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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5807_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Contents
- •Contributors
- •Foreword
- •Preface
- •Acknowledgments
- •Introduction
- •Technology
- •Uterus
- •Fallopian tubes
- •Lower genital tract
- •Pituitary
- •Peritoneum
- •Summary
- •References
- •Introduction
- •Ultrasound physics
- •Basic principles of sound
- •Ovaries
- •From sound to image
- •Producing a sound wave
- •Receiving the echoes
- •Forming the image
- •Modes of ultrasonography
- •Modes of Doppler waves
- •Safety issues
- •References
- •Suggested reading
- •Introduction
- •Hysterosalpingography
- •Uterine cavity and abnormalities
- •Uterine anomalies
- •Intrauterine adhesions or synechiae
- •Hysterosalpingography in patients with irregular uterine bleeding
- •Salpingography
- •Pathology of the isthmic portion of the fallopian tube
- •Pathology of distal part of fallopian tube
- •Fallopian tube recanalization: an underutilized procedure for treatment of primary infertility
- •References
- •Introduction
- •Technique [10]
- •Imaging
- •Operative fertiloscopy
- •Strategy for fertiloscopy
- •Complications
- •Case studies [18]
- •Procedures
- •Findings of diagnostic fertiloscopy
- •Conclusion
- •References
- •Introduction
- •Procedural method
- •Indications
- •Contradictions
- •Timing
- •Technique
- •Optimizing performance
- •Complications
- •Diagnostic accuracy
- •Submucous myoma
- •Endometrial polyp
- •Blood clot
- •Endometrial malignancy
- •Intrauterine synechia
- •Congenital uterine anomaly
- •Additional studies
- •3D SIS
- •Operative SIS
- •Sonovaginography
- •Key points in clinical practice
- •References
- •The history of hysteroscopy: light, optics, distension
- •Distension media
- •Low-viscosity electrolyte-free solutions
- •Preparing the cervix
- •Anesthesia/analgesia
- •Conscious sedation
- •Local anesthetic injection
- •Topical anesthesia
- •Transcervical anesthesia
- •No anesthesia
- •Vaginoscopic approach
- •Performing the procedure: instruments and techniques
- •Instrument care
- •Applications
- •Should hysteroscopy be a part of the basic infertility workup?
- •Recurrent IVF treatment failure
- •Complications
- •References
- •The endometrium in infertile women
- •Endometrial studies in women undergoing ART
- •The principle of autonomy
- •Women’s autonomy
- •The unborn child’s autonomy
- •Key points in clinical practice
- •Conclusion
- •References
- •Introduction
- •Estimating the ovarian reserve with 3D US
- •Evaluating uterine pathology and müllerian anomalies using 3D US
- •Diagnosing benign uterine pathologies: endometrial polyps and leiomyomas
- •Analyzing the endometrium
- •Early pregnancy
- •References
- •Introduction
- •Diagnostic criteria for PCOS
- •NIH criteria
- •Rotterdam criteria
- •Ultrasound assessment of polycystic ovary
- •Ultrasound techniques
- •Transabdominal ultrasound
- •Transvaginal ultrasound
- •Three-dimensional ultrasound
- •Timing of the ultrasound examination
- •Ultrasound criteria for diagnosis of PCOS
- •Antral follicle count
- •Total ovarian volume
- •Stromal area and ovarian area
- •Stromal echogenicity
- •Vascularity
- •Key points in clinical practice
- •References
- •Introduction
- •Historical perspective
- •Ultrasound evaluation of the endometrium in women with PCOS
- •Three-dimensional ultrasound: use in women with PCOS
- •Follicular monitoring during COH using transvaginal ultrasound
- •Conclusions
- •Key points in clinical practice
- •References
- •Introduction
- •Diagnosis
