Jaypee Brothers
In Current Chapter
In All Chapters
X
Clear
X
GO
Normal
Sepia
Dark
Default Style
Font Style 1
Font Style 2
Font Style 3
Less
Normal
More
Tubo-uterine Factors in Infertility
Surveen Ghumman
CHAPTER 1:
Evaluation of the Uterine Cavity and Endometrium
HYSTEROSALPINGOGRAPHY
Contraindications
Time
Interpretation of Abnormal Hysterosalpingogram
Abnormalities Involving the Endometrial Cavity
Media
Fallacy
Technique
HYSTEROSONOGRAPHY
MAGNETIC RESONANCE HYSTEROGRAPHY
HYSTEROSCOPY
Instruments
Panoramic Hysteroscope
Light Sources
Distension Media
Contraindications
Complications
Contact Hysteroscopy
Hysteroscopic Findings
Other Uses of Hysteroscopy in Infertility
ENDOMETRIAL BIOPSY
ULTRASOUND (SEE CHAPTER 17)
MRI (SEE CHAPTER 17)
TESTS THAT ASSESS ENDOMETRIAL CHANGES
Endometrial Histology
Ultrasound and Doppler
Hormonal Levels
Markers of the Embryo-endometrial Dialogue
CHAPTER 2:
Tests for Evaluation of Tubal Structure and Function
HYSTEROSALPINGOGRAPHY
Complications
Limitations
A Normal Salpingography should Display
Diagnostic Accuracy
Selective Salpingography and Tubal Cannulation
HYSTEROSALPINGOSONOGRAPHY
Technique
Complications
Accuracy
LAPAROSCOPY
Indications
Advantage
Disadvantage
TUBAL ENDOSCOPY
Steps of the Procedure
Complications
Salpingoscopy
Transvaginal Hydrolaparoscopy
Tests Designed to Assess Tubal Function
Infection Screening
CHAPTER 3:
Fibroid
PREVALENCE
CLASSIFICATION
SYMPTOMS
INVESTIGATIONS
Indications for Therapy of Uterine Myoma in Infertile Patients
MANAGEMENT
Expectant Management
Medical Therapy
Surgical Therapy
Prerequisites
Surgical Methods for Myomectomy Include
Choice of Method
Role of Preoperative GnRH
Vaginal Myomectomy
Abdominal Myomectomy
Prevention of Postoperative Adhesions
Principles of Successful Myomectomy for Infertility
Method
Serosal Sutures
Results
Subsequent Pregnancy
Pregnancy After Myomectomy
Complications
Early Complications
Late Complications
Robotic Myomectomy
Myolysis
Complications
Laparoscopic Clipping of the Uterine Arteries
Uterine Artery Embolization (UAE)
Procedure
Contraindications
Complications
Results
UAE vs Myomectomy
Fertility and UAE
MRI-guided Ultrasound Ablation
Results
REFERENCES
CHAPTER 4:
Endoscopic Management of Fibroid
LAPAROSCOPIC MYOMECTOMY
Anesthesia and Positioning of Patient
Instruments
Port Placement
Surgical Procedure (See accompanying DVD Rom)
Postoperative Care
Risk of Laparoscopic Myomectomy
Laparoscopic Assisted Myomectomy (LAM)
Myolysis
Hysteroscopic Approach
Prerequisites
Advantage of GnRH therapy:
Procedure (See accompanying DVD Rom)
Postoperative Management
Complications
CHAPTER 5:
Uterine Anomalies
DEVELOPMENT
INCIDENCE
SYMPTOMS
Gynecologic
Obstetric
ETIOLOGY
CLASSIFICATION
American Fertility Society Classification of Müllerian Anomalies
IMPACT ON FERTILITY
DIAGNOSIS
MANAGEMENT
Class I
Class Ia: Vaginal Atresia
Diagnosis of Vaginal Agenesis
Treatment
Non-surgical Treatment
Surgical Treatment
Surgical Techniques for Vaginal Agenesis
McIndoe Vaginoplasty
William's Vulvovaginoplasty
Technique
Laparoscopic Procedure—Vercchietti Operation
Class Ib: Absence of Cervix
Treatment
Class Ic: Fundal agenesis
Class Id: Congenital tubal agenesis
Class Ie: Combined Mullerian agenesis or aplasia
Class II: Unicornuate uterus
Treatment
Surgical Technique for Rudimentary Horn Excision
Class III: Didelphys Uterus
Treatment
Nonobstructive: Metroplasty
Bicornuate Uterus: Class IV
