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DC Dutta’s Textbook of Gynecology Hiralal Konar, DC Dutta

1:Anatomy of the Female Pelvic Organs
- EXTERNAL GENITAL ORGANS (SYN: VULVA, PUDENDUM)
- INTERNAL GENITAL ORGANS
- OTHER INTERNAL ORGANS
- PELVIC MUSCLES
  - PELVIC FLOOR (SYN: PELVIC DIAPHRAGM)
- PERINEUM
- PELVIC FASCIA AND CELLULAR TISSUE
  - PELVIC FASCIA
  - PELVIC CELLULAR TISSUE
- MACKENRODT’S LIGAMENTS (SYN: CARDINAL LIGAMENT, TRANSVERSE CERVICAL)
- UTEROSACRAL LIGAMENTS
2:Blood Vessels, Lymphatic Drainage and Innervation of Pelvic Organs
- THE PELVIC BLOOD VESSELS
  - ARTERIAL SUPPLY
  - PELVIC VEINS
- PELVIC LYMPHATICS
- PELVIC NERVES
3:Development of Genital Organs and Gonads
- DEVELOPMENT OF EXTERNAL GENITAL ORGANS
- DEVELOPMENT OF INTERNAL GENITAL ORGANS
- DEVELOPMENT OF THE OVARY
4:Congenital Malformation of Female Genital Organs
- DEVELOPMENTAL ANOMALIES OF THE EXTERNAL GENITALIA
  - PERINEAL OR VESTIBULAR ANUS
  - ECTOPIC URETER
- VAGINAL ABNORMALITIES
- UTERINE ANOMALIES
- ABNORMALITIES OF THE FALLOPIAN TUBES
- ANOMALIES OF THE OVARIES
- WOLFFIAN REMNANT ABNORMALITIES
- PAROVARIAN CYST
- OTHER ABNORMALITIES
5:Puberty—Normal and Abnormal
- PUBERTY
  - DEFINITION
  - MORPHOLOGICAL CHANGES
- ENDOCRINOLOGY IN PUBERTY
- COMMON DISORDERS OF PUBERTY
6:Menopause
- DEFINITION
- AGE OF MENOPAUSE
- CLINICAL IMPORTANCE
- ENDOCRINOLOGY OF MENOPAUSAL TRANSITION AND MENOPAUSE
- MENSTRUATION PATTERN PRIOR TO MENOPAUSE
- MENOPAUSAL SYMPTOMS
- DIAGNOSIS OF MENOPAUSE
- MANAGEMENT
  - PREVENTION
  - TREATMENT
    - Nonhormonal Treatment
    - Hormone Therapy (HT)
- ABNORMAL MENOPAUSE
7:Neuroendocrinology in Relation to Reproduction
- HYPOTHALAMUS
- PITUITARY GLAND
  - ANTERIOR PITUITARY
    - Secretions from Anterior Pituitary
  - POSTERIOR PITUITARY
- OVARY
  - OVARIAN STEROIDOGENESIS
  - ANTI-MÜLLERIAN HORMONE (AMH)
    - Relaxin
- THYROID GLANDS
- ADRENAL GLANDS
  - CONTROL OF CORTICAL SECRETIONS
- HYPOTHALAMO-PITUITARY-OVARIAN AXIS
- OVARIAN AND MENSTRUAL CYCLE (P. 84)
  - FOLLOWING DELIVERY
  - MENOPAUSAL TRANSITION PERIOD
8:Menstruation
- FOLLICULAR GROWTH AND ATRESIA
- ENDOMETRIAL CYCLE
- OVULATION
- MENSTRUAL SYMPTOMS
9:Examination of a Gynecological Patient and the Diagnostic Procedures
- EXAMINATION
  - GENERAL AND SYSTEMIC EXAMINATION
  - GYNECOLOGICAL EXAMINATION
- DIAGNOSTIC PROCEDURES
10:Imaging Techniques, other Diagnostic Procedures and Laser in Gynecology
- IMAGING TECHNIQUES IN GYNECOLOGY
- OTHER DIAGNOSTIC PROCEDURES IN GYNECOLOGY (SEE CHAPTER 36)
- LASER IN GYNECOLOGY
11:Pelvic Infection
- ACUTE PELVIC INFECTION
- GENITAL TUBERCULOSIS
- VULVAR TUBERCULOSIS
- CERVICAL TUBERCULOSIS