- •Ultrasound instrumentation and technique
- •Adenomyosis
- •Endometrial polyps
- •Ovarian mass
- •Leiomyosarcoma
- •Disseminated peritoneal leiomyomatosis
- •Other pelvic masses
- •Ultrasound reporting
- •Other diagnostic options
- •3D scanning
- •Saline infusion sonohysterography
- •Hystero-contrast sonography (HyCoSy)
- •Use of color/power Doppler
- •Magnetic resonance imaging
- •Prognosis
- •Gynecological, obstetric, and postpartum complications
- •Fertility
- •Implantation
- •Miscarriage
- •IVF outcome
- •Treatment
- •Medical treatment
- •Gonadotropin-releasing hormone analogue therapy
- •Surgical treatment
- •Hysteroscopic myomectomy
- •Laparoscopic myomectomy
- •Abdominal myomectomy
- •Radiologic treatment
- •Uterine artery embolization
- •Myolysis
- •Key points in clinical practice
- •References
- •Introduction
- •Endometrial evaluation
- •Endometrial pattern
- •Endometrial thickness
- •Endometrial waves
- •Endometrial changes during spontaneous cycles
- •Endometrial changes during ovulation induction
- •Critical ultrasound values for ovulation induction
- •Endometrial pattern
- •Endometrial thickness
- •Critical ultrasound values for IVF cycles
- •Endometrial pattern
- •Endometrial thickness
- •Preclinical miscarriage (biochemical pregnancy)
- •Clinical management
- •References
- •Introduction
- •Morphology of the uterine cervix [3]
- •Route of ultrasound evaluation of the cervix
- •Transperineal route
- •Technique of transvaginal ultrasound
- •Nabothian cysts
- •Cervical polyps
- •Müllerian anomalies
- •Ultrasound examination of the cervix in pregnancy
- •Cervical assessment at midtrimester
- •Cervical funneling
- •Timing of ultrasound examination of the cervix during pregnancy: when to perform the cervical ultrasound assessment?
- •Placenta previa
- •Vasa previa
- •Cervical pregnancy
- •Key points in clinical practice
- •References
- •Vascular supply of the ovaries
- •Transvaginal ovarian color Doppler imaging
- •Role of transvaginal pulsed color Doppler in assisted conception
- •Key points in clinical practice
- •Conclusion
- •References
- •Introduction
- •Clinical symptoms
- •Types
- •Diagnosis of endometriosis
- •Ultrasonographic characteristics of ovarian endometrioma
- •Endometriosis in atypical locations
- •Adenomyosis
- •Endometriosis and infertility
- •Key points in clinical practice
- •References
- •Introduction
- •Diagnosis of adenomyosis
- •Clinical features
- •Pathology
- •Typical sonographic features of adenomyosis
- •Fibroids
- •Adenomyosis
- •Sonohysterography in adenomyosis
- •The diagnosis of adenomyosis
- •The modality of choice
- •Accuracy of diagnosis
- •Prevalence of adenomyosis
- •Adenomyosis and infertility
- •Treatment of adenomyosis
- •Medical treatment
- •Surgical treatment
- •References
- •Embryological development of the uterus
- •Incidence of müllerian uterine anomalies
- •Hysterosalpingography (HSG)
- •Two-dimensional ultrasonography
- •Three-dimensional ultrasonography
- •Sonohysterography
- •Magnetic resonance imaging
- •Conclusion
- •References
- •Introduction
- •Embryology of uterine septum
- •Prevalence of uterine septum
- •Types
- •Structure
- •Diagnosis of uterine septum and the role of ultrasonography
- •Imaging
- •Hysterosalpingography (HSG)
- •Ultrasonography (US)
- •Sonohysterography (SHG)
- •Three-dimensional ultrasonography (3D US)
- •Doppler ultrasonography
- •Magnetic resonance imaging (MRI)
- •Surgery
- •Reproductive problems associated with uterine septum
- •Management of uterine septum and the role of ultrasonography
- •Which septum needs resection?
