Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology

1. Front Matter

   Pages i-xxiv

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2. Menorrhagia

   1. Front Matter

      Pages 1-2

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   2. Ultrasound and Menorrhagia

      • Karen Jermy, Tom Bourne

      Pages 3-8

   3. Role of Hysteroscopy

      • Rudi Campo, Yves Van Belle

      Pages 9-16

   4. Hysteroscopic Fibroid Resection

      • Sjoerd de Blok

      Pages 17-21

   5. Transcervical Resection of the Endometrium: Results and Complications

      • Olav Istre

      Pages 22-32

   6. Laparoscopic Subtotal Hysterectomy

      • Marie Ellström

      Pages 33-38

   7. Vaginal Hysterectomy

      • Michel R. Cosson, Rechad Rajabally, Denis Querleu, Gilles Crépin

      Pages 39-45

   8. Laparoscopic Myomectomy

      • Jean-Bernard Dubuisson, Arnaud Fauconnier, Charles Chapron

      Pages 46-52

3. The Postmenopausal Endometrium

   1. Front Matter

      Pages 53-54

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   2. Postmenopausal Bleeding: Ultrasound and Hydrosonography versus Hysteroscopy

      • Dirk Timmerman

      Pages 55-61

   3. Endometrial Sampling Techniques

      • Thierry Van den Bosch, Axel Vandendael

      Pages 62-66

   4. Monitoring Hormone Replacement Therapy

      • Enrico Ferrazzi, Umberto Omodei, Cristina Ruggeri, Giuseppe Perugino

      Pages 67-70

   5. Endometrial Surveillance of Tamoxifen Patients

      • Patrick Neven

      Pages 71-77

4. Endometrial Malignancy

   1. Front Matter

      Pages 79-80

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   2. Ultrasound Staging of Endometrial Cancer

      • Gerardo Zanetta

      Pages 81-86

   3. Laparoscopy in Patients with Endometrial Cancer

      • Jan Decloedt, Ignace Vergote

      Pages 87-90

5. Urogynaecology

   1. Front Matter

      Pages 91-92

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   2. Anal Endosonography and Incontinence

      • Abdul H. Sultan

      Pages 93-98

   3. Laparoscopic Treatment of Uterine and Vault Prolapse

      • Arnaud Wattiez, Reinaldo Goldchmit, Stephen Chew, Michel Canis, Gérard Mage, Jean-Luc Pouly et al.

      Pages 99-104

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.

• Hysterectomy
• Laparoscopy
• Minimal Invasive Surgery
• Obstetrics & Gynaecology
• Surgery
• Vaginal Ultrasound
• classification
• diagnosis
• endoscopy
• infertility
• sonography
• ultrasound
• Ultrasonography

• Department of Obstetrics and Gynaecology, U. Z. Gasthuisberg, University Hospitals K.U. Leuven, Leuven, Belgium

  Dirk Timmerman, Jan Deprest

• Department of Obstetrics and Gynaecology, St George’s Hospital Medical School, London, UK

  Tom Bourne

Policies and ethics