Atlas of Pediatric and Adolescent Gynecology Corazon Yabes-Almirante, Franklin P Atencio, Blanca C de Guia
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1Atlas of Pediatric and Adolescent Gynecology2
3Atlas of Pediatric and Adolescent Gynecology
Second Edition
Editors Corazon Yabes-Almirante MD MSc PhD FPOGS FPCS FIFEPAG Center Chief, Perinatal-Neonatology-Pediatric Gynecology Center Philippine Children's Medical Center Founding Head, Pediatric and Adolescent Gynecology Unit Philippine Children's Medical Center, Department of Health, Republic of the Philippines Founding President, Pediatric and Adolescent Gynecology Society of the Philippines (PAGSPHIL) Founding President, Philippine Society of Ultrasound in Clinical Medicine (PSUCMI) under AFSUMB and WFUMB, Philippines Franklin P Atencio MD FPOGS FPCS Founding President, Philippine Society of Pelvic Surgeons Founding Vice-President, Pediatric and Adolescent Gynecology Society of the Philippines (PAGSPHIL) Fellow, International Gynecologic Cancer Society Project Director, Advanced Pelvic Surgery, East Avenue Medical Center, Philippines Blanca C de Guia MD MSc FPOGS FPSREI FPSGE FPSUOG FIFEPAG Professor, Section of Reproductive Endocrinology and Infertility Department of Obstetrics and Gynecology University of the Philippines College of Medicine and the Philippine General Hospital Head, Pediatric and Adolescent Gynecology Unit, Philippine Children's Medical Center, Philippines Foreword Emil Javier
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This book has been published in good faith that the contents provided by the contributors contained herein are original, and is intended for educational purposes only. While every effort is made to ensure accuracy of information, the publisher and the editors specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the editors. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device.
Atlas of Pediatric and Adolescent Gynecology
First Edition: 2009
Second Edition: 2012
9789350256411
Printed at
5Contributors 7Foreword
First edition of the book Atlas of Pediatric and Adolescent Gynecology was published in October 2009 and was awarded the Outstanding Book of the Year Award, 2010 by the National Academy of Science and Technology (NAST) based on the criteria of quality, originality of content, contribution to science and technology and the thoroughness of documentation.
As President of the National Academy of Science and Technology, I am happy to note that on the third year after publication, this Atlas will now be published with a world-wide readership as target because of a need for easily understandable reading in pediatric and adolescent gynecology by healthcare providers. The presentation of actual cases supplemented with ample elucidating pictures done in most chapters makes the readers learn more about the diseases being discussed. Local statistics are retrieved to show the myriad and wealth of cases seen in the Philippines.
The nineteen (19) chapters were written by 16 authors who are guardians of the pioneering specialty of Pediatric and Adolescent Gynecology, the first and only one established in 2002 at the Philippine Children's Medical Center. The specialists include: pediatric gynecologists, pediatric oncologists, urologists, endocrinologists, geneticists and adolescent specialists who are recognized leaders in their fields.
The content, the style and elegance of the book bespeaks of a genuine and enviable collaboration of the contributors. The ATLAS treats the child and the adolescent as distinct individuals with personal needs and rights that merits care and respect.
I therefore enjoin you all to read, understand and enjoy the ATLAS.
Emil Javier
President
National Academy of Science and Technology
Philippines8
9Preface to the Second Edition
The creation of the Atlas of Pediatric and Adolescent Gynecology, the first such publication in the Philippines, was received well not only by colleagues in the practice of Pediatric Gynecology and Pediatrics, but also those in the Allied Specialties, Academe, and those in the peripheral sectors dealing with social problems of children.
The Atlas received the Outstanding Book Award for 2010 from the National Academy of Science and Technology Philippines on July 15, 2010, 9 months after its launching in October 20, 2009.
This second edition will be published and distributed worldwide by Jaypee Brothers Medical Publishers (P) Ltd. Some changes are made to make the images clearer (black and white photos are replaced with colored ones); ultrasound pictures enhanced and some chapters improved.
Out of the 350 pictures in this Atlas, 70% are now printed in color. In contrast to the 1st edition where only 50% of the pictures were printed in color to save the cost of printing.
Corazon Yabes-Almirante
Franklin P Atencio
Blanca C de Guia10
11Preface to the First Edition
A malfunctioning computer, the threat of losing valuable pictures and data of patients, led to the development of this ATLAS. The pictures and data were quickly retrieved and transferred to CDs for review. The idea of preserving them for teaching purposes evolved. Ultrasound pictures were retrieved together with the histopathological slides of diagnosed tumors, vaginoscopy and laparoscopy videos, videos and still pictures of surgeries (laparotomies and vaginal repairs of malformations of the genital tract). These were all collated and the authors selected those that had teaching values; those that were relatively rare and those that had good follow-up.
Other specialists from other institutions such the National Institute of Health, University of the Philippines, UP Child Protection Unit, Makati Medical Center and St. Luke's Medical Center were tapped to contribute to the Atlas. Other colleagues that form part of the multidisciplinary team of Pediatric and Adolescent Gynecology Unit of the Philippine Children's Medical Center, such as the Pediatric Urologist and Adolescent Medicine specialists, were invited to write a chapter. A graphic artist, with the guidance of the authors, was hired to sketch the majority of the 27 illustrations found listed before the index.
The 19 chapters truly represent the collaborative effort of 16 specialists of varied expertise in the care of girls with gynecologic problems in the Philippines. More than 300 pictures, 50% of which are in color, and 27 illustrations are worth preserving in a book form not only for teaching purposes but for providing evidences for medical students, general medical practitioners, pediatricians, gynecologists, surgeons, parents and the girls themselves. There is hope of survival for those with cancer. Fertility can be preserved with proper diagnosis. Reconstructive and restorative surgery of the genital tract can provide sexual function. Most important of all, if you don't look for it, you won't find it—a lesson to be learned in doing a thorough examination of a girl even as a newborn and in early infancy, so that measures can be done before it is too late.
Corazon Yabes-Almirante
Franklin P Atencio
Blanca C de Guia12
13Acknowledgments
A pioneering work such as the Atlas of Pediatric and Adolescent Gynecology goes through a lot of birth pains.
We are indebted to the contributors for their dedication in finishing and polishing their chapters on time. They come from different institutions but are all Filipinos who are one in their desire to impart their expertise about this new subspecialty.
The Philippine Children's Medical Center, where the first fellowship training program for PAG in Asia and in the Philippines was born, and its Current Executive Director, Dr Julius Lecciones for the support.
To the Philippine National Academy of Science and Technology (NAST) and its president Dr Emil Javier, who believed in and gave recognition to our Atlas, highlighting its significance to Philippine medical literature.
To our patients, girls and young women, who have entrusted their bodies to our care, and from whom we derive most of our knowledge.14