Gynaecological Endoscopy

The introduction of endoscopy into the amniotic sac and the chorionic membranes. gynaecology has produced dramatic changes in clinical practice. lt is gratifying Many operative procedures can now be that gynaecologists were the first practi carried out safely and swiftly with little tioners to take advantage of the introduc disturbance to the patient under endosco tion of cold-light systems and the develop pic vision. Biopsy of tissues can be per ment by Professor H. Hopkins of the red formed without undue risk. Moreover, lens system. No Ionger was the diagnosis permanent records of the pathology can of pelvic disease dependent on signs and be made by photography, films and symptoms, limited biochemical investiga videotapes in full colour. tions and, often, a laparotomy of uncer Although ultrasonography has contri tain value. This frequently happened in buted recently to gynaecological diagno the 1950's and 1960's. Diagnosis in sis, laparoscopy and other endoscopies gynaecology became accurate and more will continue to dominate for many years scientific, no Ionger relying on 'inspired' because of their accuracy and the fact that guesses. The safe invasion of the abdo operative procedures are possible. As minal cavity by laparoscopy soon led one of the pioneers of laparoscopy in to the adoption of endoscopy in other gynaecology, I welcome this new weil specialities. written and illustrated book by Alan The safety and clinical value of endos Gordon and Victor Lewis.

Written by pioneers in the field, Operative Gynecologic Endoscopy comprehensively covers both the theory and practice of basic to advanced endoscopic procedures and techniques, including operative laparoscopy, laser laparoscopy, operative hysteroscopy, and laser hysteroscopy. This clinically oriented text presents a wide range of endoscopic approaches to pelvic pathologies, including operative laparoscopic resection of ectopic pregnancy, new treatments of pelvic inflammatory diseases, anesthesia pertinent to endoscopy, and laser urologic surgery appropriate to gynecology. The importance of visually documenting operative endoscopic procedures with photographic and video imaging techniques is emphasized. The final chapters discuss medico-legal aspects, the economic impact of the endoscopic approach compared to traditional procedures, future clinical prospects for the field, and credentialing.

The main purpose of this book is to address some important issues related to gynecologic laparoscopy. Since the early breakthroughs by its pioneers, laparoscopic gynecologic surgery has gained popularity due to developments in illumination and instrumentation that led to the emergence of laparoscopy in the late 1980's as a credible diagnostic as well as therapeutic intervention. This book is unique in that it will review common, useful information about certain laparoscopic procedures, including technique and instruments, and then discuss common difficulties faced during each operation. We also discuss the uncommon and occasionally even anecdotal cases and the safest ways to deal with them. We are honored to have had a group of world experts in laparoscopic gynecologic surgery valuably contribute to our book.

Operative Gynecologic Endoscopy, Second Edition is completely revised and expanded with 17 new chapters that provide, step-by-step, the latest operative techniques for both laparoscopic AND hysteroscopic procedures. New and updated chapters include: - laparoscopic assisted vaginal hysterectomy - vaginal prolapse and bladder suspension - ectopic pregnancy - tubal reconstructive surgery - assisted reproductive technologies - lymphadenectomy and urologic procedures - operative hysteroscopy. In addition, this volume includes comprehensive chapters on instrumentation, photo documentation, anesthesia, operating room personnel, credentialing, and legal issues. More than 350 superb illustrations - with many in full color - complement and clarify the operative techniques. For every surgeon and resident performing gynecologic procedures, this is the definitive, most up-to-date text on gynecologic endoscopy.

This textbook embraces most aspects of gynaecological laparoscopy and hysteroscopy and it aims to present a comprehensive coverage of gynaecological minimal access surgeries with excellent medical illustrations. The reader is taken on a journey that includes the history of minimal access surgery, instrumentation and ergonomics required to progress in the field, capturing practical learning steps and navigating the reader through the diagnostic and therapeutic applications. In addition, it describes the latest technological advancement in the field, backed with high current best evidence. The authors are practicing specialists drawn from five continents who brought their wealth of experience and expertise to bear in this book. This textbook targets a global audience of practicing and trainee doctors in general gynaecology, subspecialists, and those with relevant special interests in gynaecological endoscopy surgery.

Written by pioneers in the field, Operative Gynecologic Endoscopy comprehensively covers both the theory and practice of basic to advanced endoscopic procedures and techniques, including operative laparoscopy, laser laparoscopy, operative hysteroscopy, and laser hysteroscopy. This clinically oriented text presents a wide range of endoscopic approaches to pelvic pathologies, including operative laparoscopic resection of ectopic pregnancy, new treatments of pelvic inflammatory diseases, anesthesia pertinent to endoscopy, and laser urologic surgery appropriate to gynecology. The importance of visually documenting operative endoscopic procedures with photographic and video imaging techniques is emphasized. The final chapters discuss medico-legal aspects, the economic impact of the endoscopic approach compared to traditional procedures, future clinical prospects for the field, and credentialing.

This is a unique book in that it brings together the two key investigative techniques in Gynaecology and Obstetrics, namely ultrasound and endoscopy. So often in the past they were regarded by their exponents as rival techniques but it is now recognised that they are complementary to each other. Consequently future trainees in endoscopy should become efficient in transvaginal sonography and vice versa. Ultrasound can be used to study the morphology of the pelvic organs such as the endometrium, myometrium and ovaries, and being non-invasive, safe and convenient can be repeated as often as is deemed necessary to monitor changes over time; for example in the investigation of the infertile woman the development of the dominant follicle, the maturation of the endometrium and the formation of the corpus luteum can be documented throughout the menstrual cycle while growth of ovarian cysts can be precisely measured to determine the need for surgery. A seldom-mentioned strength of the ultrasound examination is its interactive quality, for example by performing abdominal palpation during the scan, the mobility of the uterus and ovaries can be assessed. Also the images as they appear can be shown to the patient to aid understanding. Ultrasound can also determine function and the use of Doppler has been used for example to access endometrial receptivity, follicular maturity and the likelihood of malignancy in the endometrium or ovary.