By Thomas Romer
The diagnostic research of menstrual disorder and sterility is a regimen a part of gynecological perform. Hysteroscopy can extend the spectrum of diagnostic probabilities. The 2d 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 proper overview of findings. The e-book is conceived for beginners to hysteroscopy and may give a contribution to the extra institution of this system. This 2d revised variation contains ninety case experiences of gynecological perform.
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Additional info for Diagnostic Hysteroscopy: A practical guide, 2nd Edition (Pocket Guides for Gynaecologists)
Therapy endometrium biopsy, laparoscopy: resection of the endometriosis bilateral chromopertubation: positive proliferative endometrium 6. Histology Attention: The photo documentation should consist of at least three pictures (both ostia, panoramic view of the cavity). With pathological findings a systematic documentation and corresponding description of the findings are necessary. 6. Distinctive features of hysteroscopy in the gynaecologist’s practice The performance of hysteroscopy without anaesthesia in a gynaecologist’s practice has to fulfil certain requirements with regard to: À the patient À the examiner À the equipment The examination procedure is similar to the one described on page 22.
Anamnesis 3. Sonography residual septum after septum dissection 3 months ago septum dissection with complete septum and IUD insertion cavity without findings, IUD in place 4. 5 cm residual septum, median 5. Therapy extraction of the IUD, transcervical dissection of the septum residuals Attention: With complete septa a control hysteroscopy for the diagnostics and therapy of possible septum residuals or intrauterine adhesions is recommended. 48 Uterus subseptus Uterus subseptus 49 28-year-old patient 1.
Attention: Hysterosalpingography lost its importance by the increasing use of endoscopic diagnostic methods (hysteroscopy, laparoscopy). 38 Hysteroscopy in the diagnostics of sterility and infertility Hysterosalpingography with patient suffering from habitual abortions Diagnosis: uterus septus/bicornis – diagnostic assessment by hysteroscopy and laparoscopy. Final diagnosis: uterus subseptus. Sonography versus hysteroscopy in the diagnostics of sterility À Sonographically, intrauterine adhesions can be presumed only in a third of the cases.
Diagnostic Hysteroscopy: A practical guide, 2nd Edition (Pocket Guides for Gynaecologists) by Thomas Romer