- •Preoperative preparation
- •Operative technique
- •Postoperative care
- •Role of ultrasonography in the management of uterine septum
- •Preoperative ultrasonography
- •Intraoperative ultrasonography
- •Postoperative ultrasonography
- •Summary and future research
- •Key points in clinical practice
- •References
- •Introduction
- •Imaging artifacts
- •Physiological artifacts
- •Bowel masses
- •Adnexal masses
- •Diagnostic approach to masses
- •Functional cysts
- •Endometriomas
- •US appearance
- •Diagnostic approach
- •US appearance
- •Diagnostic features
- •Sex cord tumors
- •US appearance and diagnostic features
- •Cystadenomas and borderline ovarian tumors
- •US appearance
- •Diagnostic approach
- •Hydrosalpinx or pyosalpinx
- •US appearance
- •Diagnostic approach
- •Fimbrial and paraovarian cysts
- •US appearance
- •Diagnostic features
- •Pedunculated subserosal and broad ligament leiomyomas
- •US appearance
- •Diagnostic approach
- •Peritoneal cysts
- •Concluding remarks
- •Acknowledgments
- •References
- •Introduction
- •Scrotal contents
- •Ultrasonographic appearance of the normal scrotal contents
- •Ultrasound technique
- •Testicular abnormalities
- •Testicular size
- •Testicular texture
- •Intratesticular cysts
- •Dilatation of the rete testis
- •Testicular microlithiasis
- •Hydrocele
- •Cryptorchidism
- •Abnormalities of the epididymis
- •Epididymal cysts
- •Spermatocele
- •The epididymis in obstructive azoospermia
- •Varicocele
- •Therapeutic application
- •References
- •Male infertility: prevalence, clinical presentation, and diagnostic steps
- •Candidates for TRUS imaging
- •Essentials of TRUS imaging
- •Embryological and anatomic considerations related to TRUS imaging
- •TRUS as a diagnostic tool
- •Diagnostic criteria for distal ejaculatory duct obstruction
- •Therapeutic applications of TRUS
- •Key points in clinical practice
- •References
- •Introduction
- •Pelvic pain in pregnant or nonpregnant patients
- •Ovarian cysts
- •Endometriosis
- •Ovarian hyperstimulation
- •Ovarian torsion
- •Leiomyomas
- •Obstructed duplicated system
- •Gastrointestinal causes of acute pelvic pain
- •Urinary tract
- •Pelvic pain in pregnancy
- •Normal pregnancy
- •Subchorionic hemorrhage
- •Spontaneous abortion
- •Molar pregnancy
- •Hemoperitoneum
- •Ectopic pregnancy
- •Sonographic diagnosis of ectopic pregnancy
- •Use of color Doppler in diagnosis of ectopic pregnancy
- •Interstitial pregnancy
- •Cervical ectopic pregnancy
- •Scar pregnancy
- •Ovarian and abdominal ectopic pregnancy
- •Pelvic pain after treatment with methotrexate
- •Key points in clinical practice
- •References
- •Introduction
- •Endometriosis
- •Adenomyosis
- •Infection
- •Pelvic congestion syndrome
- •Conclusion
- •References
- •Introduction
- •Transvaginal and transabdominal approaches
- •Initial investigations of the subfertile woman
- •Ultrasound of the uterus
- •Leiomyoma
- •Endometrial polyps
- •Assessment of endometrial and uterine contour
- •Ultrasound of the fallopian tubes
- •Hydrosalpinx
- •Ultrasound for tubal patency
- •Ultrasonography of the ovaries
- •Ultrasound and polycystic ovary
- •Functional ovarian cysts
- •Endometrioma
- •Dermoid cysts
- •Assessment of ovarian reserve
- •Monitoring ovarian response to gonadotropin stimulation
- •Ultrasound assessment of the endometrium
- •Oocyte retrieval
- •Ultrasound-guided embryo transfer
- •Complications of IVF
- •Ovarian hyperstimulation syndrome
- •Early pregnancy complications and multiple pregnancies
- •References
- •Background
- •Diagnosis of tubal disease
- •2D Transvaginal ultrasonography
- •3D Transvaginal ultrasonography
- •Comparison of diagnostic methods
- •Management of hydrosalpinx
- •Salpingectomy
- •Tubal ligation
- •Transvaginal aspiration
- •Hydrosalpinx and spontaneous conception
- •Follow-up of pregnancies
- •Key points in clinical practice
- •References
- •Introduction
- •Antral follicle count
- •Ovarian volume
- •Mean ovarian diameter/size
- •Using 3D ultrasonography
- •References
- •Introduction
- •Ultrasonography
- •Needles
- •Needle connections and aspiration pressure
- •General or local anesthesia
- •Complications
- •Bleeding
- •Infection
