Section 1: The Beginning with Hysteroscopy |
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1 Introduction: Hysteroscopy and Its Philosophy |
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3 | (5) |
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Knowing about Hysteroscopy |
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3 | (1) |
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Philosophy of Uterus and Hysteroscope |
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4 | (1) |
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4 | (1) |
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Knowing Indications and Contraindications |
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5 | (2) |
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What Facilities We Should Provide |
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7 | (1) |
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7 | (1) |
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2 History and Evolution of Hysteroscopy |
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8 | (17) |
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The Foundations of Endoscopy |
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8 | (1) |
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The Beginning of Endoscopy |
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9 | (1) |
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10 | (6) |
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The Era of Modern Hysteroscopy |
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16 | (2) |
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18 | (7) |
Section 2: Knowing the Uterus |
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3 Anatomy, Embryology and Hysteroscopy |
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25 | (9) |
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Anatomy of Uterus and Tubes |
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25 | (5) |
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Changes in Uterus with Age and Parity |
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30 | (1) |
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30 | (1) |
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Embryology of Uterus and Tubes |
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31 | (3) |
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4 Physiology: The Uterus, Cervix and Practical Aspect |
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34 | (10) |
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Hypothalamic-Pituitary-Ovarian Axis |
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34 | (1) |
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Cervico-Uterine Changes at Birth, Puberty and Adult |
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35 | (1) |
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Uterine Endometrial Histology |
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35 | (2) |
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37 | (1) |
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37 | (1) |
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38 | (1) |
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Color Doppler Ultrasound and Utero-Ovarian Physiology |
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39 | (1) |
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40 | (1) |
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41 | (3) |
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5 Histology and Hysteroscopic View of Normal Endometrium |
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44 | (6) |
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Cyclic Histological Changes |
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44 | (1) |
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45 | (1) |
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45 | (1) |
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Hysteroscopic Assessment of Endometrium |
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46 | (1) |
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Traditional Classification of Hysteroscopic Appearance of Normal Endometrium |
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47 | (1) |
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Atrophic (Postmenopausal) Endometrium |
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47 | (3) |
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6 Abnormal Endometrium and Hysteroscopy |
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50 | (10) |
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50 | (1) |
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50 | (2) |
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52 | (1) |
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Well-Differentiated Endometrial Carcinoma |
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53 | (1) |
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Evaluation of Endometrium |
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54 | (6) |
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7 Effects of Drugs on the Uterus |
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60 | (6) |
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Pharmacologic Principles in Hormone Action |
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60 | (1) |
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61 | (1) |
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Hormone Replacement Therapy |
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61 | (2) |
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63 | (1) |
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Gonadotropin-Releasing Hormone Analogs |
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64 | (1) |
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65 | (1) |
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8 How to Date Endometrium through Hysteroscopy without the Need of Biopsy |
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66 | (7) |
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Place of Endoscopic Techniques: Hysteroscopy |
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66 | (1) |
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Endometrium Through Hysteroscopy |
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67 | (6) |
Section 3: Imaging Technologies for Intrauterine Diagnosis |
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9 Hysterosalpingography for Intrauterine Diagnosis and Hysteroscopy |
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73 | (12) |
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Scope of Hysterosalpingography |
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73 | (1) |
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73 | (1) |
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74 | (2) |
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76 | (4) |
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Hysterosalpingography and Hysteroscopy-Diagnostic Fallacies and Comparative Studies |
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80 | (5) |
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10 Imaging Modalities for Assessment of Uterine Abnormalities |
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85 | (17) |
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Congenital Uterine Abnormalities |
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85 | (6) |
