Ginecologia

La terza edizione del manuale di ecografia ginecologica vuole conservare lo spirito originale dell'opera: offrire ai radiologi nozioni di clinica e ai ginecologi elementi di radiologia aggiornata. L'opera comprende grandi capitoli che riguardano la tecnica di esame, l'anatomia ecografica della pelvi, la fisiologia e la fisiopatologia dell'apparato genitale (periodo prepubere, ciclo ovarico ed endometriale, menopausa), la contraccezione (pillola e IUD), la patologia tumorale e infettiva, la gravidanza (intra ed extrauterina), le malformazioni genitali. L'aggiornamento riguarda tutto l'insieme degli argomenti, con le integrazioni riguardanti le tecniche nuove (color-Doppler, modalità 3D, isterosonografia) e le nuove conoscenze (disturbi ovulatori, endometriosi ed adenomiosi, procreazione assistita, ecc). Le immagini a colori sono state aggiornate ed integrate nel testo, per offrire una lettura migliore. L'aspetto pratico resta una priorità. I dati clinici e terapeutici sono integrati all'interpretazione dell'immagine. Il ruolo dell'esame ecografico è ben definito nel contesto degli altri esami della pelvi femminile e di altri elementi paraclinici. In breve, gli autori hanno cercato, senza voler peccare di immodestia, di scrivere un manuale di "istruzioni per l'uso" dell'ecografia pelvica.

Multiple pregnancies are the most frequent and serious complication of assisted reproduction. Both high-order multiple and twin pregnancies entail a number of medical and economic outcomes that affect the children, the mother, the parents, the families, and society as a whole. Limiting the number of embryos to transfer is the only method available to decrease the incidence of multiple pregnancies. Single Embryo Transfer reviews the advantages and limitations of this approach to assisted reproduction. The crucial issue of selecting the best embryo will be reviewed in detail. All clinical issues involved in setting up and running an SET programme will be covered, including important topics such as cryopreservation of embryos, embryo donation, and patient counselling. The final chapters on future SET trends in Europe and North America are written by leading figures in the IVF world. The book is of interest to physicians, embryologists, nurses, insurers, politicians, ethicists and patients.

This book was one of the original books in the "Your Questions Answered" (YQA) series. Now published as a stand-alone volume it serves as a primary source of information about reversible methods of contraception. Written in an informal - and yet highly informative - question-and-answer style, it represents a dialogue between general practitioner (asking the questions) and reproductive health specialist (providing the answers). The main aim of the book is to give practical guidance to busy clinicians when they are faced with patients who want help with choosing the best means of controlling fertility. Most chapters conclude with questions frequently asked by the patient - the answers to which can be very difficult for the unprepared and busy clinician to improvise 'on the spot' in the surgery.

Previously titled the Atlas of Clinical Gynecology - Urogynecology, the new, four-color edition of the atlas is a comprehensive visual presentation of common gynecologic problems encountered in daily practice. Topics covered include anatomy, congenital anomalies, neurophysiology, pathophysiology, urinary incontinence and retention, overactive bladder, fecal incontinence, pelvic organ prolapse, genitourinary and rectovaginal fistulae and urethral diverticulae, and irritations and injuries to the genitourinary tract. This extensive collection of images, including photographs, charts, tables, algorithms, and diagrams, is an invaluable reference and teaching tool.

Assisted reproductive technology (ART) is available to two-thirds of the world's population, and world-class experts, representing research from 18 different countries, have contributed to this groundbreaking textbook, detailing the techniques and philosophies behind medical procedures of infertility and assisted reproduction. This is one of the most rapidly changing and hotly debated fields in medicine. Different countries have different restrictions on the research techniques that can be applied to this field, and, therefore, experts from around the world bring varied and unique authorities to different subjects in reproductive technology. Encompassing the latest research into the physiology of reproduction, infertility evaluation and treatment, and assisted reproduction, it concludes with perspectives on the ethical dilemmas faced by clinicians and professionals. This book will be the definitive resource for those working in the areas of reproductive medicine world wide.

This title was part of the British Medical Association Book Awards 2009 - Highly Commended, Dermatology. Completely updated throughout - and still the only reference of its kind - the new edition of this well-respected resource offers you a practical guide for the evaluation, diagnosis, and management of a full range of common and uncommon obstetric and gynecologic skin disorders. It has expanded coverage - including chapters on vulval vaginal disease help you meet more clinical challenges, while more than 460 illustrations emphasize pathologic and clinical appearances of dermatologic problems, providing essential visual guidance for the most informed diagnoses. Enhanced basic dermatologic information, such as general introductions to treatment, treatment options, and rashes, makes this an excellent guide for dermatologist and non-dermatologists, as well as obstetricians and gynecologists. A CD-ROM - new to this edition - provides convenient access to all of the book's images for your personal use.

