Contemporary management of abnormal uterine bleeding:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2000
|
| Schriftenreihe: | Obstetrics and gynecology clinics of North America
27,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIII S., S. 219 - 472 zahlr. Ill., graph. Darst. |
Internformat
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| 245 | 1 | 0 | |a Contemporary management of abnormal uterine bleeding |c Jay M. Cooper guest ed. |
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Datensatz im Suchindex
| _version_ | 1804127885656588288 |
|---|---|
| adam_text | CONTEMPORARY MANAGEMENT OF ABNORMAL
UTERINE BLEEDING
CONTENTS
Preface xi
Jay M. Cooper
Pathophysiology of Abnormal Uterine Bleeding 219
James M. Shwayder
The pathophysiology of abnormal uterine bleeding depends on
the patient s age. This article presents the possible causes of
abnormal bleeding, using an age based approach. Recommenda¬
tions for patient evaluation are given, and the value of the various
diagnostic measures is discussed. The options for nonsurgical
management are also presented. Determining the underlying
cause of a patient s abnormal bleeding is key to successful treat¬
ment, whether medical or surgical.
Endometrial Sampling Techniques in the Diagnosis of
Abnormal Uterine Bleeding 235
Jay M. Cooper and Marvin L. Erickson
Endometrial sampling is a safe procedure for the evaluation of
abnormal uterine bleeding. Indications, contraindications, and
complications are discussed. Two classes of sampling modalities,
cytologic and histologic, are presented. The characteristics of dif¬
ferent devices are described, and recommendations for use are
given.
OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA
VOLUME 27 • NUMBER 2 • JUNE 2000 V
Radiographic Imaging Techniques for the Diagnosis of
Abnormal Uterine Bleeding 245
Linda D. Bradley, Tommaso Falcone, and
Andrea B. Magen
Abnormal uterine bleeding is a frequent cause of office visits.
Wide varieties of diagnostic tests, tools, and techniques are cur¬
rently available to evaluate this problem. This article discusses
benefits, indications, and limitations of transvaginal ultrasound,
saline infusion sonography, and an emerging new use of MR
imaging in the evaluation of abnormal uterine bleeding. An algo¬
rithm is provided to streamline the evaluation.
Diagnostic Hysteroscopy to Evaluate the Cause of
Abnormal Uterine Bleeding 277
Scott P. Serden
Diagnostic hysteroscopy has expanded the clinician s office capa¬
bilities to evaluate abnormal uterine bleeding. Evaluation was
formerly a blind process in which endoscopic treatment was
not utilized. With advances in hysteroscopic instrumentation, the
physician has the ability not only to evaluate abnormal bleeding
but also to plan therapy that can significantly reduce the number
of unnecessary major surgical procedures.
Medical Management of Abnormal Uterine Bleeding 287
Malcolm G. Munro
Abnormal uterine bleeding during the reproductive years is a
common condition that responds in many cases to appropriate
medical therapy. Although structural lesions can contribute to
bleeding, these abnormalities are frequently asymptomatic. For
women experiencing bleeding secondary to leiomyomas, medical
therapy offers the potential for short, and even long term relief,
particularly for women in the late reproductive years. Medical
therapy is also important in the management of acute uterine
bleeding, regardless of the cause.
Instrumentation and Distention Media for the
Hysteroscopic Treatment of Abnormal Uterine Bleeding 305
Paul D. Indman
New hysteroscopes and resectoscopes with continuous flow de¬
signs have greatly facilitated diagnostic and therapeutic hysteros¬
copy. Saline is the ideal distending medium for hysteroscopic
procedures in which mechanical or bipolar instruments are used;
5% mannitol may be the safest medium for resectoscopic surgery.
Regardless of the medium chosen, careful fluid monitoring is
essential.
vi CONTENTS
Energy Systems for Operative Hysteroscopy 317
Andrew I. Brill
Many patients with excessive or abnormal uterine bleeding are
looking for alternatives to ineffectual dilation and curettage or
extirpative surgery (i.e., hysterectomy). The gynecologist general
ist can no longer delay developing the mandatory skills to per¬
form safe, effectual intrauterine surgery. To acquire these skills,
one needs a sound understanding of hysteroscopic instrumenta¬
tion and the biophysical behavior of available energy modalities.
This article reviews the scientific basis for operative hysteroscopic
procedures using laser energy and monopolar and bipolar electro
surgery.
Hysteroscopic Treatment of the Patient With
Intracavitary Pathology (Myomectomy/Polypectomy) 327
Richard J. Gimpelson
Hysteroscopy is a simple and effective method for treating intra¬
uterine leiomyomas and polyps. These lesions often cause abnormal
uterine bleeding and infertility. Using the techniques in this article,
most lesions can be removed in an office or outpatient setting.
Treatment of the Patient Without Intracavitary
Pathology: Comparison of Traditional Hysteroscopic
Techniques for Endometrial Ablation 339
Philip G. Brooks
Endometrial ablation has become a necessary and useful proce¬
dure for the management of abnormal uterine bleeding in women
desiring uterine conservation. Current ablation techniques are
safer and more effective than earlier methods. This article ex¬
plains the steps to perform laser and resectoscopic endometrial
ablation and provides suggestions for making these processes
more effective.
Intraoperative and Early Postoperative Complications of
Operative Hysteroscopy 347
Jay M. Cooper and R. Michael Brady
Operative hysteroscopy has emerged as the state of the art thera¬
peutic modality for treating intrauterine polyps, submucous myo
mata, synechia, uterine septa, and dysfunctional uterine bleeding.