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Acquired Uterine Abnormalities |
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91 | (11) |
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11 Ultrasonography 2D, 3D and Sonohysterography in Abnormal Uterine Bleeding and Correlation with Hysteroscopy |
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102 | (4) |
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102 | (1) |
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Role of 3D Ultrasound and 3D Saline Infusion Sonohysterography |
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102 | (2) |
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104 | (2) |
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12 Beyond Ultrasound-Role of MRI in Uterine Imaging |
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106 | (17) |
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106 | (3) |
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109 | (1) |
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110 | (1) |
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110 | (2) |
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112 | (2) |
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114 | (9) |
Section 4: Hysteroscope and Its Gadgets |
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13 Instrumentation in Hysteroscopy |
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123 | (10) |
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123 | (1) |
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123 | (3) |
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126 | (1) |
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126 | (3) |
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Delivery Systems for Fluid Medium in Hysteroscopy |
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129 | (1) |
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Other Gynecological Instrumentation |
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130 | (1) |
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Choice of Instrumentation |
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130 | (1) |
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Maintenance and Sterilization of Instruments |
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131 | (2) |
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14 Optical Principles and Camera for Hysteroscope |
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133 | (6) |
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Optical Principles for the Hysteroscope |
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133 | (5) |
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138 | (1) |
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15 Distension Media and Fluid Management Machines |
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139 | (8) |
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139 | (1) |
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139 | (1) |
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Mechanisms of Systemic Absorption |
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140 | (1) |
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141 | (3) |
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144 | (3) |
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16 Basics of Electrosurgery for Intrauterine Procedures: Monopolar and Bipolar |
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147 | (10) |
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147 | (1) |
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Basic Principles of Electrosurgery |
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147 | (2) |
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149 | (1) |
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Managing Fluid Media in Electrosurgery |
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149 | (8) |
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17 Laser in Office Hysteroscopy |
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157 | (24) |
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157 | (2) |
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Hysteroscopic Findings and Technique Used |
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159 | (16) |
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175 | (6) |
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18 How to Run Hi-Tech Hysteroscopy Unit |
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181 | (16) |
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181 | (1) |
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182 | (1) |
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Patient Selection and Preparation |
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182 | (1) |
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182 | (1) |
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182 | (1) |
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183 | (3) |
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186 | (1) |
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187 | (1) |
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Advanced Bipolar Versapoint (Gynecare Ethicon) |
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188 | (1) |
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Diagnostic Hysteroscopy (The Standard Technique) |
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188 | (1) |
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189 | (1) |
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Distention Media and Delivery System |
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189 | (2) |
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191 | (1) |
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191 | (1) |
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191 | (2) |
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193 | (4) |
Section 5: Hysteroscopy-Start with Basics |
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19 Diagnostic Hysteroscopy |
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197 | (18) |
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197 | (5) |
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202 | (1) |
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Types of Diagnostic Hysteroscopy |
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203 | (1) |
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203 | (2) |
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205 | (1) |
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Pathological Findings in Diagnostic Hysteroscopy |
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206 | (4) |
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210 | (1) |
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211 | (4) |
Section 6: Office Hysteroscopy |
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20 Office Hysteroscopy: An Approach to Modern Gynecology |
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215 | (10) |
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223 | (2) |
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21 Ambulatory Hysteroscopy for All |
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225 | (14) |
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Indications for Ambulatory Hysteroscopy |
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225 | (1) |
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225 | (1) |
