Bailliere's clinical obstetrics and gynaecology

Patient selection is a critical factor in influencing results in assisted reproduction. Patients should be assessed individually in terms of all relevant fertility factors including age, duration and aetiology of infertility and psycho-soci…

The use of lasers in reproductive pelvic surgery has been established, based more on the reports of clinical experience than demonstration of improved efficacy as compared to other therapeutic modalities. Superiority of one type of laser ov…

Used endoscopically, the CO2 laser offers some advantages over other operative techniques for endometriosis and adhesions but, in spite of the continuing development of new instrumentation there are still problems with the system. The techn…

Salpingoscopy gives detailed visual information on the mucosal pattern of the tubal ampulla as far as the isthmoampullary junction. With experience it takes 10 minutes to perform salpingoscopy on both sides and with an additional dye test a…

The diagnosis of DUB is made by the exclusion of organic disease as a cause of the abnormal menses; the condition accounts for about 80% of cases of menorrhagia. Of these, over 80% will have no abnormality of the hypothalamo-pituitary-ovari…

Many gynaecologist are now doing more aggressive operative laparoscopic surgery. We feel that procedures which in the past required open laparotomy to be successfully performed, can now be done with fibreoptic laser energy. This chapter rev…

Hysteroscopy provides a means of accurately diagnosing and treating most forms of abnormal uterine bleeding. Submucous myomas and endometrial polyps may be easily removed with the resectoscope. If the myomas are large, pre-treatment with Gn…

Gynaecological complaints are often associated with psychiatric disorder. Women with psychiatric disorder are more likely to complain of excessive uterine bleeding than women without psychiatric disorder. When a woman complains of menorrhag…

For centuries people have been trying to look inside the abdomen but it is only relatively recently that the technology has been available to make this a meaningful possibility. Major milestones have included safe peritoneal insufflation, c…

The induction of a state of hypo-oestrogenism has been found to be effective in the treatment of endometriosis. Continued administration of agonistic analogues of luteinizing hormone-releasing hormone (LHRH) results in the normal menstruati…

The neodymium-yttrium aluminium garnet (Nd-YAG) laser is one of the most recent surgical instruments to be exploited by gynaecologists. This review discusses the manner in which this laser interacts with tissue compared to other surgical la…