- ACTINOMYCES INFECTION
12:Sexually Transmitted Infections
13:Infections of the Individual Pelvic Organ
- VULVAR INFECTION
- INFECTIONS OF BARTHOLIN’S GLAND
  - BARTHOLIN’S ABSCESS
    - Clinical Features
    - Treatment
  - BARTHOLIN’S CYST
- VAGINAL INFECTION (VAGINITIS)
- TOXIC SHOCK SYNDROME (TSS)
- CERVICITIS
  - ACUTE CERVICITIS
  - CHRONIC CERVICITIS
- ENDOMETRITIS
- PYOMETRA
- SALPINGITIS
  - ACUTE SALPINGITIS
    - Pathology
    - Fate of Acute Salpingitis
  - CHRONIC SALPINGITIS
- OOPHORITIS
- PARAMETRITIS
- PELVIC ABSCESS
- SYNDROMIC MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS (WHO – 1991)
14:Dysmenorrhea and other Disorders of Menstrual Cycles
- DYSMENORRHEA
  - PRIMARY DYSMENORRHEA (SPASMODIC)
  - SECONDARY DYSMENORRHEA (CONGESTIVE)
- OTHER DISORDERS TO CAUSE MENSTRUAL PAIN
  - MITTELSCHMERZ’S SYNDROME (OVULAR PAIN)
    - Treatment
  - PELVIC CONGESTION SYNDROME
    - Diagnosis
    - Treatment
- PREMENSTRUAL SYNDROME (PMS) (SYN: PREMENSTRUAL TENSION)
  - MENSTRUAL MIGRAINE
15:Abnormal Uterine Bleeding (AUB)
- PATTERNS OF ABNORMAL UTERINE BLEEDING
- DYSFUNCTIONAL UTERINE BLEEDING (DUB)
- ABNORMAL UTERINE BLEEDING (AUB) WITH PALM-COEIN (FIGO, ACOG-2011)
16:Displacement of the Uterus
- PELVIC ORGAN PROLAPSE (POP)
17:Infertility
- ARTIFICIAL INSEMINATION (AI)
- ASSISTED REPRODUCTIVE TECHNOLOGY (ART)
- MICROMANIPULATION
18:Benign Lesions of the Vulva and Vagina
- VULVAR EPITHELIAL DISORDERS
- VULVAR ULCERS
- MISCELLANEOUS SWELLINGS
  - VULVAR CYSTS
- BENIGN TUMORS OF THE VULVA
  - VULVAR ENDOMETRIOSIS
- VAGINAL WALL CYSTS
  - GARTNER’S CYST
  - INCLUSION CYST
- VULVAR PAIN SYNDROME
  - VULVODYNIA
  - TREATMENT
19:Benign Lesions of the Cervix
20:Benign Lesions of the Uterus
- FIBROID
- BODY OR CORPOREAL FIBROIDS
  - PATHOLOGY
    - Naked Eye Appearance
    - Microscopic Appearance (Fig. 20.5)
- SECONDARY CHANGES IN FIBROIDS (TABLE 20.3)
- MANAGEMENT OF FIBROID UTERUS (FLOWCHART 20.2)
  - ASYMPTOMATIC MANAGEMENT (75%)
  - SYMPTOMATIC MANAGEMENT
    - Medical Management
    - Surgical Management of Fibroid Uterus
- CERVICAL FIBROID (FIGS 20.10 AND 20.11)
  - SYMPTOMS
  - TREATMENT
- POLYPS (TABLE 20.14)
21:Benign Lesions of the Ovary
- NORMAL OVARY (FIG. 21.1)
- OVARIAN ENLARGEMENT
  - NON-NEOPLASTIC
  - BENIGN OVARIAN NEOPLASMS
- BORDERLINE EPITHELIAL TUMORS OF THE OVARY
- PAROVARIAN CYST (FIG. 21.18)
22:EndometriosisandAdenomyosis
- ENDOMETRIOSIS
- ADENOMYOSIS
23:Premalignant Lesions
- PREMALIGNANT VULVAR LESIONS
  - VULVAR INTRAEPITHELIAL NEOPLASIA (VIN)
  - PAGET’S DISEASE
    - Symptoms
    - Treatment
- VAGINAL INTRAEPITHELIAL NEOPLASIA (VaIN)
- CERVICAL INTRAEPITHELIAL NEOPLASIA (CIN)