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226 | (4) |
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Ambulatory Hysteroscopy Room |
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230 | (1) |
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Preparation and Positioning of the Patient (Including Consent) |
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231 | (1) |
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Technique of Ambulatory Hysteroscopy |
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232 | (2) |
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Anesthesia and Ambulatory Hysteroscopy |
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234 | (1) |
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Ambulatory Operative Hysteroscopy (See and Treat Clinics) |
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235 | (1) |
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Hysteroscopically Targeted Biopsy |
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235 | (1) |
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235 | (1) |
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Removal of Foreign Bodies |
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235 | (1) |
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236 | (1) |
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236 | (1) |
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Complications in Ambulatory Hysteroscopy |
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237 | (2) |
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22 Hysteroscopy in Adolescents |
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239 | (6) |
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Developmental Changes of the Uterus and Cervix in Adolescents |
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239 | (3) |
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Procedure of Vaginoscopic Method of Hysteroscopy |
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242 | (1) |
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Technique of Diagnostic Hysteroscopy |
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243 | (2) |
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23 Office Hysteroscopy in Climacteric Women |
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245 | (6) |
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Carlos Gerardo Salazar Lopez Ortiz |
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Gonzalo de Jesus Siu Moguel |
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Jose Carlos Salazar Trujillo |
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Ana Paula Vazquez Alvarado |
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248 | (3) |
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24 Hysteroscopy in the Diagnosis and Treatment of Cervical Lesions |
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251 | (22) |
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251 | (1) |
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251 | (3) |
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254 | (1) |
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255 | (3) |
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258 | (2) |
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Ectopic Cervical Pregnancy |
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260 | (1) |
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261 | (3) |
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264 | (9) |
Section 7: Hysteroscopy and Congenital Uterovaginal Anomalies |
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25 Uterine Malformations-General Review |
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273 | (6) |
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273 | (1) |
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273 | (2) |
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275 | (1) |
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Clinical Behavior Before and After Surgery |
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276 | (1) |
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276 | (1) |
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277 | (2) |
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279 | (15) |
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279 | (1) |
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279 | (1) |
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280 | (1) |
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281 | (1) |
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Reproductive Impact of Septate Uterus |
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281 | (13) |
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294 | (9) |
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294 | (1) |
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Classification of Uterine Anomalies and the Place of T-Shaped Uterus |
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294 | (1) |
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Diagnosis of T-Shaped Uterus |
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295 | (2) |
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Management of T-Shaped Uterus-Hysteroscopic Diagnosis and Correction |
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297 | (1) |
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Diagnostic Hysteroscopy and Primary Assessment |
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298 | (1) |
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Hysteroscopic Outpatient Metroplasty to Expand Dysmorphic Uteri Technique |
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299 | (4) |
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28 Uncommon Malformations-A Rare Case of Robert's Uterus and Its Surgical Management |
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303 | (7) |
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Case Review and Our Surgical Management |
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303 | (7) |
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29 Role of Endoscopy in Vaginal Septum |
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310 | (11) |
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312 | (1) |
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312 | (1) |
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313 | (1) |
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314 | (2) |
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316 | (1) |
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316 | (5) |
Section 8: Polyps, Fibroids and Hysteroscopy |
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30 Hysteroscopy and Polyps |
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321 | (8) |
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Polyps Prevalence, Predisposing Factors |
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321 | (1) |
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321 | (1) |
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Role of Transvaginal Ultrasound in the Diagnosis of Intracavitary Polyps |
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321 | (1) |
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Hysteroscopic Diagnosis of Polyps and Its Management |
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322 | (2) |
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Endometrial Polyps and Infertility |
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324 | (1) |
