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Gynecologic and obstetric surgery is a craft that requires sound knowledge and skills. The specifics of each individual case must be understood to enable the best surgical management approach and to minimize complications. This resource book offers insightful management options to many of the challenges a gynecologic or obstetric surgeon may face before, during and after an operation. Divided into two sections, the book first covers general preoperative, intraoperative and postoperative challenges and, second, specific surgical procedures. It provides advice on both general gynecologic and obstetric operations, as well as subspecialist areas such as reproductive surgery, urogynecology and gynecologic oncology. The chapters are concise, beginning with illustrative case histories followed by background, management options, and any preventative approaches. Designed to guide the surgeon to safe practice throughout all stages, they offer practical and step-by-step help.
This text is definitive, scientific, readable, and offers a reference and text for specialist gynecologists, psychiatrists, and psychologists working at a high level in their respective professions. It is an academic text of the highest level being authoritative and comprehensive. It has the correct balance between the specialties of psychiatry
This book lays out the fundamentals of both the investigation and management of children with gynaecological conditions - an area of work which can be intimidating for many gynaecologists. The contents cover: pubertal growth and development; indeterminate genitalia; gynaecological problems in childhood; endocrine disorders; child sexual abuse; amenorrhoea; menstrual problems in teenagers; contraception; female genital mutilation; and gynaecological tumours. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for paediatric and adolescent gynaecology. It is also a valuable guide for all healthcare professionals working in the field, at any level of practice.
A number of studies, mostly focusing on estrogen replacement therapy in women, have reported beneficial actions of these hormones on various neurobiological and neuropathological parameters in health and disease. Recent research has focused on gender differences and there is increasing evidence that estrogens exert protective effects in schizophrenia. Hormonal fluctuations or lack of estrogen may increase the risk of depression among vulnerable women. Treatment of depression with estrogen may stabilize and restore disrupted homeostasis – as during post-partum, premenstrual, or perimenopausal conditions – and act as a psychomodulator to offset vulnerability to dysphoric mood when estrogen levels are significantly decreased, as in the case of postmenopausal women. Studies on the effect of estrogens on Alzheimer’s Disease are still rather controversial, they do, however, facilitate the hypothesis that estrogens may have a modifying effect on the onset and course of AD, at least in subgroups of patients.
This book provides a comprehensive overview of clinical intrapartum care, with an emphasis on a pragmatic approach which promotes the necessary vigilant care while also supporting the wishes of the pregnant woman who wants minimal interference. This second edition has been thoroughly updated to reflect current practice and developments in the field since publication of the first edition, with six new chapters added on topics that are of increasing importance: improving intrapartum care, lower genital tract trauma, emergency obstetric hysterectomy, acute uterine inversion, disseminated intravascular coagulation and acute tocolysis. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for intrapartum care. It is also a valuable guide for all healthcare professionals working in the field, including trainees, consultants and midwives.
An accessible yet comprehensive guide for the busy clinician, providing up-to-date guidance on the management of these common problems.
An updated, centralised volume for health-centred researchers, reflecting modern research from changing grant awarding expectations to software.
With the emergence of early pregnancy issues in many hospitals, demand for educational support and the development of clear management guidelines is more pressing than ever. This book covers a wide range of early pregnancy-related issues, such as early pregnancy development, physiology and various pathological conditions encountered by clinicians in day-to-day practice, such as miscarriage, ectopic pregnancy, trophoblastic disease and hyperemesis gravidarum. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for early pregnancy issues. It is also a valuable guide for all healthcare professionals working in the field, including trainees, consultants and midwives.
This book provides comprehensive coverage of fetal medicine and is designed for MRCOG candidates.
This book aims to address all degrees of perineal trauma as well as interventions to reduce the risk of their occurrence and management of future pregnancies. Perineal trauma affects a significant number of women worldwide every year. The inadequate assessment and management of perineal trauma can cause significant complications to women at a very critical time of their life. These can consequently lead to serious long-term problems.