By Resad P. Pasic, Ronald Leon Levine
Maintaining with the swift progress during this box, a realistic handbook of Hysteroscopy and Endometrial Ablation: A scientific Cookbook covers present and rising endometrial ablation techniques. It offers useful, step by step illustrated descriptions of uncomplicated and complex recommendations and new equipment. The editors, Resad Pasic and Ronald L. Levine, have introduced jointly a bunch of specialists popular not just for his or her wisdom but in addition their skill to educate. The subtitle, A medical Cookbook, used to be purposely selected to stress that you should actually persist with the person "recipes" of approaches to guarantee their secure and powerful use.
Containing the main up to date and thorough fabric to be had, the ebook addresses the current hysteroscopic remedies and offers extensive dialogue of the present wisdom of hysteroscopy and ablation concepts. every one bankruptcy has the details highlighted in containers separated from the textual content for simple assessment. The electronic drawings have been made by way of use of special effects through a great photograph fashion designer, Branko Modrakovic. The illustrations, even if line drawings or genuine colour pictures, in actual fact carry the message. you could quick seize what to do, and simply as importantly, what to not do.
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Additional info for A Practical Manual of Hysteroscopy and Endometrial Ablation Techniques: A Clinical Cookbook
SUGGESTED READING: Ananthanarayan C, Paek W, Rolbin SH, et al. Hysteroscopy and anesthesia. Can J Anaesth 1996; 43:56–64 Arieff AI, Ayus JC. Treatment of symptomatic hyponatremia: Neither haste nor waste. Crit Care Med 1991; 19:748–51 Boyd HR, Stanley C. Sources of error when tracking irrigation fluids during hysteroscopic procedures. J Am Assoc Gynecol Laparosc 2000; 7(4):472–6 Cicinelli E, Didonna T, Fiore G, Parisi C, Matteo MG, Castrovilli G. Topical anesthesia for hysteroscopy in postmenopausal women.
Hysteroscopy provided precious little information concerning the causes of abnormal bleeding or reproductive problems until safe, effective distension was developed. What became evident was that, ideally, the distension medium had to allow the endometrial cavity to be opened, the view to be clarified (even in the face of blood), and little, if any, toxicity to the patient should the medium be absorbed into the vascular tree. In addition, the medium should be readily available at a minimal cost and be very compatible with the instruments used.
However, whether the distension fluid contains electrolytes or not, the volume of liquid retained in the patient’s blood stream must be minimized! Surgeons must be aware of the length of the procedure and the volume of the fluid used versus that retrieved in the outflow collection bottles. Because the three-liter bags of fluid are allowed to be overfilled by up to 10%, and because outflow collection canisters contain lines that are only approximate measures, it is mandatory to use one of the several types of mechanical fluid monitoring systems available (Figure 8—See Chapter 2).
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