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Cryosurgery is a common procedure, known for thousands of years.
Cryoablation causes tissue necrosis by freezing the targeted
tissues. Necrosis results from the freezing and thawing of cells
(crystallisation water) and the sequestration of the dead tissue by
the organism. After removal of the lesion, regeneration through the
layering of a new epithelium starts. Cryosurgery is a safe
procedure which does not cause pain or bleeding. It may be
performed in an outpatient clinic and premedication is not
necessary. The first section of this book focuses on cryosurgery.
Chapter One examines the use of cryosurgery in otolaryngology.
Chapter Two addresses all clinical aspects of cryosurgery,
summarises the current status of cryosurgery in the treatment
guidelines along with the technical success and clinical outcomes
of this technique, and compares it to other ablative techniques
including the most recent ones such as irreversible electroporation
(IRE), and high-intensity focused ultrasound (HIFU). Furthermore,
it discusses the future perspectives of cryosurgery in management
of small renal tumors. The second section of the book reviews
colposcopies. Chapter Three addresses the different colposcopic
findings in squamous and glandular cervical lesions, and
demonstrates the performance of colposcopy in cervical
intraepithelial lesions diagnosis. Chapter Four reviews the
characteristics, risk factors, methods for screening the diagnosis
of, and the role of colposcopy in making the diagnosis of Vaginal
Intraepithelial Neoplasia (VaIN). Chapter Five studies the use of
vaginal vault cytology after a hysterectomy. Chapter Six critically
reviews the causes, risk factors and management of Postcoital
bleeding (PCB) in an attempt to outline a unified guidance based on
the best available evidence for women and gynecologists alike.
Chapter Seven reports clinical procedures, therapeutic effects, and
prognosis after the use of photodynamic therapy (PDT) for cervical
intraepithelial neoplasia (CIN) and early stage cervical cancer. It
also discusses the advantages and disadvantages of PDT in
comparison with laser vaporisation and endocervical conisation for
CIN and early stage cervical cancer. The final chapter is a
commentary which provides and tests a new concept of vulcoscopy to
the anatomy of the vulva, according to the differences in
histological structure and embryological origin of the vulvar
structures.
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