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A change from traditional care pathways to more cost-effective, patient-centred approaches to medical practice lies at the heart of modern health service management. A 'see and treat' management philosophy is developing, under the umbrella term of 'ambulatory gynaecology', with one-stop clinics and day surgery operations replacing traditional outpatient consultations and inpatient surgery. This book sets out how the concept of ambulatory gynaecology can be applied to the main areas of gynaecological practice. It covers analgesia and anaesthesia for outpatient gynaecology, colposcopy services, abnormal uterine bleeding, endometrial ablation, urogynaecology, infertility, early pregnancy units, emergency gynaecological services, pelvic ultrasound and interventional radiology.
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This handbook is designed to introduce trainee obstetricians and gynaecologists to safe surgical techniques and obstetric skills in a structured workshop environment. It is the course manual for the Basic Practical Skills in Obstetrics and Gynaecology course offered by the Royal College of Obstetricians and Gynaecologists, successful completion of which is mandatory to obtain an ST3 post. The manual consists of modules covering basic open general surgical techniques (such as instrument handling, suturing and knot tying); basic obstetric skills (such as pelvic anatomy, instrumental delivery and shoulder dystocia); and basic gynaecological procedures, including hysteroscopy and laparoscopy. This revised and fully updated edition is in line with the latest course, and includes new sections on human factors and basic ultrasound. The course and the manual provide a valuable early step towards building safe and sound surgical and obstetric skills, giving trainees a firm foundation for their future careers in obstetrics and gynaecology.
Obstetrics. --- Gynecology. --- Gynecologic examination. --- Pelvis --- Examination.
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Laparoscopy. --- Laparoscopy. --- Gynecology --- Cases, clinical reports, statistics.
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Endometriosis affects a huge number of women throughout the world. It has been estimated that between 1% and 15% of women who are examined for pelvic pain and infertility may have endometriosis; the true prevalence is unknown because diagnosis can only be made with any accuracy by laparoscopic examination of the pelvis. This book provides clinicians with all the information they need in a succinct and clear text, with colour illustrations. Chapters cover: epidemiology and aetiology; diagnosis; investigation; medical treatment; and surgical treatment.
Endometriosis. --- Adenomyosis --- Endometrium --- Generative organs, Female --- Pelvis --- Diseases --- Genitourinary organs --- Diseases.
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Menstrual problems are among the most common reasons for primary care and specialist referral. Therefore, it is important for all gynaecologists and primary care practitioners to have a basic understanding of menstrual reproductive physiology to enable them to counsel women safely and accurately. This second edition has been comprehensively updated to reflect current clinical practice and new research. The contents cover the diagnosis, management and treatment - both medical and surgical - of a wide range of menstrual disorders, including excessive menstrual loss; fibroids; dysmenorrhoea; endometriosis; chronic pelvic pain; delayed menarche; premature ovarian failure; polycystic ovary syndrome; and premenstrual syndrome. This is a perfect introduction for any gynaecologist who needs an accessible and concise introduction to modern management of menstrual problems. It also acts as an ideal revision guide for candidates preparing for the Part 2 MRCOG examination, fully covering the RCOG curriculum for menstrual problems.
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Acute gynaecological problems are among the most common reasons for women of reproductive age to seek medical help. Emergency outpatient visits now outnumber elective clinical appointments in gynaecology. With a growing number of patients, increasingly complex diagnostic algorithms and a wide range of management options, the participation and training of senior doctors in this field is vital to ensure women receive the best possible treatment. This book provides a thorough overview of acute gynaecology and early pregnancy and has been designed to reflect the syllabus of the RCOG's Advanced Training Skills Module (ATSM) in 'Early pregnancy and emergency gynaecology'. It covers the diagnosis and management of routine clinical problems, such as miscarriage and tubal pregnancy, as well as less frequently seen presentations, such as uncommon forms of ectopic pregnancy and trophoblastic disease. The use of drugs in early pregnancy and management organisational aspects of care are also addressed.
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The 54th RCOG Study Group brought together a range of experts from across many disciplines to examine the most up-to-date evidence on all aspects of diagnosis and management in women with renal problems before, during and after pregnancy. This book presents the findings of the Study Group, describing many of the issues likely to be faced in clinical practice and providing valuable information for all healthcare professionals working in this field. General principles for optimal management are clearly defined and separate chapters are devoted to specific disease entities and/or clinical situations. Many controversial areas - such as management of hypertension, diagnosis of pre-eclampsia, assisted conception, rationalisation of the many medications used in nephrology practice, renal biopsy, surgical emergencies, patient input and responsibilities - are carefully considered.
Kidneys --- Pregnancy --- Diseases --- Complications
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