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19 results

  • Chapter 13 - Modern Management of Intramural Myomas
  • Edited by Mostafa Metwally, University of Sheffield, Tin-Chiu Li, The Chinese University of Hong Kong
  • Book: Modern Management of Uterine Fibroids
  • Published online: 10 October 2020
  • Print publication: 03 December 2020, pp 126-134
  • View extract

    Summary

    Intramural myomas, the most common type of uterine leiomyoma, develop within the uterine wall and expand either inwards or outwards. According to the FIGO [1] leiomyoma classification system, fibroid types range from 0 to 8. Types 0, 1 and 2 are submucosal myomas, and subserosal myomas refer to type 5 to 7. Both type 3 and type 4 myomas are known as intramural myomas with no involvement of the endometrial cavity (Figure 13.1). The type 3 myomas, which are in the uterine wall but in contact with the endometrium, are more likely to distort the cavity under certain stimulations. Type 4 myomas stay entirely within the myometrium, which does not expand to either the endometrium or the serosa.

Modern Management of Uterine Fibroids
  • Modern Management of Uterine Fibroids
  • Edited by Mostafa Metwally, Tin-Chiu Li
  • Published online: 10 October 2020
  • Print publication: 03 December 2020
  • View description
    Uterine fibroids are very common in women of reproductive age and are mostly benign. However, they are often a cause of abnormal bleeding and, in severe cases, can cause infertility. This comprehensive guide reviews the clinical management of uterine fibroids, with a particular focus on practical surgical techniques. Engage with topics such as the anatomy of the pelvis, key theatre equipment and surgical treatments including hysteroscopic and laparoscopic techniques. Features also include debates around morcellation, and less invasive treatments such as uterine artery embolisation are also covered. An online video library of surgical procedures reinforces the practical techniques taught in the book and detailed colour images supplement the book's thorough coverage of fibroid management. This makes Modern Management of Uterine Fibroids an essential resource for practicing gynaecologists and IVF specialists, as well as students.
  • Chapter 5 - Sonographic Assessment of Congenital Uterine Anomalies
  • Kanna Jayaprakasan, Lukasz Polanski, Kamal Ojha
  • Book: Gynaecological Ultrasound Scanning
  • Published online: 28 February 2020
  • Print publication: 27 February 2020, pp 69-78
  • View extract

    Summary

    Congenital uterine anomalies (CUAs) are gaining increasing attention in the field of gynaecological ultrasound for a number of reasons: first, they appear to be of relatively high prevalence in both selected and unselected groups of women ; second, they appear to have a significant impact on reproductive outcomes and, on occasion, in adolescent symptomatology ; third, there has been a recent surge in relevant publications, which has culminated in a new international classification , and also a new international consensus for diagnosis. Three-dimensional (3D) ultrasound is now recommended as the gold standard method for diagnosis, which implies that gynaecologists and/or sonographers may be expected to attain the correct diagnoses and classification of CUA for women presenting to them with, and even without, symptomatology.

Practical Problems in Assisted Conception
  • Practical Problems in Assisted Conception
  • Edited by Ying Cheong, Togas Tulandi, Tin-Chiu Li
  • Published online: 22 August 2018
  • Print publication: 20 September 2018
  • View description
    Engage with practical and active solutions to day-to-day issues of reproductive medicine and the use of artificial reproductive techniques (ART), occurring in clinical and laboratory environments. Authored by leading experts in the field, this user-friendly guide is invaluable for any IVF practitioner and embryologist, facing everyday hands-on issues, through to high-pressure laboratory problems, efficiency ratings and ensuring cost-effective delivery of care. With the strict governance of regulatory bodies worldwide, the success of any fertility centre depends on successful problem solving, all day every day. Based on a wealth of experience, identify commonly occurring problems, and fresh perspectives of problem-solving, with 'must-have' protocols, patient information sheets and suggested equipment. This go-to companion tackles operational, organisational, clinical and laboratory issues to financial and clinical governance, with a focus on quick and effective solutions for the busy practitioner.