BOOK
Endoscopy in Infertility - Part II - A Perspective on Laparoscopy - ECAB
(2013)
Additional Information
Book Details
Abstract
Historically, gynecologic endoscopy began in the 1930s with the development of diagnostic laparoscopy, but today gynecologic endoscopy, both laparoscopy and hysteroscopy, has become an essential part of gynecologic surgery. In present practice, the benefits of laparoscopy, hysteroscopy, and minimally invasive surgical procedures have become safely entrenched behind undeniable facts, to the patients as well as the hospitals. The endoscopic gynecologic surgery now involves the whole gamut of fetal surgery, embryoscopy, outpatient local anesthetic laparoscopy, total laparoscopic hysterectomy, and embolization of myomas. Another interesting fact to come to the fore is that, increasingly, the traditional treatments for infertility are being rendered obsolete by advanced reproductive technologies and gynecologic endoscopy. Endoscopy in Infertility has addressed the relevant issues with dexterity by substantiating with relevant clinical experiences of its authors, who are among the pioneers in this field.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover\r | Front Cover | ||
| Front Matter\r | ia | ||
| ECAB Clinical Update:Obstetrics & Gynecology | id | ||
| Copyright | if | ||
| About the Author | ig | ||
| Contents | ii | ||
| ECAB Clinical Update InformationEndoscopy in Infertility—Part II | i | ||
| ELSEVIER CLINICAL ADVISORY BOARD (ECAB)INDIA | i | ||
| STATEMENT OF NEED | i | ||
| ENDOSCOPY IN INFERTILITY (PART 1I):A PERSPECTIVE ON LAPAROSCOPY | ii | ||
| TARGET AUDIENCE | ii | ||
| EDUCATIONAL OBJECTIVES | iii | ||
| ACCREDITATION INFORMATION | iii | ||
| DISCLAIMER | iii | ||
| DISCLOSURE OF UNLABELED USES | iii | ||
| DISCLOSURE OF FINANCIAL RELATIONSHIPSWITH ANY COMMERCIAL INTEREST | iii | ||
| RESOLUTION OF CONFLICT OF INTEREST | iv | ||
| CONTENT DEVELOPMENT COMMITTEE | iv | ||
| ENQUIRIES | iv | ||
| Introduction | 1 | ||
| Laparoscopy-An Overview | 5a | ||
| Historical Landmarks in the Development of Laparoscopy | 6 | ||
| Principles of Performing Laparoscopy | 8 | ||
| Diagnostic Laparoscopy | 10 | ||
| Operative Laparoscopy | 10 | ||
| Instrumentation and Theater Set-Up for Laparoscopy | 10 | ||
| Operating Theater Set-up | 11 | ||
| The Patient Table and Positioning | 15 | ||
| Equipment and Instrumentation | 15 | ||
| Fertiloscopy | 18 | ||
| Transvaginal Hydrolaparoscopy (TVHL)1 (Pictures 3-9) | 21 | ||
| Anesthesia and Analgesia | 24 | ||
| Clinical Pathology that Mandates Diagnostic Proceed Operative-Hysteroscopy and Laparoscopy in Infertility | 25 | ||
| Role of Repeat or Second Look Laparoscopy in Infertility | 27 | ||
| Contraindications to Laparoscopy | 30 | ||
| Absolute Contraindications | 30 | ||
| Relative Contraindications | 30 | ||
| Risks and Complications of Laparoscopy | 32 | ||
| Complications of Laparoscopy | 32 | ||
| Complications of General Anesthesia | 34 | ||
| Very Common and Common Complications of General Anesthesia | 34 | ||
| Uncommon Side Effects and Complications | 34 | ||
| Rare or Very Rare Complications | 35 | ||
| Common General Postoperative Complications | 35 | ||
| Causes of Postoperative Pyrexia | 35 | ||
| Day 1-3 (early) | 35 | ||
| Day 4-6 (intermediate) | 36 | ||
| Day 7-10 (late) | 36 | ||
| Adhesion Prevention at Laparoscopy | 36 | ||
| Counselling Issues Prior to Performing Laparoscopy in Patients with Infertility | 39 | ||
| Application of Laparoscopy in Infertility | 49a | ||
| Introduction-Global Update | 50 | ||
| Place of Minimal Access Surgery (MAS) For Diagnosis And Surgical Correction of Pathology in Infertile Patients | 51 | ||
| Ovulation Induction Agents and Possible Cancer1,2 Risks3 | 54 | ||