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Polyps and Abnormal Uterine Bleeding |
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325 | (1) |
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Hysteroscopy in Polyps: Technical Details |
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325 | (2) |
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327 | (2) |
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31 Dealing with Submucous Myoma |
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329 | (10) |
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329 | (1) |
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329 | (1) |
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Diagnosis of Submucous Leiomyomas |
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330 | (1) |
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Preprocedural Preparation: Suppressive Medical Therapy Before Hysteroscopic Myomectomy |
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331 | (1) |
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Surgical Techniques for Removal of Submucous Myomas |
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331 | (3) |
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Laparoscopic Management of Large Submucous Myomas |
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334 | (1) |
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Fluid Overload During Hysteroscopy |
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334 | (2) |
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336 | (1) |
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337 | (2) |
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32 Hysteroscopic Myomectomy-Impact of Size of Submucous Myoma and MyoSure |
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339 | (10) |
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339 | (1) |
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340 | (1) |
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340 | (2) |
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Diagnostic/Presurgical Evaluation |
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342 | (2) |
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Indications for Hysteroscopic Myomectomy |
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344 | (1) |
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344 | (2) |
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346 | (1) |
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347 | (2) |
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33 Management of Submucous Myomas with the Intrauterine Bigatti Shaver |
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349 | (12) |
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349 | (3) |
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352 | (1) |
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352 | (6) |
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358 | (3) |
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34 Cold Loop Hysteroscopic Intracapsular Myomectomy: A Safe and Effective Myometrial Sparing Treatment |
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361 | (10) |
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361 | (1) |
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362 | (1) |
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Preoperative Assessment and Treatment |
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362 | (1) |
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363 | (1) |
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Intraoperative Complications |
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364 | (1) |
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Postsurgical Outcome and Intracavitary Adhesions Rate-The Role of Diagnostic Hysteroscopy Follow-Up |
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365 | (1) |
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366 | (1) |
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366 | (5) |
Section 9: Hysteroscopy in Abnormal Bleeding |
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35 Hysteroscopy and Dysfunctional Uterine Bleeding |
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371 | (5) |
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Palm-Coein Classification for Abnormal Uterine Bleeding |
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371 | (1) |
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371 | (1) |
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Management of Dysfunctional Uterine Bleeding |
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372 | (4) |
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36 Hysteroscopy in Adenomyosis |
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376 | (19) |
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Basic Structure and Function of Endometrium |
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377 | (1) |
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Pathogenesis-Physiopathology |
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378 | (1) |
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379 | (1) |
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379 | (1) |
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380 | (1) |
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381 | (1) |
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381 | (1) |
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382 | (3) |
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385 | (4) |
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389 | (6) |
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37 Hysteroscopy in Acute Uterine Bleeding |
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395 | (10) |
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396 | (1) |
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Medical Treatment in Acute Uterine Bleeding |
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397 | (1) |
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398 | (1) |
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398 | (7) |
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38 Transcervical Resection of the Endometrium with Hysteroscopy |
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405 | (5) |
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405 | (1) |
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405 | (1) |
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405 | (1) |
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405 | (1) |
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Preoperative Investigations |
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406 | (1) |
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406 | (1) |
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406 | (2) |
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408 | (1) |
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Postoperative Care and Follow-Up |
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409 | (1) |
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409 | (1) |
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39 Classification of Microhysteroscopic Images |
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410 | (12) |
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410 | (1) |
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Classification of Hysteroscopic Images |
