By Thomas Römer
The diagnostic research of menstrual disorder and sterility is a regimen a part of gynecological perform. Hysteroscopy can extend the spectrum of diagnostic percentages. The 2d revised variation of this guide goals to familiarise the gynecologist with diagnostical hysteroscopy. approximately a hundred color plates facilitate the purchase of this system in addition to the right kind review of findings. The e-book is conceived for novices to hysteroscopy and may give a contribution to the additional institution of this technique. This 2d revised version contains ninety case experiences of gynecological perform.
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Additional resources for Diagnostic Hysteroscopy: A practical guide 2nd Edition
Clinical diagnosis 2. Anamnesis 3. Sonography uterus septus recurrent hypermenorrheas and dysmenorrheas, suspected endometriosis 2 endometrium areas, suspected uterus malformation 4. Hysteroscopy uterus septus (small septum of a length of 5 cm extending up to the internal os of the uterus) 5. Therapy À laparoscopy: fundal area of the uterus smooth and wide; resection of the endometriosis Douglas À transcervical septum dissection and IUD insertion Attention: For the differential diagnosis of uterus malformations a laparoscopy is compulsory.
32 Regulary cavity – documentation Regular cavity – documentation 33 36-year-old patient 1. Clinical diagnosis 2. Anamnesis 3. Sonography recurrent menorrhagias and dysmenorrheas for two years increasing menorrhagias and dysmenorrheas, for one year patient has wanted child/ren endometrium thickness (post menstruationem): 8 mm 4. Hysteroscopy regular cavity and cervix, ostia free 5. Therapy endometrium biopsy, laparoscopy: resection of the endometriosis bilateral chromopertubation: positive proliferative endometrium 6.
Anamnesis 3. Sonography habitual abortions with uterus subseptus 3 abortions (8th/10th/11th week of pregnancy) 2 endometrial areas 4. Hysteroscopy broad-based complete septum (3 cm) 5. Therapy À hysteroscopic septum dissection and IUD insertion À laparoscopy: wide uterine fundus without raphe none 6. Histology Attention: With habitual abortions the search for uterus malformations (mostly uterus subseptus) is part of the standard diagnostic procedure. 50 Uterus subseptus 35-year-old patient 1. Clinical diagnosis 2.