Treatment
Septate Uterus: Class V
Surgical Techniques
Hysteroscopic Resection of Septum
METROPLASTY
Straussman's Metroplasty
Caution
Modified Jones Metroplasty
Tomkins Metroplasty
Class VI: Arcuate
Class VII: DES related
CHAPTER 6:
Intrauterine Adhesions
ETIOLOGY
Presenting Symptoms
Signs
Investigation
TREATMENT OF INTRAUTERINE ADHESIONS
Transhysteroscopic Lysis of Synechiae (See Chapter 7)
Treatment Objective
Postoperative Care
Results
Abdominal Metroplasty
ENDOMETRIAL RECEPTIVITY
Causes of Poor Endometrial Response
Tests to Assess Uterine Receptivity (See Chapter 1) Treatment of Poor Uterine Receptivity
Estrogens
Change of Drug
Drugs to Improve the Endometrial Blood Flow
Immunosuppression
Reducing Uterine Contractility
Luteal Phase Support
Surgical Treatment
CHAPTER 7:
Hysteroscopic Infertility Surgery
INTRAUTERINE ADHESIONS
Technique (see accompanying DVD ROM)
Adhesiolysis of dense circular intrauterine adhesions
Intrauterine Mid Synechiae Adhesiolysis
Methods to Prevent Readherence
Follow-up
INTRAUTERINE SEPTA
Hysteroscopic Septal Excision
Technique
Postoperative Care
Follow-up
SUBMUCOUS MYOMA AND POLYP (see Chapter 4)
COMPLICATIONS OF HYSTEROSCOPY
Uterine Perforation
Management
Hazards of Liquid Distention Media
Gas Embolism
Hemorrhage
Management
Infection
Hematometra and Cyclical Pain
CHAPTER 8:
Tubal Reconstructive Surgery
CHAPTER 9:
Laparoscopic Surgery for Tubal and Peritubal Pathology in Infertility
CHAPTER 10:
Laparoscopic Tubal Anastomosis
CHAPTER 11:
Pelvic Inflammatory Disease
ETIOLOGY AND PATHOGENESIS
Risk Factors
CLINICAL CHARACTERISTICS
Screening for Chlamydia
DIAGNOSIS
Laboratory Diagnosis
GRADING
MANAGEMENT
Surgical Intervention
GENITAL TUBERCULOSIS
Etiopathogenesis
Clinical Presentation
Diagnosis
Treatment
CHAPTER 12:
Endometriosis
CLINICAL FEATURES
PHYSICAL FINDINGS
INVESTIGATIONS
Lab Studies
Imaging Studies
Procedures
Range of Appearance (Table 12.1)
CLASSIFICATION
TREATMENT
Expectant
Medical Therapy
Surgery
Conservative Surgery
Endoscopic Ablation
Surgical Technique
Peritoneal Implants
Genitourinary Involvement
Rectovaginal Involvement
Ovary
Other Conservative Surgery for Pain Relief
Presacral Neurectomy
Laser Uterine Nerve Ablation (LUNA)
Semi Conservative Surgery
Radical Surgery
RECURRENT ENDOMETRIOSIS
MANAGEMENT OF ENDOMETRIOTIC CYSTS ASSOCIATED WITH INFERTILITY
Incidence
Impact on Fertility
Treatment
MANAGEMENT OF INFERTILE PATIENT FOLLOWING SURGERY
Factors Affecting Management of Infertility Following Surgery
Post Surgical Medical Treatment
Presurgery Ovarian Suppression
Controlled Ovarian Stimulation and Intrauterine Insemination (COS and IUI)
Repeat Surgery vs IVF
Impact of Endometriosis on IVF
Ovarian Suppression Prior to IVF
Impact of ART on Endometriosis
Medical or Surgical Treatment?
CHAPTER 13:
Ovarian Endometriosis—Laparoscopic Management
CHAPTER 14:
Ectopic Pregnancy
INTERSTITIAL PREGNANCY
CHAPTER 15:
Prevention of Postoperative Adhesions
CHAPTER 16:
IVF and Tubo-uterine Factors in Infertility
CHAPTER 17:
Imaging Techniques in Tubo-uterine Pathology
UTERINE PATHOLOGY
Normal
Uterine Malformations
Fibroids and Polyps
Adenomyosis
Lesions within the Endometrial Cavity
Intrauterine Adhesions (Asherman's Syndrome)
Polyps
Tubal Pathology
Hydrosalpinx/Pyosalpinx
Tubo-ovarian Abscess
Ectopic Pregnancy
Cervical Pregnancy
Cornual Ectopic Pregnancy
Tubal Tumors
INDEX
TOC
Index
×
Chapter Notes
Save
Clear