The state of our understanding of each single step of human reproduction is presented in this volume, which also looks at the ongoing research aiming to improve human reproductive efficiency. Invited chapters focus on the field of endometrial preparation for embryonization, trophoblast capability to implant into maternal endometrial tissue, and evidence-based medicine to improve embryos' implantation and reduce recurrent abortion. A report on human reproduction efficiencies through assisted reproductive technologies is presented as a review by both Europeans and Americans. Among the major issues explored in this volume is the pelvic factor of sterility, endometriosis, miomas, and their medical and surgical treatments according to the principles of evidence-based medicine and evidence-based surgery. Another important issue that is discussed is the possibility of building an artificial uterus using cellular biology (artificial endometrium), transplantation techniques (human uterus transplantation), and transplantation. Evidence-based strategies to prevent premature parturition concludes this section. Surgical management of reproductive organs using the most up-to-date techniques is also be reported on, and particular attention is given to stem cells in gametes and embryonic stem cells. NOTE: Annals volumes are available for sale as individual books or as a journal. For information on institutional journal subscriptions, please visit www.blackwellpublishing.com/nyas. ACADEMY MEMBERS: Please contact the New York Academy of Sciences directly to place your order (www.nyas.org). Members of the New York Academy of Science receive full-text access to the Annals online and discounts on print volumes. Please visit http://www.nyas.org/MemberCenter/Join.aspx for more information about becoming a member

Written by leading American practitioners, the Oxford American Handbooks in Medicine each offer a pocket-sized overview of an entire specialty, featuring instant access to guidance on the conditions that are most likely to be encountered. Precise and prescriptive, the handbooks offer up-to-date advice on examination, investigations, common procedures, and in-patient care. These books will be invaluable resources for residents and students, as well as a useful resource for practitioners. The Oxford Handbook of Obstetrics and Gynecology is a dependable manual geared for ultra-quick reference at any time. Part of the worldwide best selling series, this book provides much more information than a standard handbook in the field. It occupies a unique niche offering the best features of a small, practical manual as well as a small textbook. Thin and light, it uses concise, bulleted text, quick reference tabs, four-color presentation, and bookmark ribbons to help provide fast answers on the ward. It is ideal for students and residents who want a succinct, comprehensive, and affordable volume in the proven format of the Oxford Handbook Series.

A core reference for residents and practitioners for over 40 years, Danforth's Obstetrics and Gynecology is now in its Tenth Edition--thoroughly revised and reorganized to provide complete, authoritative coverage of the modern clinical practice of obstetrics and gynecology. This edition has a new co-editor, Ingrid Nygaard, MD, a urogynecologist. A new urogynecology section includes chapters on urinary and fecal incontinence and overactive bladder. Other new chapters cover stillbirth and psychological disorders of pregnancy and the postpartum. This edition also features a modern two-color design, problem cases, boxed pearls and pitfalls, key points at the beginning of each chapter, and more algorithms, tables, and bulleted lists. A companion Website offers the fully searchable text and an image bank which now allows any clinician, either in training or practice, to have in one place what they need to know. (www.danforthsobgyn.com)

Expanded and updated, the new edition of the bestselling Clinical Protocols in Obstetrics and Gynecology is the definitive quick-reference for use in office practice and hospital settings. With information drawn from ACOG technical bulletins, OB/GYN publications, articles, textbooks, computer sources, and the author's vast personal experience, outlines of more than 400 clinical protocols help ensure that everyone on the team is on the same page. Flowcharts and algorithms make common problems seem simpler. Tables and decision trees make the information easy to refer to when running from room to room during a busy day in the office or hospital. This complete, up-to-date coverage makes Clinical Protocols in Obstetrics and Gynecology, Third Edition the best available study guide for board certification and a complete reference for busy obstetricians and gynecologists.

Il prolasso degli organi pelvici e l'incontinenza urinaria da sforzo sono patologie che possono coesistere in quanto i fattori che contribuiscono al prolasso e all'incontinenza sono simili e, nella maggior parte dei casi, sono riconducibili alla gravidanza, al prolungamento del periodo espulsivo, alla modalità del parto e, infine, a una predisposizione congenita di lassità tissutale con collagenopatia. Prima di correggere il prolasso e l'incontinenza occorre innanzitutto fare un'adeguata diagnosi. Gli autori del volume, partendo da tale presupposto, intendono approfondire questa importante problematica per aiutare lo specialista e valutare, nelle varie situazioni, quali interventi o terapie è necessario adottare di volta in volta per ottenere i risultati migliori. Vengono trattati alcuni interventi estremamente attuali riguardanti le patologie che maggiormente affliggono la donna, soffermandosi sulla terapia medica e riabilitativa dell'incontinenza. Successivamente sono descritti i principali interventi di chirurgia pelvica sui vari compartimenti, con accenno alle procedure più diffuse in ambito laparoscopico per la correzione dei difetti pelvici. Lo studio sulle problematiche uroginecologiche e la standardizzazione della terminologia completano il testo.

Completamente rivista e ampliata, la 3a edizione fornisce un’esauriente guida all’anatomia, alla fisiologia, alla patologia e agli aspetti clinici delle più recenti procedure isteroscopiche diagnostiche e operative. Inoltre, presenta più di 1.300 illustrazioni, di cui oltre 900 totalmente a colori, che descrivono l’anatomia, la patologia, lo strumentario e le tecniche operative passo dopo passo. Capitoli aggiornati includono molte nuove procedure minimamente invasive che ora è possibile praticare. Questa edizione contiene sei capitoli totalmente nuovi che trattano le infezioni uterine, l’azione dei farmaci, l’endometriosi, la riproduzione assistita, l’adenocarcinoma dell’endometrio e l’isteroscopia nelle lesioni ginecologiche maligne e premaligne.

Nonostante le donne siano sempre più impegnate, sia a livello agonistico che amatoriale, nella pratica sportiva, permangono situazioni in cui l'importanza dell'esercizio è ancora ignorata o sottovalutata: ad esempio è comune evitare la pratica sportiva durante la gravidanza o nel periodo della menopausa. Una guida per il medico che voglia indirizzare le pazienti , in gravidanza o in menopausa, verso lo sport più adatto, evitando rischi e ottenendo i massimi benefici. Il testo illustra inoltre le principali problematiche, quali l'amenorrea o l'osteoporosi, che possono associarsi alla pratica sportiva nella donna.