Download e-book for kindle: Atlas of Transvaginal Endoscopy by Stephen Gordts, Hugo C. Verhoeven, Rudi Campo, Ivo Brosens
By Stephen Gordts, Hugo C. Verhoeven, Rudi Campo, Ivo Brosens
Transvaginal endoscopy of the feminine genital tract is a strong new approach for the assessment and administration of pelvic illness. This hugely illustrated publication information the probabilities and benefits of those thoughts, together with transvaginal laparoscopy, salpingoscopy, patency trying out, and vaginocervicohysteroscopy for the exploration of the uterine hollow space. The strategies are relatively beneficial within the research and administration of infertility - e.g. oocyte pick-up, implantation, and the exploration of the uterine hollow space and tubo-ovarian constructions. because the use of water-based distension media is new in laparoscopy, and offers targeted photographs of pelvic constructions, the top of the range illustrations are a very vital a part of the publication.
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Additional info for Atlas of Transvaginal Endoscopy
Transvaginal hydrolaparoscopy but not standard laparoscopy reveals subtle endometriotic adhesions of the ovary. Fert Steril 2001; 75: 1009–12. Watrelot A, Nisolle M, Chelli H et al. Is laparoscopy still the gold standard in infertility assessment? A comparison of fertiloscopy versus laparoscopy in infertility: Results of an international multicentre prospective trial: The ‘FLY’ (Fertiloscopy-LaparoscopY) study. Hum Reprod 2003; 18: 834–9. ch04 2/10/06 5:21 pm Page 40 ch05 2/10/06 5:21 pm Page 41 5 Risks and complications of transvaginal access to the peritoneal cavity Hugo Christian Verhoeven and Ivo Brosens The fundamentals of peritoneal access in pelvic endoscopy have been extensively investigated in standard laparoscopy, but less for the transvaginal access.
1 Successful evaluation of the pelvis Structure Standard laparoscopy Transvaginal laparoscopy Pouch of Douglas (%) Posterior wall of the uterus + sacrouterine ligament (%) Tubes (%) Ovaries (%) Ovarian fossa (%) 100 100 100 100 100 100 100 39 16 had normal findings (negative/negative). There were 17 instances of discordant findings, either negative/positive in nine cases (11%) or positive/negative in eight cases (10%). These results confirm that transvaginal laparoscopy is a minimally invasive and safe procedure that may be considered as an alternative to diagnostic laparoscopy in the routine assessment of women without clinical or ultrasonographic evidence of pelvic disease.
2 (a) Springload needle with the possibility of presetting the length of the penetrating needle. Normally, a preset length of 15 mm is used. Only in obese patients can a longer length be indicated. The fast movement by firing the needle through the vaginal wall also reduces the pain sensation for the patient. (b) Point of the instrument before (1) and after firing (2) the needle with a preset length of 15 mm. Remark the smooth transition between the different parts. b (2) (Karl Storz, Tütlingen, Germany) was developed to allow an easy access.
Atlas of Transvaginal Endoscopy by Stephen Gordts, Hugo C. Verhoeven, Rudi Campo, Ivo Brosens