Part 1 Fundamentals of outpatient hysteroscopy
1 Normal anatomy and physiology of the uterus 3
2 Setting up an outpatient hysteroscopy 'diagnosis and treatment' service 16
3 Instrumentation and decontamination 33
4 Outpatient hysteroscopy: how to do it successfully 53
5 Diagnostic hysteroscopy 81
Part 2 Common presentations in outpatient hysteroscopy
6 Postmenopausal bleeding 97
7 Endometrial hyperplasia 106
8 Hormone replacement therapy 114
9 Tamoxifen 123
10 Excessive menstrual bleeding 128
11 Intermenstrual and postcoital bleeding, abnormal cervical smears and vulvovaginal disorders 136
Part 3 Operative outpatient hysteroscopy
12 Combating anxiety and pain 147
13 Mirena (levonorgestrel intrauterine system) 161
14 Bipolar intrauterine electrosurgery 168
15 Endometrial polyps 178
16 Submucous (intracavity) fibroids 193
17 Outpatient endometrial ablation 205
18 Subfertility and miscarriage 229
19 Fertility control 244
20 Training, safety and medicolegal issues 266
Index 275이 책의 특징
Many benign gynaecological conditions can now be safely diagnosed, investigated and managed in the outpatient or "office" setting. Handbook of Outpatient Hysteroscopy is a concise, highly practical, guide to modern practice,
concentrating not simply on the surgical interventions in an ambulatory one-stop "see and treat" setting, but providing clear guidelines to best practice based on the evidence currently available. The authors consider the conditions in gynaecology with which patients most frequently present in the clinic or outpatient department - abnormal bleeding problems, HRT/menopause related problems, reproductive medicine and fertility control.
The first of its kind in this rapidly developing area, Handbook of Outpatient Hysteroscopy provides a practical reference for those setting up a hysteroscopy service, and for all trainees in gynaecology who will encounter the procedure during training. It will be a valuable resource for gynaecologists in training and in practice, plus primary care physicians with an interest in gynaecology, community gynaecologists and nurse hysteroscopists.