| Ovulation Induction Agents and Ovarian Cancer4 | 55 | ||
| Ovulation Induction Agents and Breast Cancer1 | 55 | ||
| Use of Clomiphene Citrate and Uterine Cancer6 | 56 | ||
| Laparoscopic Correction of Tubal Disease | 56 | ||
| Laparoscopy in Hydrosalpinx-associated Subfertility | 58 | ||
| Laparoscopic Salpingostomy/Neosalpingostomy (Pictures 2,3) | 59 | ||
| Laparoscopic Fimbrioplasty (Picture 5) | 59 | ||
| Reversal of Sterilization | 60 | ||
| Fertility Enhancing Laparoscopic Operations on The Ovaries | 61 | ||
| Laparoscopic Ovarian Drilling (LOD) in Polycystic Ovarian Syndrome | 61 | ||
| Laparoscopic Treatment of Ovarian and Para-Ovarian Tumors | 64 | ||
| Laparoscopic Correction of Endometriosis | 65 | ||
| Advanced Endometriosis and Endometriomas (Pictures 11-19) | 67 | ||
| Endometriomas: Surgical Technique and Pregnancy Rates | 73 | ||
| Laparoscopic Tubal and Other Surgery in the Presence of Endometriosis | 73 | ||
| Laparoscopic Myomectomy in Infertility | 77 | ||
| Hysteroscopic Myomectomy | 83 | ||
| Endoscopic Correction of Mullerian Duct Anomalies | 83 | ||
| Endoscopic Foreign Body Removal Should Precede Ovulation Induction | 86 | ||
| Role of Laparoscopy in Pelvic Sepsis | 87 | ||
| Place of Laparoscopy in Pelvic Sepsis | 88 | ||
| Pre-laparoscopy Work Up in Pelvic Inflammatory Disease | 89 | ||
| Laparoscopic Findings in Pelvic Inflammatory Disease | 89 | ||
| Laparoscopic Collection of Samples and Operative Procedures | 90 | ||
| Post-laparoscopic Follow Up | 91 | ||
| Role of Second Look Laparoscopy in Management of Pelvic Sepsis | 92 | ||
| Laparoscopy in Chronic Pelvic Inflammatory Disease | 92 | ||
| Laparoscopic Adhesiolysis in Infertility | 93 | ||
| Indian Scenario | 96 | ||
| Genital Tuberculosis | 96 | ||
| Polycystic Ovarian Syndrome | 98 | ||
| Endometriosis | 99 | ||
| Conclusions | 100 | ||
| Acknowledgments | 100 | ||
| Contents of Cases | 111 | ||
| Case Study 1: Secondary Infertility: Pcos & Genital Tuberculosis (Latent Tb-Overt Only At Second Laparoscopy) | 112 | ||
| Case Scenario | 112 | ||
| Preoperative Assessment | 112 | ||
| Endoscopic Details | 113 | ||
| Laparoscopy | 113 | ||
| Histopathology | 116 | ||
| Postoperative Phase | 116 | ||
| Subsequent Clinical Events and Outcomes | 116 | ||
| Laparoscopy | 116 | ||
| Discussion | 117 | ||
| Case Study 2: Primary Infertility, Bilateral Tubal Block, Overt Genital Tuberculosis At Laparoscopy | 119 | ||
| Case Scenario | 119 | ||
| Pre-operative Assessment | 119 | ||
| Endoscopic Details | 120 | ||
| Laparoscopy (Pictures 6-10) | 120 | ||
| Histopathology | 122 | ||
| Postoperative Phase | 123 | ||
| Subsequent Clinical Events and Outcomes | 123 | ||
| Discussion | 123 | ||
| Case Study 3: Secondary Infertility: Endometriosis - Surgical Excision | 125 | ||
| Case Scenario | 125 | ||
| Pre-operative Assessment | 125 | ||
| Endoscopic Details | 125 | ||
| Laparoscopy | 126 | ||
| Histopathology | 126 | ||
| Postoperative Phase | 126 | ||
| Subsequent Clinical Events and Outcomes | 126 | ||
| Discussion | 127 | ||
| Case Study 4: Primary Infertility: Persistent Endometriosis Unilateral Hydrosalpinx - Surgical Clearance Of Endometriosis ... | 129 | ||
| Case Scenario | 129 | ||
| Pre-operative Assessment | 129 | ||
| Endoscopic Details | 130 | ||
| Laparoscopy (Pictures 11-13) | 130 | ||
| Histopathology | 132 | ||
| Postoperative Phase | 132 | ||
| Subsequent Clinical Events and Outcomes | 132 | ||
| Discussion | 132 | ||
| Case Study 5: Primary Infertility: Recurrent Endometriosis - Surgical Excision Of Endometriosis And Hydrosalpingectomy, Ia ... | 135 | ||
| Case Scenario | 135 | ||
| Pre-operative Assessment | 135 | ||
| Endoscopic Details | 136 | ||
| Operation | 136 | ||
| Histopathology | 138 | ||
| Postoperative Phase | 138 | ||
