Donald School Textbook of Ultrasound in Obstetics and Gynecology Asim Kurjak, Frank A Chervenak
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1Donald School Textbook of Ultrasound in Obstetrics and Gynecology2
Donald School Textbook of Ultrasound in Obstetrics and Gynecology
Second Edition
Editors Asim Kurjak MD PHD Professor and Chairman Department of Obstetrics and Gynecology Medical School University of Zagreb Sveti Duh Hospital Zagreb, Croatia Frank A Chervenak MD PHD Professor and Chairman Department of Obstetrics and Gynecology The New York Weill Hospital-Cornell Medical Center New York, USA
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Donald School Textbook of Ultrasound in Obstetrics and Gynecology
© 2008, Asim Kurjak, Frank A Chervenak
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher.
This book has been published in good faith that the material provided by editors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and editors will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only.
First Edition: 2004
Second Edition: 2008
9788184482027
Typeset at JPBMP typesetting unit
Printed at Ajanta Press
4To
Ian Donald
(Our Teacher and Friend)
7Contributors 12Preface to the Second Edition
The Ian Donald International School of Ultrasound bears testament to globalization in its most successful and worthwhile form. The school was founded in Dubrovnik in 1981. In the preface of the first edition in 2004 we were proud to announce that the School had grown to 8 branches. Since then, the growth has been meteoric and now consists of 32 branches throughout the world. The reason for this success has been the tireless and selfless efforts of the world's leading authorities in ultrasound who are willing to dedicate their valuable time without reimbursement to teach sonologists and sonographers throughout the world. The teachers set national, religious, political, and other parochial considerations aside as they strive to improve the care of all women and fetal patients. Our directors in all of the 32 countries represented in the school have much learnt from the purity of spirit that exists throughout the international family of Ian Donald school. We believe that Ian Donald is smiling down from heaven at the School that bears his name.
In the educational efforts of the 32 branches of the Ian Donald School, there is clearly a need for a textbook to complement and supplement lectures and didactic sessions. The first edition of the book was a global success in this endeavor, but with the explosion of knowledge, it was clear that an expanded and updated second edition would be invaluable. For the sake of simplicity, the book is divided into three parts. Section 1 deals with a variety of topics that lay the foundation for the rest of the book. Section 2 addresses the myriad subtopics in obstetric ultrasound that optimize the care of pregnant women and fetal patients. Section 3, the last one, addresses the essential role that ultrasound plays in the many dimensions of gynecology.
We are grateful to many course directors and lecturers of the Ian Donald School that have enabled its growth and have again selflessly contributed to this book. In order to maximize the reach of this textbook by minimizing its price, all contributors have waived any honorarium or royalty. Their dedication to the dream of globalized quality ultrasound has enabled its reality.
Asim Kurjak
Frank A Chervenak
13Preface to the First Edition
Ultrasound is the backbone of modern obstetric and gynecology practice. For those of us old enough to remember the dark ages of clinical practice prior to ultrasound, this is not an over statement. Younger physicians may find it hard to imagine the clinical realities of doctors who delivered undiagnosed twins presenting at delivery, who performed unnecessary surgeries for the clinical suspicion of a pelvic mass that was not present, and who consoled anguished parents when an anomalous infant was born unexpectedly. Recent technological breakthroughs in diagnostic ultrasound, including the advent of color Doppler, power Doppler, three-dimensional and four-dimensional imaging, have led ultrasound to surpass the expectations of Ian Donald, its visionary father.
The Ian Donald School was founded in 1981 and is devoted to international education and research cooperation concerning all aspects of diagnostic ultrasound. The first chapter was founded in Dubrovnik at that time and has now expanded to 7 additional national branches.
To facilitate the educational efforts of the Ian Donald School we believed a textbook would be of value. The text is divided into three parts general aspects, obstetrics, and gynecology. All contributors are either present or former teachers in the 8 branches of the Ian Donald School. We believe this comprehensive text with state-of-the-art images will be of value for both new learners and experienced practitioners.
We are grateful to all of the teachers in the school and especially to all of the contributors to this textbook for their tireless efforts to enhance the quality of ultrasound practice throughout the world.
Asim Kurjak
Frank A Chervenak