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Gynaecology by ten teachers. 20th edition ISE PDF

273 Pages·2017·13.24 MB·English
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GYNAECOLOGY 20th EDITION by Ten Teachers K26886_Book.indb 1 3/30/17 6:05 PM GYNAECOLOGY 20th EDITION by Ten Teachers Edited by Helen Bickerstaff MD, MRCOG Senior Lecturer in Medical Education King’s College London London, UK and Honorary Consultant Obstetrician and Gynaecologist Guy’s and St Thomas’ NHS Foundation Trust London, UK Louise C Kenny MBChB (Hons), MRCOG, PhD Professor of Obstetrics and Gynaecology University College Cork Cork, Ireland and Director The Irish Centre for Fetal and Neonatal Translational Research (INFANT) Cork, Ireland K26886_Book.indb 3 3/30/17 6:05 PM CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2017 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Printed on acid-free paper International Standard Book Number-13: 978-1-4987-4428-7 (Pack – Book and Ebook) International Standard Book Number-13: 978-1-4987-4461-4 (Paperback; restricted territorial availability) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufac- turer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies’ and device or material manufacturers’ printed instructions, and their websites, before administering or utilizing any of the drugs, devices or materials men- tioned in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particu- lar individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or uti- lized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photo- copying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www. copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750- 8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identi- fication and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com K26886_Book.indb 4 3/30/17 6:05 PM Dedication This book is dedicated to the first and best teachers we ever had: My Dad, Frank (HB) My Mum, Elizabeth (LCK) K26886_Book.indb 5 3/30/17 6:05 PM Contents Preface .....................................................................................................................................ix Contributors ..............................................................................................................................xi Abbreviations ...........................................................................................................................xiii eResources .............................................................................................................................xvii CHAPTER 1 The development and anatomy of the female sexual organs and pelvis ...........1 Helen Bickerstaff CHAPTER 2 Gynaecological history, examination and investigations .................................19 Helen Bickerstaff CHAPTER 3 Hormonal control of the menstrual cycle and hormonal disorders .................33 Helen Bickerstaff CHAPTER 4 Disorders of menstrual bleeding ...................................................................49 Helen Bickerstaff CHAPTER 5 Implantation and early pregnancy .................................................................59 Andrew Horne CHAPTER 6 Contraception and abortion ..........................................................................69 Sharon Cameron CHAPTER 7 Subfertility ....................................................................................................91 Stuart Lavery CHAPTER 8 The menopause and postreproductive health ..............................................105 Edward Morris CHAPTER 9 Genitourinary problems ..............................................................................121 Margaret Kingston CHAPTER 10 Urogynaecology and pelvic floor problems ..................................................135 Douglas Tincello CHAPTER 11 Benign conditions of the ovary and pelvis ...................................................155 T Justin Clark CHAPTER 12 Benign conditions of the uterus, cervix and endometrium ...........................169 T Justin Clark CHAPTER 13 Benign conditions of the vulva and vagina, psychosexual disorders and female genital mutilation ............................................................................181 Leila CG Frodsham CHAPTER 14 Malignant disease of the ovary ...................................................................193 Emma J Crosbie CHAPTER 15 Malignant disease of the uterus ..................................................................205 Emma J Crosbie K26886_Book.indb 7 3/30/17 6:05 PM viii Contents CHAPTER 16 Premalignant and malignant disease of the lower genital tract ....................213 Emma J Crosbie CHAPTER 17 Gynaecological surgery and therapeutics ....................................................229 Douglas Tincello Index ....................................................................................................................................249 K26886_Book.indb 8 3/30/17 6:05 PM Preface Gynaecology by Ten Teachers was first published in 1919 as ‘Diseases of Women’ and is one of the oldest, most respected and accessible texts on the subject. Gynaecology by Ten Teachers has informed generations of gyn- aecologists, and now has a wide international audience. There is great responsibility in revising this landmark 20th edition, to ensure its accessibility and relevance are maintained into the next century. The 20th edition has been almost entirely rewritten to reflect both changing undergraduate medical cur- ricula and changing diagnostic and management protocols in gynaecology. The ‘Ten Teachers’ are all inter- nationally renowned experts in their fields and all actively involved in the delivery of undergraduate and postgraduate teaching in the UK. This volume has been edited carefully to ensure consistency of structure, style and level of detail, in common with those of its sister text Obstetrics by Ten Teachers. The books can therefore be used together or independently as required. New self assessment sections are presented consis- tently throughout, with detailed clinical scenarios for each subject in a structure similar to those used in most medical schools. The global status of women’s and girls’ sexual and reproductive health and rights is disturbing. Millions of women have no access to contraception, undergo female genital mutilation and receive no gynaecological care. It is fitting, therefore, that the 20th edition, published almost 100 years after the first, maintains a global aspect throughout. The aim of the text now, as it was a century ago, is to prepare students for their undergraduate examina- tions, and to continue to be useful afterwards in postgraduate studies and clinical practice. It is a text that the editors used as students, which inspired us to practice and teach in the specialty, and which we still enjoy reading because it is concise yet comprehensive. We hope that in addition to supporting medical students throughout their studies, general practitioners, trainees and allied health care professionals will find it useful in their work. It has been a privilege and an honour to be the editors of this textbook as it approaches this important milestone; we echo a century of previous editors in hoping that this book will enthuse a new generation of doctors to become gynaecologists and work to improve the health and the safety of women through all repro- ductive ages. Helen Bickerstaff Louise C Kenny ix K26886_Book.indb 9 3/30/17 6:05 PM

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First published in 1919 as 'Diseases of Women', Gynaecology by Ten Teachers is well established as a concise, yet comprehensive, guide. The twentieth edition has been thoroughly updated by a new team of 'teachers', integrating clinical material with the latest scientific developments that underpin p
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