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Download PDF by Stephen Gordts, Hugo C. Verhoeven, Rudi Campo, Ivo Brosens: Atlas of Transvaginal Endoscopy

By Stephen Gordts, Hugo C. Verhoeven, Rudi Campo, Ivo Brosens

Transvaginal endoscopy of the feminine genital tract is a strong new procedure for the review and administration of pelvic ailment. This hugely illustrated e-book info the chances and merits of those thoughts, together with transvaginal laparoscopy, salpingoscopy, patency checking out, and vaginocervicohysteroscopy for the exploration of the uterine hollow space. The recommendations are really beneficial within the research and administration of infertility - e.g. oocyte pick-up, implantation, and the exploration of the uterine hollow space and tubo-ovarian buildings. because the use of water-based distension media is new in laparoscopy, and gives specified photos of pelvic buildings, the top quality illustrations are a very very important a part of the publication.

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Campo R, Gordts S, Brosens I. Minimally invasive exploration of the female reproductive tract in infertility. Reprod Biomed Online 2002; 4 (Suppl 3): 40–5. Gordts S, Campo R, Puttemans P et al. Investigation of the infertile couple: a one-stop outpatient endoscopy-based approach. Hum Reprod 2002; 17: 1684–7. Kremer C, Duffy S, Moroney M. Patient satisfaction with outpatient hysteroscopy versus day case hysteroscopy: randomised controlled trial. BMJ 2000; 320: 279–82. Davies A, Richardson RE, O’Connor H et al.

Another study5 showed that patients with minimal and mild endometriosis and unexplained infertility had significantly more ovarian adhesions on transvaginal hydrolaparoscopy than on standard laparoscopy. The subtle adhesions seen on transvaginal hydrolaparoscopy but not on standard laparoscopy were filmy, microvascularized, and non-connecting. A multicenter prospective study reported by Watrelot et al6 comprising 81 patients, compared the two endoscopic techniques of laparoscopy and fertiloscopy in the routine evaluation of the pelvis in infertile women.

Those findings support the idea that it is absolutely necessary A B to perform an ambulatory diagnostic hysteroscopy in every infertile patient. Moreover, when we compare the pathologies found in a standard gynecological population with those of infertile patients, we see that the infertile population group is characterized by a higher incidence of congenital pathology and a lower incidence of acquired pathology. Those findings confirm that it is absolutely necessary to perform an office hysteroscopy also in every in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) candidate.

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