| Subsequent Clinical Events and Outcomes | 139 | ||
| Operation | 139 | ||
| Discussion | 142 | ||
| Case Study 6: Secondary Unexplained Infertility: Endoscopic Removal Of Large Subserous Fibroid And Endometrial Polyp | 144 | ||
| Case Scenario | 144 | ||
| Preoperative Assessment | 144 | ||
| Endoscopic Details | 144 | ||
| Laparoscopy | 145 | ||
| Histopathology | 145 | ||
| Postoperative phase | 145 | ||
| Subsequent Clinical Events and Outcomes | 145 | ||
| Discussion | 146 | ||
| Case Study 7: Unexplained Infertility - Multiple Pathology Unearthed And Treated Endoscopically | 147 | ||
| Case Scenario | 147 | ||
| Pre-operative Assessment | 148 | ||
| Endoscopic Details | 148 | ||
| Laparoscopy | 148 | ||
| Histopathology | 148 | ||
| Postoperative Phase | 149 | ||
| Subsequent Clinical Events and Outcomes | 149 | ||
| Discussion | 149 | ||
| Case Study 8: Primary Infertility: Bilateral Ovarian Dermoid Cysts - Laparoscopic Cyst Excision With Ovarioplasty | 150 | ||
| Case Scenario | 150 | ||
| Preoperative Assessment | 150 | ||
| Endoscopic Details | 151 | ||
| Laparoscopy (Pictures 15-20) | 154 | ||
| Histopathology | 154 | ||
| Postoperative Phase | 154 | ||
| Subsequent Clinical Events and Outcomes | 154 | ||
| Discussion | 155 | ||
| Appendix 1\r | 158 | ||
| TESTS ADVISED TO INFERTILE COUPLES | 158 | ||
| For the partner | 159 | ||
| Appendix 2 | 161 | ||
| AMERICAN FERTILITY SCORING SYSTEMS FORLEVELS OF COMPETENCY IN HYSTERSCOPICSURGERY | 161 | ||
| Appendix 3\r | 162 | ||
| AMERICAN FERTILITY SCORING SYSTEMS FORLEVELS OF COMPETENCY IN LAPAROSCOPICSURGERYEuropean Society of Gynae Endoscopy (ESGE)Standard Levels on Laparoscopy | 162 | ||
| Appendix 4\r | 164 | ||
| AMERICAN SOCIETY FOR REPRODUCTIVEMEDICINE CLASSIFICATION OF INTRAUTERINEADHESIONS | 164 | ||
| Appendix 5\r | 165 | ||
| AFS CLASSIFICATION OF ANOMALIES OF THE MÜLLERIAN DUCT | 165 | ||
| Appendix 6\r | 166 | ||
| AMERICAN SOCIETY FOR REPRODUCTIVEMEDICINE REVISED CLASSIFICATION OFENDOMETRIOSIS | 166 | ||
| Appendix 7\r | 167 | ||
| THE AMERICAN FERTILITY SOCIETY CLASSIFICATION OFADNEXAL ADHESIONS | 167 | ||
| Appendix 8\r | 168 | ||
| PUTTEMAN’S TUBAL MUCOSA GRADINGSYSTEM | 168 | ||
| Appendix 9\r | 169 | ||
| SAMPLE LIST OF INSTRUMENTS USED FORHYSTEROSCOPIC SURGERY IN JHA’sENDOSCOPY UNIT | 169 | ||
| Appendix 10\r | 171 | ||
| SAMPLE LIST OF INSTRUMENTS USED IN JHA’sENDOSCOPY UNIT FOR LAPAROSCOPICSURGERY | 171 | ||
| Appendix 11\r | 177 | ||
| JHA’s SAMPLE PROTOCOLS USEDIN THE OPERATING ROOM | 177 | ||
| Protocol 2: Jha’s Protocol Checklist for Hysteroscopy | 180 | ||
| Protocol 3: General Instructions to the Nurses in theOperating Theater | 183 | ||
| Appendix 12\r | 184 | ||
| A SAMPLE CONSENT FORM FORHYSTEROSCOPIC PROCEDURES | 184 | ||
| Appendix 13\r | 192 | ||
| CONSENT FORM FOR OBTAINING INFORMEDCONSENT FROM WOMEN UNDERGOINGLAPAROSCOPY AND HYSTEROSCOPY FORINFERTILITY | 192 | ||
| Appendix 14\r | 206 | ||
| CONSENT FORM FOR AUTHORIZING A PATIENTREPRESENTATIVE TO DISCUSS PROCEDURE | 206 | ||
| Appendix 15\r | 207 | ||
| CONSENT FORM FOR AUTHORIZING A PATIENTREPRESENTATIVE TO DISCUSS PROCEDURE ANDPROVIDE SURROGATE CONSENT ON BEHALF OFTHE PATIENT IN CASE REQUIRED | 207 | ||
| Appendix 16\r | 208 | ||
| PERFORMA OF CHECKLIST FOR ISSUES FORDISCUSSION WITH PATIENT AND APPOINTEDPERSON FOLLOWING SURGERY | 208 | ||
| ECAB Update Series:Obstetrics &GynecologyOther Books in ThisSeries | 210 | ||
| POLYCYSTIC OVARY SYNDROME | 210 | ||
| MENOPAUSE | 211 | ||
| FERTILITY CONTROL | 211 | ||
| PERINATAL MEDICINE | 212 | ||
| OBSTETRICS COUNSELING | 213 | ||
| MEDICAL DISORDERS IN PREGNANCY | 213 | ||
| RECURRENT PREGNANCY LOSS | 214 | ||
| ASSISTED REPRODUCTIVE TECHNOLOGY | 214 | ||
| ENDOMETRIOSIS | 215 | ||
| AMENORRHEA | 216 |