- PREMALIGNANT ENDOMETRIAL LESION
  - Endometrial Intraepithelial Neoplasia (EIN)
24:Genital Malignancy
- VULVAR CARCINOMA
- VAGINAL CARCINOMA
- CARCINOMA CERVIX
- ENDOMETRIAL CARCINOMA
- GESTATIONAL TROPHOBLASTIC DISEASE
- MALIGNANT OVARIAN TUMORS
- GERM CELL TUMORS OF THE OVARY
- METASTATIC TUMORS OF THE OVARY
- FALLOPIAN TUBE CARCINOMA
25:Urinary Problems in Gynecology
- ANATOMY OF VESICOURETHRAL UNIT
- PHYSIOLOGY OF MICTURITION
- URETHRAL CARUNCLE (FIG. 25.11)
26:Genitourinary Fistula
- GENITOURINARY FISTULA
  - DEFINITION
    - Fistula May be
- VESICOVAGINAL FISTULA (VVF)
- URETHROVAGINAL FISTULA
- URETERIC INJURY IN GYNECOLOGIC SURGERY
- RECTOVAGINAL FISTULA (RVF)
27:Genital Tract Injuries and Anorectal Dysfunctions
- INTRODUCTION
- COMPLETE PERINEAL TEAR (CPT)
- COITAL INJURIES
  - MANAGEMENT
- RAPE VICTIMS
  - FORENSIC CONSIDERATIONS
  - MANAGEMENT
- DIRECT TRAUMA
  - MANAGEMENT
- FOREIGN BODIES
  - EFFECTS
  - MANAGEMENT
- INSTRUMENTAL INJURIES
  - DANGERS
  - MANAGEMENT
    - Noninfective/Nonmalignant
- FUNCTIONAL ANORECTAL DYSFUNCTIONS
- ANAL INCONTINENCE (AI)
28:Disorders of Sexual Development
- FEMALE PSEUDOHERMAPHRODITISM
  - ADRENOGENITAL SYNDROME (CONGENITAL ADRENAL HYPERPLASIA) (FIG. 28.1)
  - MASCULINIZATION DUE TO INCREASED ANDROGEN IN MATERNAL CIRCULATION
- DISORDERS OF GONADAL DEVELOPMENT
  - GONADAL DYSGENESIS
  - TURNER’S SYNDROME (HENRY TURNER, 1938)
- MALE PSEUDOHERMAPHRODITISM
  - ANDROGEN INSENSITIVITY SYNDROME (TESTICULAR FEMINIZATION)
    - Investigations
  - KLINEFELTER’S SYNDROME
- TRUE HERMAPHRODITISM
- DIAGNOSIS OF DSD
  - DIAGNOSIS OF AMBIGUOUS GENITALIA
- MANAGEMENT OF DSD
  - BASIC GUIDELINES
- UTERINE HERNIA SYNDROME
- TESTICULAR REGRESSION SYNDROME (SWYER SYNDROME)
29:Amenorrhea
- PRIMARY AMENORRHEA
- SECONDARY AMENORRHEA
- UTERINE FACTORS
  - TUBERCULAR ENDOMETRITIS
  - UTERINE SYNECHIAE (SYN: ASHERMAN’S SYNDROME)
- OVARIAN FACTORS
- HYPOTHALAMIC (FACTORS) AMENORRHEA
- PITUITARY FACTORS
  - ADENOMA
  - SHEEHAN’S SYNDROME
    - Management
- ADRENAL FACTORS
  - ADRENAL TUMOR OR HYPERPLASIA
  - CUSHING’S SYNDROME
- THYROID FACTORS
  - THYROID DYSFUNCTION
- POSTPILL AMENORRHEA
- GENERAL DISEASE
- INVESTIGATIONS OF SECONDARY AMENORRHEA
  - DETAILED HISTORY
  - GENERAL EXAMINATION
    - Abdominal Examination
    - Pelvic Examination
- MANAGEMENT OF SECONDARY AMENORRHEA
30:Contraception
- TEMPORARY METHODS
  - INTRAUTERINE CONTRACEPTIVE DEVICES (IUCDs)
- STEROIDAL CONTRACEPTIONS
- STERILIZATION
- BARRIER METHODS
- ONGOING TRIALS AND SELECTIVEAVAILABILITY
31:Basic Principles of Radiotherapy, Chemotherapy, Immunotherapy and Gene therapy in Gynecology
- RADIOTHERAPY