As a growing number of physicians endeavor to perform more
advanced hysteroscopic surgeries, the significance of complica¬
tions rises. This article discusses the prevention, detection, and
management of seven common or dangerous complications: dis
tention media related problems, mechanical accidents, bleeding,
anesthetic complications, laser and electrical injury, infection, and
air embolism.
CONTENTS vii
Late Complications of Operative Hysteroscopy 367
Jay M. Cooper and R. Michael Brady
Hysteroscopic endometrial ablation, adhesiolysis, and myomata
resection have become common operations in the last decade. The
next decade will fully reveal the late complications consequent to
residual endometrium left after either ablation or myometrial
damage incurred from operative instruments. This article dis¬
cusses complications manifesting after surgery including endome¬
trial cancer after ablation, hematometra, postablation tubal steril¬
ization syndrome, and pregnancy related complications.
New Developments in Operative Hysteroscopy 375
Keith Isaacson
For the past several years, few developments have been made in
operative hysteroscopy to change therapeutic procedures for the
treatment of benign uterine conditions. New instrumentation,
however, has recently contributed to the safety of operative hyst¬
eroscopy. This article discusses developments in fluid manage¬
ment systems, resectoscopes, and hysteroscopes.
Global Endometrial Ablation Technologies 385
Jay M. Cooper and Marvin L. Erickson
The value of extirpative surgery for excessive uterine bleeding is
questionable. A number of technologies have been developed
that destroy the endometrial lining while preserving the uterus.
This article compares and contrasts multiple modalities of global
endometrial ablation technology.
Embolotherapy for Myoma Induced Menorrhagia 397
Francis L. Hutchins, Jr, and Robert Worthington Kirsch
Uterine fibroids are a common cause of abnormal uterine bleed¬
ing. Uterine artery embolization has proven to be highly effective
in controlling fibroid related menorrhagia and triggering tumor
degeneration.
Myomectomy: Comparison of Open and Laparoscopic
Techniques 407
Charles E. Miller
This article analyzes differences between a myomectomy by way
of laparotomy and a laparoscopic approach to myomectomy. Sur¬
gical techniques are presented. Comparisons are made based on
technical difficulty, complications, postoperative adhesion forma¬
tion, and subsequent pregnancy and delivery rates.
viii contents
Myoma Coagulation (Myolysis) 421
Herbert A. Goldfarb
Myoma coagulation, or myolysis, is a valued addition to the
armamentarium of treatments for uterine leiomyomata, a problem
that faces many women of childbearing age. This article discusses
the theory behind myolysis, as well as patient selection, tech¬
nique, and follow up considerations. The combined procedure of
myolysis and endometrial ablation is addressed.
Total Laparoscopic Hysterectomy 431
William H. Parker
For some women with moderate to severe symptoms, hysterec¬
tomy can improve quality of life. This article discusses laparo¬
scopic hysterectomy, including important factors such as patient
selection, surgical technique, and possible complications.
Laparoscopic Supracervical Hysterectomy 441
Thomas L. Lyons
Laparoscopic supracervical hysterectomy (LSH) provides an effi¬
cient, effective method of uterine extirpation for individuals with
appropriate indications for the procedure. This article gives a
rationale for the procedures and provides a step by step method¬
ology for performing LSH. Data from existing literature are dis¬
cussed, and suggestions for improving morbidity and mortality
are presented.
Cost and Quality of Life Issues Associated With
Different Surgical Therapies for the Treatment of
Abnormal Uterine Bleeding 451
Dennis A. Hidlebaugh
Treatment of abnormal uterine bleeding by abdominal or vaginal
hysterectomy has been partially replaced by operative endoscopy
(i.e., laparoscopy and hysteroscopy) Used appropriately, operative
endoscopy offers several advantages, such as decreased hospital
stay, fewer complications, and less discomfort. Some matters,
such as cost, quality of life issues, and indications for health care
utilization, are not as well understood for operative endoscopy
as they are for traditional surgical methods.
Index 467
Subscription Information Inside Back Cover
CONTENTS ix
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| spelling | Contemporary management of abnormal uterine bleeding Jay M. Cooper guest ed. Philadelphia [u.a.] Saunders 2000 XIII S., S. 219 - 472 zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Obstetrics and gynecology clinics of North America 27,2 Metrorrhagie (DE-588)4604418-8 gnd rswk-swf Therapie (DE-588)4059798-2 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Metrorrhagie (DE-588)4604418-8 s Therapie (DE-588)4059798-2 s DE-604 Cooper, Jay M. Sonstige oth Obstetrics and gynecology clinics of North America 27,2 (DE-604)BV000617486 27,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008983455&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| title | Contemporary management of abnormal uterine bleeding |
| title_auth | Contemporary management of abnormal uterine bleeding |
| title_exact_search | Contemporary management of abnormal uterine bleeding |
| title_full | Contemporary management of abnormal uterine bleeding Jay M. Cooper guest ed. |
| title_fullStr | Contemporary management of abnormal uterine bleeding Jay M. Cooper guest ed. |
| title_full_unstemmed | Contemporary management of abnormal uterine bleeding Jay M. Cooper guest ed. |
| title_short | Contemporary management of abnormal uterine bleeding |
| title_sort | contemporary management of abnormal uterine bleeding |
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