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410 | (12) |
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40 Endometrial Metaplasias |
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422 | (9) |
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422 | (2) |
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424 | (7) |
Section 10: Intrauterine Adhesions |
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431 | (7) |
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Daniela Baltar da Rosa Zagury |
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431 | (1) |
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Diagnosis and Clinical Correlation |
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432 | (1) |
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433 | (1) |
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434 | (1) |
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435 | (1) |
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Postoperative Prevention of Relapse |
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436 | (2) |
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42 Innovative Alternatives in the Postoperative Management of Asherman Syndrome |
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438 | (11) |
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Preventing the Recurrence of Adhesions |
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439 | (5) |
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Restoring the Normal Endometrium |
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444 | (1) |
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444 | (5) |
Section 11: Hysteroscopy and Infertility |
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43 Hysteroscopy and Infertility |
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449 | (51) |
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Normal Endometrium and Window of Implantation |
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449 | (1) |
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450 | (9) |
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459 | (3) |
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462 | (6) |
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468 | (8) |
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476 | (1) |
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477 | (2) |
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479 | (1) |
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479 | (2) |
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Hysteroscopic Proximal Tubal Catheterization |
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481 | (1) |
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482 | (2) |
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484 | (16) |
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44 Hysteroscopy Guided Transuterine Cannulation for Treatment of Proximal Tubal Blocks Using an Innovative Technique |
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500 | (8) |
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Akanksha Gautam Allahbadia |
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500 | (8) |
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45 Hysteroscopic Embryo Transfer |
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508 | (7) |
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Technique for Hysteroscopic Subendometrial Embryo Delivery (Kamrava M) |
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509 | (1) |
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Technique of Hysteroscopic Embryo Delivery (Kamrava M) |
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509 | (1) |
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Advantages of Hysteroscopic Embryo Transfer |
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510 | (1) |
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510 | (5) |
Section 12: Intrauterine Foreign Bodies and Hysteroscopy |
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46 Intrauterine Foreign Bodies Other than Cu-T and Hysteroscopy |
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515 | (7) |
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515 | (1) |
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Chinese Intrauterine Devices or Stainless Steel Ring Intrauterine Device |
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516 | (1) |
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Pregnancy with Intrauterine Devices |
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517 | (1) |
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518 | (1) |
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519 | (1) |
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520 | (1) |
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520 | (2) |
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47 Hysteroscopic Retrieval of Lost Intrauterine Devices |
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522 | (9) |
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Levels of Lost Intrauterine Contraceptive Device |
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522 | (1) |
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Methods of Retrieval of Lost Cu-T Device |
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523 | (1) |
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523 | (3) |
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526 | (5) |
Section 13: Hysteroscopy in Obstetrics and Gynecology in Different Situations |
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48 Hysteroscopic Management of Cervical Ectopic Pregnancy |
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531 | (7) |
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531 | (1) |
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531 | (1) |
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Diagnosis of Cervical Ectopic Pregnancy |
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531 | (1) |
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531 | (1) |
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532 | (1) |
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533 | (1) |
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The Potential of Hysteroscopic Management |
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534 | (2) |
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Fertility After Cervical Ectopic Pregnancy |
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536 | (2) |
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49 Diagnostic and Operative Hysteroscopy for Pelvic Pain |
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538 | (9) |
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Hysteroscopic Management of Common Conditions Implicated in Pelvic Pain |
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538 | (6) |
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Vaginoscopy for Conditions Implicated in Pelvic Pain |
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544 | (3) |
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50 Hysteroscopic Guidance in Obstetric Procedures |
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547 | (11) |
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First Trimester Missed Abortion and Embryoscopy |
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547 | (2) |
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Retained Products of Conception |