- CHEMOTHERAPY
- IMMUNOTHERAPY
- GENETICS AND GYNECOLOGIC MALIGNANCY
  - TUMOR MARKERS
32:Hormones in Gynecological Practice
- NOMENCLATURES
  - CELLULAR FUNCTION
  - INTRODUCTION
- HYPOTHALAMIC HORMONES
- GONADAL HORMONES
- ADRENOCORTICAL HORMONES
  - DIAGNOSTIC
    - Principle
  - THERAPEUTIC
- THYROID HORMONE
33:Gynecological Problems from Birth to Adolescence
34:Special Topics
- ABNORMAL VAGINAL DISCHARGE
- PELVIC PAIN
- OVARIAN REMNANT SYNDROME
- POSTMENOPAUSAL BLEEDING
- LOW BACKACHE
  - CAUSES
- BREAST IN GYNECOLOGY
- PSYCHOSEXUAL ISSUES AND FEMALE SEXUALITY
- HIRSUTISM
- GALACTORRHEA
  - TREATMENT
35:Operative Gynecology
- PREOPERATIVE PREPARATIONS
  - INVESTIGATIONS
  - PREOPERATIVE COUNSELING AND INFORMED CONSENT
- INTRAOPERATIVE CAREc
- POSTOPERATIVE CARE
- GYNECOLOGICAL OPERATIONS
- MAJOR SURGICAL OPERATIONS
  - ABDOMINAL HYSTERECTOMY
- POSTOPERATIVE COMPLICATIONS AND CARE
  - COMPLICATIONS OF HYSTERECTOMY
    - Intraoperative
    - Postoperative
  - COMPLICATIONS OF OTHER TYPES OF HYSTERECTOMY AND OTHER OPERATIONS
- OPERATIONS ON THE OVARY
- OPERATIONS FOR INVERSION OF THE UTERUS
  - HAULTAIN’S OPERATION (FIG. 35.11A)
    - Principle of the Operation
    - Principal Steps
  - KUSTNER’S OPERATION (FIGS 35.11B AND C)
    - Principal Steps
- VENTROSUSPENSION OPERATION
  - MODIFIED GILLIAM PROCEDURE
    - Principal Steps (Fig. 35.12)
  - COMPLICATIONS OF VENTROSUSPENSION OPERATION
- ABDOMINAL MYOMECTOMY
- RADICAL HYSTERECTOMY (SEE P. 286) (SYN : CLASS IV RADICAL HYSTERECTOMY)
  - PRINCIPAL STEPS OF THE OPERATION
    - Principal Steps
- OPERATIONS ON THE VULVA
  - SIMPLE VULVECTOMY
    - Principal Steps
- RADICAL VULVECTOMY WITH BILATERAL INGUINOFEMORAL LYMPHADENECTOMY (FIGS 35.16 AND 35.17)
  - PRINCIPAL STEPS
  - COMPLICATIONS OF RADICAL VULVECTOMY
    - Late
    - Early
36:Endoscopic Surgery in Gynecology Syn: Minimally invasive surgery (MIS), Minimal access surgery (MAS)
- BASIC INSTRUMENTS AND ELECTROSURGICAL UNITS FOR LAPAROSCOPIC SURGERY (FIGS 36.2A TO E)
- SURGICAL TECHNIQUES
- OPERATIVE LAPAROSCOPY
  - PROCEDURE OF LAPAROSCOPICHYSTERECTOMY
    - Postoperative Care
  - COMPLICATIONS OF LAPAROSCOPY
- ROBOTIC SURGERY IN GYNECOLOGY
  - TECHNOLOGY OF ROBOTIC SURGERY
    - Advantages
    - Disadvantages
- HYSTEROSCOPY
37:Current Topics in Gynecology
38:Practical Gynecology
- INSTRUMENTS
- SUTURE MATERIALS
  - CLASSIFICATION
    - Absorbable
    - Nonabsorbable
- SPECIMENS
- PLATES: SKIAGRAPHS, ULTRASONOGRAPHS, COMPUTED TOMOGRAPHS, AND MAGNETIC RESONANCE IMAGINGS

INDEX

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Index

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Chapter Notes