This is a unique book in that it brings together the two key investigative techniques in Gynaecology and Obstetrics, namely ultrasound and endoscopy. So often in the past they were regarded by their exponents as rival techniques but it is now recognised that they are complementary to each other. Consequently future trainees in endoscopy should become efficient in transvaginal sonography and vice versa. Ultrasound can be used to study the morphology of the pelvic organs such as the endometrium, myometrium and ovaries, and being non-invasive, safe and convenient can be repeated as often as is deemed necessary to monitor changes over time; for example in the investigation of the infertile woman the development of the dominant follicle, the maturation of the endometrium and the formation of the corpus luteum can be documented throughout the menstrual cycle while growth of ovarian cysts can be precisely measured to determine the need for surgery. A seldom-mentioned strength of the ultrasound examination is its interactive quality, for example by performing abdominal palpation during the scan, the mobility of the uterus and ovaries can be assessed. Also the images as they appear can be shown to the patient to aid understanding. Ultrasound can also determine function and the use of Doppler has been used for example to access endometrial receptivity, follicular maturity and the likelihood of malignancy in the endometrium or ovary.

Evidence suggests that medical innovation is becoming increasingly dependent on interdisciplinary research and on the crossing of institutional boundaries. This volume focuses on the conditions governing the supply of new medical technologies and suggest that the boundaries between disciplines, institutions, and the private and public sectors have been redrawn and reshaped. Individual essays explore the nature, organization, and management of interdisciplinary R&D in medicine; the introduction into clinical practice of the laser, endoscopic innovations, cochlear implantation, cardiovascular imaging technologies, and synthetic insulin; the division of innovating labor in biotechnology; the government- industry-university interface; perspectives on industrial R&D management; and the growing intertwining of the public and proprietary in medical technology.

Ultrasonography is a cornerstone in the evaluation of gynecologic disease. This authoritative new book looks at the techniques of ultrasonography in both office and hospital settings, offering guidance on the optimal use of equipment and covering the full range of benign and malignant gynecologic disease as well as infertility. Ultrasonography in Gynecology offers extensive coverage of the diagnostic potential of ultrasound in gynecologic disease, from the moment the patient walks into the physician's office. All the different approaches in the ultrasonographic evaluation of disease – including 3D ultrasonography, 3D sonohysterography, Doppler imaging and pelvic floor imaging – are extensively covered, with color images throughout. Written and edited by leaders in the field of ultrasonography who have actively participated in national and international teaching courses, Ultrasonography in Gynecology is a must for all gynecologists dealing with infertility, endometriosis, uterine fibroids, gynecologic cancers, and many more gynecologic conditions.

Operative Gynecologic Endoscopy, Second Edition is completely revised and expanded with 17 new chapters that provide, step-by-step, the latest operative techniques for both laparoscopic AND hysteroscopic procedures. New and updated chapters include: - laparoscopic assisted vaginal hysterectomy - vaginal prolapse and bladder suspension - ectopic pregnancy - tubal reconstructive surgery - assisted reproductive technologies - lymphadenectomy and urologic procedures - operative hysteroscopy. In addition, this volume includes comprehensive chapters on instrumentation, photo documentation, anesthesia, operating room personnel, credentialing, and legal issues. More than 350 superb illustrations - with many in full color - complement and clarify the operative techniques. For every surgeon and resident performing gynecologic procedures, this is the definitive, most up-to-date text on gynecologic endoscopy.

In the past decade, the future of gynecologic also arisen. Mastery is imperative. One can not endoscopic surgery has been largely unpredict master these techniques by mimicking what able. Now it is obvious that time has changed other surgeons do, but must understand the gynecology in such a way to make many of the principles of the technological advances. Laser procedures that were commonly done obso physics and properties must be understood lete. At no other time in the history of gyneco and, in addition, optics and television technol logic surgery has such an explosion occurred ogy are critical to performing excellent endo thus changing the face ofthis specialty to such a scopic surgery. great degree. But in addition to solving many Old timers are playing catch-up ball, but it is problems, the past decade has left us with the young that are the leaders and pioneers in many new and novel dilemmas. our field. It is for this reason that this text rep One of the ways in which our field has resents all that is important in endoscopic tremendously evolved is not only have some surgery. It not only is a comprehensive and en procedures become obsolete, but to some cyclopedic dissertation on the subject, but it is degree gynecologic surgeons have themselves written by the young leaders in the field. This is become obsolete.

"This book sets out how the concept of ambulatory gynaecology can be applied to the main areas of gynaecological practice. It describes how national guidelines can be integrated into modern gynaecological practice in the context of the Government's National Health Service (NHS) plan and provides an essential guide to all practising clinicians." "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 growing. 'One stop' clinics and 'day surgery' operations are replacing traditional outpatient consultations and inpatient surgery and the term 'ambulatory gynaecology' is being adopted to describe this philosophy."--BOOK JACKET.