Xem 1-17 trên 17 kết quả Gynecologic surgical
  • It is more enjoyable to read about complications than to manage them. Surgical complications are challenging for several reasons. It is difficult to watch patients and their families suffer. Although some complications are minor setbacks that resolve over time, some lead to longstanding disability. As surgeons, we sometimes doubt ourselves in the wake of a complication and lose confidence in our abilities. In some cases, surgeons avoid surgery or practice heightened defensive surgery, rendering them surgically dysfunctional.

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  • Malignant germ cell tumors are usually large (median—16 cm). Bilateral disease is rare except in dysgerminoma (10–15% bilaterality). Abdominal or pelvic pain in young women is the usual presenting symptom. Serum human chorionic gonadotropin (β-hCG) and α fetoprotein levels are useful in the diagnosis and management of these patients. Before the advent of chemotherapy, extensive surgery was routine, but it has now been replaced by careful evaluation of extent of spread, followed by resection of bulky disease and preservation of one ovary, the uterus, and the cervix, if feasible.

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  • A specialist in obstetrics/gynecology is a physician with special education and expertise in the field of women’s' health and reproduction. He/she has the appropriate medical, surgical and obstetrical knowledge and skills for the prevention, diagnosis and management of a broad range of conditions affecting women's reproductive and gynecological health. As well as providing clinical care and education in normal and complicated obstetrics and gynecology, he/she may contribute significantly to research.

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  • The pelvic examination begins with a visual inspection of the external geni- talia using the assistance of a good light source. Although skin cancer is rare in this region, it is often diagnosed late. Vulvar cancer can be hyperpig- mented, erythematous, or hypopigmented, and any such lesions require care- ful evaluation and often biopsy (see Chapter 17). Lichen sclerosus is a relatively common condition in which the vulvar skin may appear like parch- ment. It is more common in postmenopausal women, but occurs in all ages, and can be associated with cancer. ...

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  • “Women’s health” is a concept that conjures up many meanings and agendas in different regions of the world among many different strata of women. Yet these differences do not discourage women from espousing and supporting women’s health; nor is there much of an interest on the part of women advocates for reducing the number of concerns. Generally speaking women’s health is conceptually pragmatic -- that is, women’s health is generally thought to include all conditions, diseases, care and research that affects women either disproportionately or differently from men. ...

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  • Trachoma is first and foremost a disease of morbidity, reflecting suffering and disability, in contrast with mortality, which reflects the rate of death. The burden of disease is an effective framework for discussing trachoma since it takes into account the effects of morbidity and mortality on the ability to fulfill societal roles. The burden of disease looks beyond the prevalence of a disease; that is, it attempts to measure the impact of disease based on its distribution by sex and age....

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  • Surgical education is changing. Mandates that foster this change include increasing demands from the public for perfection without practice, decreasing trainee work hours, increasing minimally invasive therapies, and fewer surgical educators. In addition, rising health care costs have caused many experienced surgeons to focus on patient care rather than the mentoring of surgical trainees. A paradigm shift in surgical education is being forced by all these issues.

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  • Cardiac arrest is cessation of heart action. Ventricular standstill (asystole) and ventricular fibrillation are the immediate causes, but the underlying etiologies are most frequently acute myocardial hypoxia or alteration in conduction or both. In obstetrics and gynecology, cardiac arrest occurs during induction of anesthesia and during operative surgery or instrumented delivery. Cardiovascular disease increases the risk of cardiac arrest, and hypoxia and hypertension are contributory causes.

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  • The poor nutritional status of women in developing countries has been associated with maternal mortality. Maternal deaths do not result from malnutrition alone, however, but mainly from a lack of access to obstetric care and from previous conditions that may be aggravated by poor nutrition.

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  • With international funding, Dr. Mocumbi has already seen national lead- ership in pockets of Africa come together to refine strategies to improve health, and with local ingenuity, he avers, much more is possible. For example, an effort to train non–physicians to deliver care has the potential, Dr. Mocumbi believes, to help plug a gaping and deleterious hole in human resources capacity.

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  • Every medical or surgical specialty has emergencies that are somewhat specific to that specialty. This is also true in obstetrics and gynecology. However, several characteristics set the specialty of Ob/Gyn apart from all others. Not only can nearly all of the emergencies seen in other specialties be seen in the field of Ob/Gyn, but pregnancy also brings a new and unique dimension to emergency situations in our specialty.

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  • Why write another reference text on internal medicine? Simply, we wanted to provide the reader with a quick reference to find the essentials of canine internal medicine. These are the same topics and facts that are discussed during rounds and that appear on examinations, including board examinations. This book, which we hope is a useful learning tool for students, will also be a vital reference for the practicing clinician. The book contains a great deal of clinical information that can be applied on a daily basis. It is not meant to replace the detail provided in reference textbooks.

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  • Tham khảo sách 'fear: a medical dictionary, bibliography, and annotated research guide to internet references', y tế - sức khoẻ, y học thường thức phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả

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  • (BQ) Part 2 book "Principles of ambulatory medicine" presents the following contents: Cardiovascular problems, musculoskeletal problems, metabolic and endocrinologic problems, neurologic problems, selected general surgical problems, gynecology and women’s health, selected problems of the eyes, common disorders of the skin,...

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  • By the turn of the nineteenth century medicine had become so complicated that there started to emerge physicians who were medical doctors and those who were surgical doctors. Further divisions rapidly ensued. In the twentieth century, and particularly by the completion of the two great World Wars, medical physicians had expanded to include general practitioners, pediatricians, internists, psychiatrists, neurologists, cardiologists, respirologist, rheumatologists, endocrinologists, nephrologists, gerontologists, gastroenterologists, etc, etc.

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  • An obstetrician/gynecologist possesses specialized knowledge, skills, and professional capability in the medical and surgical care of the female reproductive system and associated disorders. To become certified by ABOG requires four years of training, plus two years in clinical practice and passage of both written and oral examinations before certification is complete. Specialists in reproductive medicine usually undergo training in obstetrics and gynecology, followed by training in reproductive endocrinology and infertility, or in urology followed by training in andrology.

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  • Acute Pelvic Pain: Treatment Treatment of acute pelvic pain depends on the suspected etiology but may require surgical or gynecologic intervention. Conservative management is an important consideration for ovarian cysts, if torsion is not suspected, to avoid unnecessary pelvic surgery and the subsequent risk of infertility due to adhesions. The majority of unruptured ectopic pregnancies are now treated with methotrexate, which is effective in 84–96% of cases. However, surgical treatment may be required.

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