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549 | (2) |
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Cesarean Section Scar or lsthmocele |
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551 | (1) |
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Cesarean Section Scar Ectopic Pregnancy |
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552 | (1) |
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Other Uses of Hysteroscopy in Obstetrics |
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553 | (5) |
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51 Uterine Scar after Cesarean Section: A Multimodal Evaluation and Treatment |
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558 | (14) |
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558 | (5) |
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An Appraisal on Various Modalities to Evaluate the Postcesarean Scar |
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563 | (3) |
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566 | (6) |
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52 Hysteroscopic Correction of Isthmocele |
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572 | (9) |
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Reason to Treat lsthmocele |
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572 | (1) |
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573 | (1) |
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Repair of Isthmocele: Isthmoplasty |
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574 | (2) |
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Hysteroscopic Complications |
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576 | (5) |
Section 14: Hysteroscopy and Tubal Sterilization |
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53 Scope of Hysteroscopy in Family Planning |
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581 | (6) |
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Jose Eduardo Arjona Berral |
|
|
Advantages of Female Hysteroscopic Sterilization |
|
|
581 | (1) |
|
Historical Use of Hysteroscopy in Family Planning |
|
|
582 | (2) |
|
Confirmation of Obstruction After Occlusion Tubal Hysteroscopic |
|
|
584 | (3) |
|
54 Hysteroscopic Methods of Sterilization Nowadays: Essure Device |
|
|
587 | (16) |
|
|
Jose Eduardo Arjona Berral |
|
|
Device and Mechanism of Action |
|
|
587 | (1) |
|
|
587 | (1) |
|
Preparation of the Patient Prior to Procedure |
|
|
587 | (1) |
|
|
588 | (1) |
|
Tips for Placement of the Essure Device |
|
|
589 | (4) |
|
Confirmation Test after Placement |
|
|
593 | (1) |
|
Complications During the Procedure |
|
|
593 | (3) |
|
Complications after the Procedure |
|
|
596 | (1) |
|
Our Experience with Essure Device |
|
|
597 | (1) |
|
|
597 | (1) |
|
|
598 | (1) |
|
Female Hysteroscopic Sterilization in the Future |
|
|
598 | (5) |
Section 15: Endometrial TB and Hysteroscopy |
|
|
55 Hysteroscopic Markers in Endometrial Tuberculosis and Chronic Endometritis |
|
|
603 | (5) |
|
|
|
Hysteroscopic Markers in Endometrial Tuberculosis |
|
|
603 | (2) |
|
Hysteroscopic Markers for Chronic Endometritis |
|
|
605 | (3) |
|
56 Role of Hysteroscopy in Endometrial Infections |
|
|
608 | (7) |
|
|
|
|
608 | (1) |
|
|
608 | (2) |
|
Diagnosis of Organisms Not Transmitted Through Sexual Route |
|
|
610 | (1) |
|
Diagnosis of Tuberculosis in Endometrial Infections |
|
|
610 | (5) |
Section 16: Hysteroscopy as a Complimentary |
|
|
57 Hysteroscopy as a Complimentary to Laparoscopy |
|
|
615 | (34) |
|
|
|
|
617 | (2) |
|
|
619 | (19) |
|
Hysteroscopic Training Models |
|
|
638 | (11) |
|
58 Hysteroscopy as a Complimentary with Falloposcopy |
|
|
649 | (3) |
|
|
Instrumentation and Technique |
|
|
649 | (1) |
|
|
649 | (1) |
|
|
650 | (1) |
|
Findings and Interventions |
|
|
650 | (1) |
|
|
651 | (1) |
|
|
651 | (1) |
|
59 Hysteroscopic Embryoscopy |
|
|
652 | (11) |
|
|
|
|
Development of the Technique |
|
|
652 | (1) |
|
|
653 | (1) |
|
|
653 | (5) |
|
Indications for Transcervical Embryoscopy |
|
|
658 | (5) |
Section 17: All about Difficulties in Hysteroscopy |
|
|
60 Complications of Hysteroscopy |
|
|
663 | (3) |
|
|
|
Classification of Hysteroscopic Complications |
|
|
663 | (1) |
|
|
663 | (1) |
|
|
664 | (1) |
|
|
664 | (1) |
|
Media-Related Complication |
|
|
664 | (1) |
|
Late/Delayed Complication |
|
|
665 | (1) |
|
61 Difficulties in Negotiating Hysteroscope to Reach Uterine Cavity |
|
|
666 | (7) |
|
|
External Cervical Orifice |
|
|
666 | (1) |
|
|
666 | (1) |
|
Internal Cervical Orifice |
|
|
666 | (1) |
|
External Cervical Orifice |
|
|
666 | (1) |
|
|
667 | (1) |
|
Internal Cervical Orifice |
|
|
668 | (5) |
Section 18: Anesthesia in Hysteroscopy |
|
|
62 Nerve Supply to the Uterus and Methods of Anesthesia |
|
|
673 | (4) |
|
|
|
|
Nerve Supply to the Uterus |
|
|
673 | (1) |
|
|
673 | (4) |
|
63 Precautions for Hysteroscopy from Anesthesiologist's Point of View and Management of Crisis |
|
|
677 | (7) |
|
|
|
|
677 | (2) |
|
Complications of Operative Hysteroscopy |
|
|
679 | (5) |
|
64 Pain Management for In-Office Hysteroscopy |
|
|
684 | (13) |
|
|
|
Anatomy and Pain Physiology |
|
|
684 | (1) |
|
|
685 | (2) |
|
|
687 | (10) |
Section 19: Hysteroscope-An Expanding Scope |
|
|
65 What is New in Hysteroscopy? |
|
|
697 | (16) |
|
|
|
|
698 | (3) |
|
New Energies in Hysteroscopy |
|
|
701 | (1) |
|
Hysteroscopic Mechanical Morcellation |
|
|
702 | (1) |
|
Hysteroscopic Tubal Sterilization |
|
|
703 | (2) |
|
Endometrial Ablation "Without" Hysteroscopy |
|
|
705 | (8) |
Section 20: Hysteroscopy, You and Other Aspects |
|
|
66 Maintenance and Sterilization of Hysteroscopic Instruments |
|
|
713 | (5) |
|
|
|
Maintenance of Hysteroscopic Instruments |
|
|
713 | (3) |
|
Maintenance after Surgery |
|
|
716 | (2) |
|
67 Controversies and Misleading Facts in Hysteroscopy |
|
|
718 | (8) |
|
|
|
|
Indications of Hysteroscopy |
|
|
718 | (1) |
|
Where and Why Controversy? |
|
|
719 | (2) |
|
Dysfunctional Uterine Bleeding |
|
|
721 | (1) |
|
Role of Hysteroscopy and Its Controversies in Endometrial Carcinoma |
|
|
721 | (1) |
|
Does Hysteroscopy Disseminate Endometrial Cancer Cells? |
|
|
722 | (1) |
|
Are Disseminated Cancer Cells Viable? |
|
|
722 | (1) |
|
|
723 | (1) |
|
Few Studies on Ablation Techniques |
|
|
723 | (1) |
|
Studies on Endometrial Carcinoma and Hysteroscopy |
|
|
723 | (1) |
|
|
723 | (1) |
|
Misleading Facts in Hysteroscopy |
|
|
724 | (1) |
|
Pitfalls in Uterine Cavity Assessment |
|
|
724 | (1) |
|
Pitfalls in Lesions in Endometrial Cavity |
|
|
725 | (1) |
|
Pitfalls in Congenital Malformation of Uterus |
|
|
725 | (1) |
|
68 Medicolegal Aspects of Hysteroscopy |
|
|
726 | (7) |
|
|
|
726 | (1) |
|
|
726 | (1) |
|
|
726 | (1) |
|
|
727 | (1) |
|
Possibility of Litigation |
|
|
727 | (6) |
Section 21: Tips and Tricks |
|
|
69 Technical Tricks in Dealing with Hysteroscope |
|
|
733 | (5) |
|
|
|
733 | (1) |
|
Miniaturized Rigid and Flexible Hysteroscopes |
|
|
733 | (1) |
|
Oval Profile Rigid Hysteroscopes |
|
|
733 | (1) |
|
Saline Solution as a Distension Medium |
|
|
733 | (1) |
|
|
734 | (1) |
|
Tricks for Overpassing Cervical Stenosis |
|
|
734 | (1) |
|
|
734 | (1) |
|
|
735 | (1) |
|
Guidelines to Reduce Complications While using Electrosurgery |
|
|
735 | (1) |
|
Tips to Reduce Complications While Septum Resection |
|
|
736 | (2) |
|
70 Tips and Tricks to Revolutionize the Hidden Art of Intrauterine Surgery |
|
|
738 | (7) |
|
|
Set-up and General Considerations |
|
|
738 | (1) |
|
|
739 | (4) |
|
|
743 | (2) |
Index |
|
745 | |