaypee Brothers Medical Publishers
Page : 525 pages
File Size : 42,8 Mb
Release : 2020-01-28
Category : Medical
ISBN : 9789389587197

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Obstetric Emergencies by Kamini A Rao,Vyshnavi A Rao Pdf

Practical guide to care of mothers and unborn babies, and management of potential emergency situations Fully revised third edition featuring latest advances and many new topics Covers a range of emergencies, from smaller but urgent issues, to immediately life-threatening problems Includes discussion on ethical and medicolegal issues Highly illustrated with diagrams, flowcharts, tables and algorithms

Author : Anonim
Publisher : Unknown
Page : 668 pages
File Size : 46,9 Mb
Release : 1920
Category : Gynecology
ISBN : CHI:79842187

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International Abstracts of Surgery by Anonim Pdf

Author : Gita Ganguly Mukherjee,Satchidananda Tripathy,Sindhu Nandini Tripathy
Publisher : Jaypee Brothers,Medical Publishers Pvt. Limited
Page : 208 pages
File Size : 50,5 Mb
Release : 2010-02-28
Category : Medical
ISBN : 8184488769

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Genital Tuberculosis by Gita Ganguly Mukherjee,Satchidananda Tripathy,Sindhu Nandini Tripathy Pdf

Author : Advanced Life Support Group (ALSG)
Publisher : John Wiley & Sons
Page : 185 pages
File Size : 55,6 Mb
Release : 2019-01-04
Category : Medical
ISBN : 9781119501015

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Major Incident Medical Management and Support by Advanced Life Support Group (ALSG) Pdf

The new edition of Major Incident Medical Management and Support is a vital component in the blended learning course from Advanced Life Support Group (ALSG), which aims to provide hospital staff at all levels with essential information on the preparation, management and support elements of dealing with casualties in a major incident. Split into five sections, each focuses on the elements requisite in preparing for, and responding, to a major incident. The first section discusses the epidemiology and incidences of major incidents and the structured approach to the hospital response. The second section contains the preparation required in planning for major incidents, including equipment and training. The third section covers the management of a major incident, concentrating on the clinical, nursing and management hierarchies. The fourth includes the various stages of support in a major incident, including declaring an incident and activating the plan, the reception, triage, definitive care and recovery phases of an incident. The final section focuses on special incidents which require additional consideration, including those involving hazardous chemicals, burns and children. Written in collaboration with the National Emergency Planning, Major Incident Medical Management and Support is an invaluable reference in the emergency department and beyond for staff needing to prepare for the rare, but inevitable, hospital major incidence response.

Author : Kamini A. Rao
Publisher : JAYPEE BROTHERS MEDICAL PUBLISHERS PVT. LTD.
Page : 175 pages
File Size : 43,8 Mb
Release : 2011
Category : Medical
ISBN : 9789350900543

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Handbook of Obstetric Emergencies by Kamini A. Rao Pdf

Author : Ravi Mehrotra
Publisher : Springer Science & Business Media
Page : 184 pages
File Size : 40,9 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9781461452218

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Oral Cytology by Ravi Mehrotra Pdf

Oral Cytology: A Concise Guide provides a state-of-the-art review of the major issues specific to the field of oral cytology. The sections of the book have been structured to review the complexities of sample collection, manual/automated analysis, pitfalls, gray zones and controversies in diagnosis, as well as, issues not covered by other available materials. Recent advancements in ancillary techniques like DNA ploidy, image analysis and molecular biology are discussed in detail. This useful text is extensively illustrated with patient and microscopic pictures, which will further highlight the clinical application. Throughout the text, simultaneous inclusion of both cytologic and histologic images will allow cyto-histological correlation. Readers will find descriptions of techniques offering greater simplicity, speed, patient comfort and cost effectiveness, as well as improved diagnostic precision. This bench-side reference is a unique and valuable resource in the field of oral cytology, both for those currently in training and clinicians dealing with the diagnosis of oral lesions.