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Absolutely up to date and revised, the second one version of An Atlas of Gynecologic Oncology offers a whole description of the investigative and surgeries conducted via the gynecologic oncologist. Key beneficial properties of this crucial textual content include:a functional advisor to a number operative and investigative procedurescontributions from foreign opinion leaders over 450 color illustrations
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Additional resources for An Atlas of Gynecologic Oncology, Third Edition: Investigation and Surgery
1995). Endometrial cancer is characterized by increased endometrial thickness often associated with heterogeneous reflectivity and irregular and ill-defined margins (Fig. 4). There, however, remains an overlap between endometrial cancer, polyps, and hyperplasia. 4%. In a recent analysis the diagnostic accuracy, sensitivity, specificity, positive, and negative predictive value of trans-vaginal ultrasound have been reported as 69%, 66%, 72%, 60%, and 75% (Kanat-Pektas et al. 2008) respectively. Computed Tomography CT has a major role in assessing for distant spread when it comes to staging endometrial carcinoma.
A reduced length of stay and a reduction in the postoperative infection rate have also been reported. Conversely, many of these studies have also shown that those fed early have an increased risk for nausea, vomiting, and abdominal distention. Following laparotomy, a postoperative ileus occurs routinely. Small bowel motility and absorption generally returns within a few hours of surgery followed by stomach emptying which begins after 24 hours. The colon remains inactive for approximately from 48 to 72 hours.
If the above steps are unsuccessful, suturing of a venous defect in a large vessel such as the vena cava is performed using a 5-0 monofilament suture. Proximal and distal occlusion of the vessel around the site of injury using sponge sticks will facilitate the ease of repair. Alternatively, a finger may be placed over the vascular defect and slowly moved down the length of the vessel as successive stitches are placed. For bleeding deep in the pelvis, a bilateral hypogastric artery ligation will reduce the pulse pressure in the more distal vessels and control bleeding in up to 50% of cases.