The Uterus Manual

by SN Tripathy

This book is well-conceived. The articles are comprehensive and informative. The chapters are aptly grouped with each section dealing with a different aspect of the interesting organ, i.e. uterus. The medical students, postgraduates and consultants will find this book useful. The basic anatomy and physiology as well as the molecular aspects of myometrium and cervix during pregnancy and labour have been dealt with very nicely in this book. Even today in the era of modern obstetrics, human cloning and designer babies, obstructed labour with all its attendant complications still loom large in the widespread rural regions. It is therefore important for obstetricians to understand the spectrum of abnormal labour and manage obstructed labour cases effectively to prevent maternal and perinatal morbidity and mortality. The behaviour of the uterus during third stage of labour can be highly deceiving and early recognition and prompt institution of treatment is of prime concern. This book deals with these problems in a focused and systematic approach which will help obstetricians catering to all strata of the pregnant population of the whole world. Since the days of the Egyptian papyri, dissection of cadavers has shed light upon the internal anatomy and pathology of the female reproductive organ—uterus. Starting from leiomyomas and prolapse recognised since time immemorial, research and clinical practice have led gynaecologists down the maze of congenital anomalies of the uterus and conditions like adenomyosis, carcinomas and sarcomas. Hysterectomy, despite its disrepute still ranks high amongst the most common surgeries performed worldwide. Revolutionised by laparoscopy, this procedure still remains the mainstay of managing gynaecological diseases and dysfunction and has been dealt with great detail. Ultrasonography has always been considered the gold standard baseline investigation for uterine assessment; advent of modern gadgets like magnetic resonance imaging and hysteroscopy have improved the scope of imaging the uterus and diagnosing diseases in the least invasive manner. Chapters on newer thoughts about the uterus like the less-trodden areas of uterus-related infertility and the role of endometrial receptivity in reproduction have also been included. Apart from discussing all the practical aspects and recent trends in literature, the editor has nicely blended the concepts — traditional with modern, obstetrics with gynaecology, in the singular organ—“The Uterus”. The monograph is truly wonderful and informative and will be of immense help to all those who are practising gynaecology or with special interest in the subspecialties of infertility and oncology.

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