By Jacques Donnez
This can be a new version of 1 of the trendy classics of gynecological surgical procedure. offering an in depth and wonderfully illustrated consultant to laparoscopic and hysteroscopic strategies, the publication has been commonly revised and up-to-date seeing that ebook of the second one variation. There are few texts that so accurately offer in-depth info on minimally invasive gynaecologic surgical procedure. This informative and thorough paintings of reference offers either working towards surgeons and trainees with an atlas, a textbook of gynecology, and a surgical guide. The assurance is accomplished, together with wide sections on gynaecologic oncology, urogynecology, uncomplicated ideas, and instrumentation. problems are highlighted with authoritative tips on the way to stay away from and deal with them
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According to our data, we can suggest that there are probably different types of peritoneal endometriotic lesions, at different stages of development. Red flame-like lesions and glandular excrescences are probably the first stage of early implantation of endometrial glands and stroma. The significantly higher stromal vascularization and epithelial mitotic index could be responsible for the invasion of ectopic sites by glands and stroma. Thereafter, menstrual shedding from viable endometrial implants could initiate an inflammatory reaction, provoking a scarification process which encloses the implant.
Vascularization and mitotic activity, which are criteria suspected of inducing infertility, were not taken into account. This, surely, influenced the peritoneal fluid content and the peritoneal inflammatory reaction, with resulting cytokine production and macrophage induction37. The results of the later study published by the ‘Gruppo Italiano per lo Studio dell’Endometriosis’36 do not support the hypothesis that ablation of endometriotic lesions markedly improves fertility rates. Here, too, bias exists: first, the series is small (54 vs.
If smoke disturbs the viewing field, the smoke evacuation flow can be increased, taking care not to cause a collapse of the pneumoperitoneum. The equilibrium state will be reached when the insufflation system is able to provide the amount of gas that the smoke evacuation port is releasing. If a smoke evacuation kit is installed, the expulsion of gas (smoke) can be regulated using a sterile infusion drip kit. 36. 35 Second-puncture probes. 6-mm operating channel. The second-puncture laparoscope is based on two tubes.