ISSN:1040-872X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The methods of evaluation of the uterus and in particular of the endometrium are the subject of a heated debate, but only because those who argue are trying to establish one single technique which is all-encompassing and 100% accurate. Such specifications are very hard to identify in any technique and consequently we have to have an open mind as to what the patient needs and what combination of methods are to be used to achieve the diagnostic goal.

ISSN:1040-872X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Endo-uterine resection is a true surgical act, well defined and atraumatic. To perform elective and complete one-stage hysteroscopic myomectomies, sparing normal myometrium, is not easy. Endometrial ablations provoking synaechie and adenomyosis should not be added to myomectomies. Complications of hysteroscopic surgery may be threatening and must be prevented.

ISSN:1040-872X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Growing evidence in the literature suggests that a direct evaluation of the endosalpinx is of prognostic significance in tubal reconstructive surgery and therefore should become an integral part of pre-operative investigation.

ISSN:1040-872X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Laparoscopic surgery for ovarian cysts is one of the most frequent laparoscopic surgical procedures performed presently. The routine use of pelvic imaging (sonography), in the case of any gynaecological symptom or as a screening method in women at risk, explains why more and more ovarian cysts are encountered. The diagnostic and therapeutic challenge for the clinician to provide the best immediate and long-term benefits for the patient is to identify pre-operatively not only an ovarian malignancy (to be treated in a conventional way) but also functional cysts (usually disappearing spontaneously and requiring no form of treatment in most cases). Ideally, only benign 'organic' cysts should be treated laparoscopically. The technical aspects and the benefits of this approach have been documented extensively in recent years. The routine use of the 'closed technique' and of an impermeable bag for removal should limit the risk of spillage of the cyst contents with its inherent potential problems (chemical peritonitis, malignant cell dissemination and parietal implantation into the laparoscopic port sites). The adnexal torsion can be also properly managed by laparoscopic surgery

ISSN:1040-872X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

All anatomically important pelvic structures lie embedded in the fatty-fibrous connective tissue of the retroperitoneum from which they may be freed by blunt dissection in the correct tissue planes. By relying on fixed laparoscopic landmarks, the correct surgical planes of dissection can be found, and all vital structures freed and identified by a systematic dissection consisting of a precise sequence of operative steps. Once the retroperitoneal dissection has been completed and all vital structures identified, most gynecologic operations can be carried out safely and without much difficulty laparoscopically. A nonanatomical approach to laparoscopic pelvic surgery may be easier to learn, but it is neither very versatile nor very safe except in the simplest of cases

ISSN:1040-872X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Increasing concerns following the rapid uptake of endoscopic procedures into routine use and a small number of serious adverse patient outcomes have precipitated calls for guidelines on training and accreditation. A number of international colleges and societies have produced recommendations, although a number of inherent problems remain in the implementation of these. The published literature in the field is quite limited at present, but will undoubtedly expand rapidly.

ISSN:1040-872X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

We have attempted to review the best available evidence for the commonest gynaecological endoscopic procedures. Controlled studies are the exception rather than the rule, and randomized studies are even rarer. Therefore, the results of large, uncontrolled series must be acknowledged. As a result, for most procedures, sufficient information is now available regarding indications, efficacy, and complications to determine their role in routine clinical practice

ISSN:1040-872X    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1040-872X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Outcomes research, with its emphasis on measuring the quality of care and elucidating factors contributing to the quality of care, has become an important tool for both guiding and justifying managed care.

ISSN:1040-872X    

出版商:OVID    

年代:1996

数据来源: OVID