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Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology - A Combined Approach to Diagnosis and Treatment (Paperback, 2003 ed.)
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Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology - A Combined Approach to Diagnosis and Treatment (Paperback, 2003 ed.)
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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.
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