Ginecologia

Dopo anni di dibattiti e di progetti di legge mai giunti in porto, l'Italia si è finalmente dotata di una normativa tesa a disciplinare la delicata materia della procreazione assistita. Le problematiche poste dalle vicende delle c.d. "mamme-nonne" e quelle dei figli di non si sa quanti genitori, gli inquietanti scenari di sperimentazioni genetiche sugli embrioni, ma anche, semplicemente la fisiologica regolamentazione del fenomeno, richiedevano una normativa positiva che portasse ordine in un campo altrimenti lasciato prevalentemente al senso di responsabilità degli operatori. Il presente volume si propone di dare una prima lettura e un'interpretazione della nuova legge (19-2-2004 n.40) al fine di agevolare la comprensione.

The Series: "European Practice in Gynaecology and Obstetrics" is a series of books conceived and endorsed by the European Board and College of Obstetrics and Gynaecology (EBCOG). Its aim is to provide up-to-date, evidence-based information that represents the consensus of opinion among leading European experts in the field, as part of the overall aim of standardising training and practice in order to ensure quality care and facilitate exchange among physicians in all parts of Europe and the rest of the world. The topics chosen for each volume are those of significant clinical interest where treatment is changing in response to research findings and developments in practice. The volume editor and contributing authors are European specialists invited to contribute because of their expertise in their field. The books concentrate on various types of management used in European practice as well as published results. The authors present treatments for which a consensus exists and - when there is no consensus - they discuss the key elements of the controversy. Each book provides a review of the basic science, recent concepts in pathophysiology, clinical aspects, treatment and unresolved problems or controversies, as well as the major recent references. A final section provides multiple-choice questions for each chapter. This volume: Major progress has been made in understanding the physiopathology of diabetes and pregnancy and this new volume in the EBCOG series includes current practice and developments in the area. Diabetes affects at least 3 percent of the pregnant women and in some areas in the world the percentage is much higher. Furthermore, the incidence of diabetes increases worldwide. Diabetes during pregnancy affects both the mother and the foetus, it is therefore necessary on the one hand to have pre-existing diabetes under control before and during pregnancy, and on the other hand to screen for gestational diabetes and if necessary to treat. During pregnancy and labour optimal foetal and maternal surveillance is important and the newborn needs close supervision. Recently it has been shown that the intra-uterine environment can have a transgenerational effect on the offspring, indicating the importance of achieving normal foetal growth.

This is a well-illustrated, highly practical book that will cover all the basic principles of operating in the pelvis region for both obstetric and gynaecological operations. The aim is to help trainees understand the principles of a sound surgical approach and to provide very basic and detailed information that is often hard to find in more exhaustive surgical O&G texts. It will concentrate on standard operations - such as hysterectomy and laparoscopy - that all trainees need to know to pass their exams and become a competent specialist.

This volume provides much-needed guidance on the gynecologic and obstetric care of women with chronic diseases, injuries, and disabilities. The authors offer practical advice on reproductive, sexual, and psychosocial problems that result from many disabilities and aspects of routine gynecologic care that are complicated by many injuries and chronic diseases. Topics covered include conducting the pelvic exam, treating menstrual disorders, choosing contraception, managing the pregnant patient, anesthesia during labor and delivery, the infertility evaluation, and managing menopause and osteoporosis. The book includes templates for patient education handouts that the practitioner can copy and modify for specific patient needs.

This practical 2003 handbook provides an extremely comprehensive and highly illustrated guide to micromanipulation techniques in assisted conception in a clinical setting. It includes detailed, illustrated descriptions of all the common micromanipulation systems currently in use in IVF laboratories around the world and clearly explains how to optimise their successful use. The volume covers state-of-the-art techniques including intracytoplasmic sperm injection (ICSI), and procedures such as assisted hatching and the blastomere biopsy (for preimplantation genetic diagnosis PGD). Valuable information on troubleshooting the potential mechanical and technical difficulties that can arise is provided to help all the practitioners of these techniques, including trainee embryologists and consultant obstetricians, and technicians and scientists involved in animal transgenesis and cloning. It will undoubtedly be of immense value to all doctors and scientists working with assisted reproductive technologies.

Thoroughly revised and updated for its Second Edition, this comprehensive, practical reference is an essential resource for obstetrician-gynecologists who are increasingly responsible for primary care and need information on the diagnosis and management of non-gynecologic disorders. It offers all primary care practitioners invaluable guidance on the wide variety of problems unique to women. The book includes chapters on age-specific issues to care for female patients at each stage of life and disease-oriented chapters covering all disorders seen by primary care physicians. Disease-oriented chapters include etiology, differential diagnosis, history, physical examination, laboratory and imaging studies, treatment, and special considerations during pregnancy.

Written by recognized leaders in digital mammography, this volume is a complete guide to this new technology and its optimal clinical use. Coverage includes descriptions of current and emerging detector technologies and detailed reviews of clinical trials comparing digital mammography to screen-film mammography for both screening and diagnosis. Other chapters examine quality control procedures, discuss archiving and PACS issues, and preview future developments in computer aided detection, image processing, tomosynthesis, digital subtraction mammography, and image display. This book features a comprehensive atlas of digital mammography cases, with appropriate work-up images and pathologic diagnoses for every type of lesion.

The future of breast diagnosis MRI is a high-resolution, noninvasive diagnostic tool that is becoming increasingly important in the emotionally charged field of breast diagnosis. Nevertheless, only a relative handful of centers offer this modality, which: - Combines high reproducibility with patient comfort - Can exclude invasive carcinomas as small as 5 mm with a high degree of confidence - Can resolve contradictions among clinical findings, conventional mammographic findings, and percutaneous biopsy From one of the leading centers in MR mammography comes this handsome, practice-oriented teaching atlas that does much more than present pictorial information. Written for radiologists in advanced training or continuing education, it contains more than 500 illustrations that offer clear answers to the questions: When should I use MR mammography? Numerous sample indications (e.g., equivocal overall findings, preoperative staging, follow-up), MR-assisted interventions, implant evaluation, etc. How do I conduct the examination? Informed consent, patient preparation, patient positioning, equipment settings, clear instructions on timing, conduct, and protocols. How do I make an accurate diagnosis? Interpretive criteria with typical contrast enhancement patterns and signal characteristics, evaluation protocols, pitfalls and artifacts, sample images correlated with four-color histology, and direct comparison of conventional mammograms and breast ultrasound.

First edition, with DVD in PAL format. The staff at one of the world's leading cancer centers have here collaborated on a practical guide to the procedures involved in gynaecologic oncology, covering the latest developments in both open and minimally invasive surgery. The chapters are purposely presented in great detail giving the reader a complete working knowledge of each procedure. The procedures are explained step by step and fully illustrated, with 800 colour photographs used throughout, and an accompanying DVD provides over one hour of video clips with spoken commentary.

"Rapid Reference to Menopause" provides authoritative and accessible information for the primary care doctor to assist with treatment decisions. Topics covered include prevention and treatment of osteoporosis, coronary heart disease, dementia, as well as the different hormone replacement agents. Each title in the "Rapid Reference" series covers diagnosis, prevention, treatment and management of the disease area. They also contain drug listings, clinical trial information, future developments, FAQs and website listings to keep the reader up to date with the disease area. With patients becoming better informed about the nature and management of their conditions, the "Rapid Reference" series offers doctors easy access to the best information for patient care and management.