Download e-book for iPad: Atlas of operative laparoscopy and hysteroscopy by Jacques Donnez

By Jacques Donnez

ISBN-10: 041538415X

ISBN-13: 9780415384155

It is a re-creation of 1 of the trendy classics of gynecological surgical procedure. delivering an in depth and fantastically illustrated consultant to laparoscopic and hysteroscopic suggestions, the publication has been generally revised and up to date for the reason that booklet of the second one variation. There are few texts that so accurately supply in-depth details on minimally invasive gynaecologic surgical procedure. This informative and thorough paintings of reference offers either working towards surgeons and trainees with an atlas, a textbook of gynecology, and a surgical handbook. The assurance is accomplished, together with vast sections on gynaecologic oncology, urogynecology, simple ideas, and instrumentation. problems are highlighted with authoritative advice on find out how to stay away from and deal with them.

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33 The single-puncture operating laparoscope for laser laparoscopy. QXD 18/10/06 9:24 am Page 28 ATLAS OF OPERATIVE LAPAROSCOPY AND HYSTEROSCOPY SMOKE EVACUATION ACCESSORIES To allow a flow of fresh CO2 down the beam channel, the CO2 insufflation tubing is attached to this operative channel; the flow of CO2 from the insufflator displaces smoke, which can reduce the power of the beam from the laser channel, and prevents fogging of the mirror and lens in the black coupler. To evacuate smoke, a Verres needle can be inserted suprapubically under direct vision and transillumination, directing it towards the target site and connecting it to the smoke evacuation system.

The size of endometriotic lesions in visually normal peritoneum, ranging from 88 to 720 µm (mean 313 µm, SEM 185 µm), probably explains why the peritoneum had a normal aspect and why the lesions were not visible, even though a meticulous inspection was carried out to identify small and non-hemorrhagic lesions. 14, have reinforced the concept of invisible lesions. 34 The concept of ‘non-visible’ endometriosis was recently reviewed by Redwine15. His conclusion was that ‘invisible microscopic endometriosis’ or IME is a rare and clinically unimportant entity and that allegations of its existence are almost always due to inexperience and lack of magnification at surgery.

5b). 6b). 7b). 8b). 3 Glandular excrescences on the peritoneal surface. 4 Subovarian adhesion. 5 Areas of petechial peritoneum. 6 White opacification of the peritoneum. 7 Yellow-brown peritoneal patches of the peritoneum. 2), biopsies were taken from visually normal peritoneum of the uterosacral ligaments. Histological study revealed the presence of endometriotic tissue in two out of 32 infertile women without endometriosis. This rate (6%) was less than half the rate (13%) observed in normal peritoneum taken from 52 women with visible endometriosis, but shows that unsuspected peritoneal endometriosis can be found in the visually normal peritoneum of infertile women, with or without known associated endometriosis.

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Atlas of operative laparoscopy and hysteroscopy by Jacques Donnez

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