Ambulatory Hysteroscopy : Diagnosis and Treatment

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ISBN: 9781904218128 | 1904218121
Cover: Hardcover
Copyright: 1/1/2004

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Medicine on the whole is becoming less invasive and at the same time there is an increasing demand by patients for day case surgery. Hysteroscopy, once seen as the domain of the super-specialist has come of age and is now recognized as one of the core disciplines of modern day gynaecological practice. Ambulatory Hysteroscopy -- Diagnosis and Practice, provides an exhaustive account of office and outpatient gynaecological procedures. This book, edited by three internationally respected clinicians and innovators with a distinguished team of contributors is set to become the standard reference work on the subject.

Contributors	p. viii
Foreword	p. ix
Preface	p. x
Introduction: The mini endoscopes	p. xii
Diagnostic Tests and Techniques
Diagnostic outpatient hysteroscopy service: conventional hysteroscopy	p. 2
Diagnostic outpatient hysteroscopy service: semi-rigid hysteroscopy	p. 7
Outline of a flexible hysteroscope outpatient service	p. 12
Comparison of flexible hysteroscopes: theoretical and practical considerations	p. 19
Hysteroscopes and sheaths: rigid scopes	p. 25
Set up of an outpatient facility	p. 29
The nurse's role in outpatient hysteroscopy	p. 34
Techniques for approaching the uterus: classic and vaginoscopical	p. 40
Distension media in diagnostic hysteroscopy	p. 42
The self-retaining office hysteroscope	p. 46
Indications, contraindications and complications of outpatient hysteroscopy	p. 55
Pre-IVF hysteroscopic evaluation of intrauterine cavity	p. 60
Sonography and sonohysterography in outpatient gynecological practice	p. 65
Saline infusion sonography: the essentials	p. 74
Observations on the anatomy of the endometrium	p. 84
Endometrial receptors	p. 93
Interpretation of visual appreciation of intrauterine pathology	p. 99
Endometrial cell transportation during hysteroscopy	p. 107
Operative Procedures
Instrumentation and biopsies The reliability of eye-guided biopsies (EGB)	p. 110
Instrumentation and biopsies Endometrial cytology and endometrial sampling	p. 112
Blind and hysteroscopically guided endometrial sampling: a pathologist's point of view	p. 117
Liquid distension media and their complications	p. 124
Bipolar energy	p. 131
Mechanical instruments for operative hysteroscopy	p. 135
Indications and limitations of operative hysteroscopy in the office setting	p. 140
New indications for hysteroscopy: sterilization	p. 143
Anesthesia and monitoring in an outpatient set up	p. 152
Practical Aspects
Disinfection, sterilization, and maintenance of instruments: Europe	p. 162
Disinfection, sterilization, and maintenance of instruments: USA	p. 166
Office hysteroscopy: reimbursement	p. 170
Evidence-based comparison of the different diagnostic techniques to approach the cervix and the uterine cavity	p. 178
Training and accreditation: USA--Hysteroscopy and operative hysteroscopy: learning, training, proctoring, and credentialing	p. 184
Training and accreditation: USA Training and credentialing in operative hysteroscopy	p. 188
Training and accreditation: Europe	p. 192
Training and accreditation: Europe European point of view	p. 200
Training and accreditation: Australia	p. 202
Training and accreditation: The Far East	p. 208
Training and accreditation in hysteroscopy: an overview	p. 209
Record-keeping, documentation, and registry Photo and video archiving for endoscopy	p. 211
Record-keeping, documentation, and registry Documentation of hysteroscopic and endoscopic procedures	p. 216
The Office and Outpatient Team
The nurse's perspective	p. 222
Patients' compliance with small diameter scope size	p. 226
Counseling patients	p. 231
Epilogue	p. 233
Table of Contents provided by Rittenhouse. All Rights Reserved.

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Ambulatory Hysteroscopy : Diagnosis and Treatment

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