Atlas of Endometriosis, by Caroline Overton

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By Caroline Overton

This fantastically and comprehensively illustrated Atlas presents an invaluable academic device for trainees and common ObGyns who is probably not up to date with contemporary examine within the situation. The ebook is a completely revised 3rd variation summarizing advances within the prognosis and administration of the ailment. really accelerated for this variation are sections on ultrasound and MRI imaging, and non-surgical interventions. New for this version are aseries of case-histories that extend on issues into account and elevate the pedagogic price. For the 1st time, illustrations might be absolutely built-in with the textual content. as with every Atlases, the visible strategy isvalued through many purchasers as a brief and noteworthy approach to assimilating crucial details on a subject or affliction.

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Sample text

However, Redwine15 failed to demonstrate any endometriosis in biopsies from normal peritoneum taken from 33 women, of whom 24 had endometriosis elsewhere and nine had a normal pelvis at laparoscopy. He argued that the discrepancy between his and previous findings could only be explained by ‘the discriminatory threshold of the clinicians’ in defining what is visually normal peritoneum. 1). The classical implant is a nodular implant characterised by a variable degree of fibrosis and pigmentation.

In: Brosens I, Donnez J, eds. Endometriosis: Research and Management. Carnforth, UK: Parthenon Publishing, 1993: 437–46. qxp 7/25/2007 5:27 PM Page 45 CHAPTER 6 Ovarian endometriosis In the ovary, endometriosis presents either as superficial haemorrhagic implants or in the more severe form as a haemorrhagic or ‘chocolate’ cyst. The histopathology of ovarian endometriosis is characterised by a large variation in the amount of endometrial tissue. The endometrial cyst can be lined by free endometrial tissue, histologically and functionally indistinguishable from eutopic endometrium, or all traces of endometrial tissue can be lost and the cyst wall covered by fibrotic and reactive tissue.

The surgical approach wherever possible is segmental resection and reanastomosis or reimplantation of the ureter, although urinary diversion is sometimes necessary. qxp 7/25/2007 5:19 PM Page 21 CLINICAL FEATURES OF ENDOMETRIOSIS gynaecological surgery or Caesarean section and the perineum following episiotomy at childbirth. Most women present with a painful palpable lump, usually more symptomatic at the time of menstruation. Occasionally, women can be referred because of cyclical haemorrhage occurring perimenstrually.

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