- •Concluding remarks
- •References
- •Summary
- •Rationale
- •Introduction
- •Clinical discussion
- •Recent advances
- •Two-dimensional vs. three-dimensional ultrasound guidance
- •Maximal implantation potential
- •Conclusion
- •References
- •Introduction
- •Uterine contraction
- •Proper delivery of embryos inside the uterine cavity
- •Optimizing embryo transfer procedure
- •Embryo transfer under ultrasound guidance
- •Key points in clinical practice
- •References
- •Introduction
- •First-trimester sonography in normal and failed early pregnancy
- •Gestational sac
- •Yolk sac
- •Embryo
- •Subchorionic bleeding
- •Retained products of conception
- •Using discriminatory values with caution
- •Key points in clinical practice
- •References
- •Tubal ectopic pregnancy
- •Clinical presentation of ectopic tubal pregnancy
- •Ultrasonographic appearance of tubal ectopic pregnancy
- •Ultrasonography of the uterus in ectopic pregnancy
- •Pseudogestational sac
- •Doppler ultrasonography in the diagnosis of adnexal masses and ectopic pregnancy
- •Endometrial Doppler in the diagnosis of ectopic pregnancy
- •Ultrasonography and human chorionic gonadotropin levels in the diagnosis and management of ectopic pregnancy
- •Human chorionic gonadotropin discriminatory zone
- •Management of ectopic pregnancy
- •Interstitial (cornual) ectopic pregnancy
- •Ultrasonography of interstitial pregnancy
- •Management of interstitial pregnancy
- •Cervical ectopic pregnancy
- •Ovarian pregnancy
- •Incidence of ovarian pregnancy
- •Mechanism of ovarian pregnancy
- •Clinical picture of ovarian pregnancy
- •Management of ovarian pregnancy
- •Abdominal pregnancy
- •Maternal mortality in abdominal pregnancy
- •Ultrasonography of abdominal pregnancy
- •Lithopedion
- •Heterotopic pregnancy
- •Key points in clinical practice
- •References
- •Introduction
- •Incidence
- •Etiology
- •Diagnosis
- •Management
- •Ultrasound-guided management
- •Expectant management
- •Surgical management
- •References
- •Etiology
- •Clinical presentation
- •Clinical diagnosis
- •Ultrasonographic features
- •Management
- •Systemic chemotherapy
- •Intra-amniotic methotrexate injection
- •Intra-amniotic potassium chloride
- •Uterine artery embolization
- •Other techniques to reduce blood loss
- •Foley catheter tamponade
- •Cervical cerclage
- •Hysterectomy
- •Fertility and pregnancy outcome after cervical pregnancy
- •References
- •Introduction
- •Risks associated with pregnancies following ART techniques
- •Multiple pregnancies
- •Congenital malformations following IVF
- •Reasons for concern after ICSI procedures
- •Comparison of risks following IVF and ICSI
- •Chromosomal abnormalities
- •Reported anomalies following ART procedures
- •Intrauterine insemination (IUI) pregnancies
- •Anomalies after testicular sperm extraction (TESE)
- •Congenital malformations in infertile patients conceiving naturally
- •Conclusion
- •References
- •Introduction
- •Diagnosis
- •Complications
- •Aneuploidy screening
- •Invasive procedures
- •Multifetal reduction
- •Pregnancy surveillance
- •Growth evaluation
- •Doppler velocimetry
- •Cervical length evaluation
- •Antenatal testing
- •Intrapartum assessment
- •References
- •Ovarian hyperstimulation syndrome
- •Pathophysiology of OHSS
- •Factors predicting ovarian hyperstimulation syndrome
- •Ultrasonography in prediction of OHSS
- •Baseline necklace sign appearance
- •Baseline ovarian volume and the prediction of OHSS
- •Number and size of follicles during ovarian stimulation
- •Low intravascular ovarian resistance
- •Prevention of OHSS
- •Treatment of OHSS
- •Key points in clinical practice
- •References
- •Index


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Ultrasonography in Reproductive Medicine
and Infertility


Ultrasonography in
Reproductive Medicine
and Infertility
Edited by
Botros R. M. B. Rizk
Professor and Head, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, and Medical and
Scientific Director of USA IVF Program, University of South Alabama, Mobile, Alabama, USA

CAMBRIDGE UNIVERSITY PRESS
y)
Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore,
São Paulo, Delhi, Dubai, Tokyo
Cambridge University Press
The Edinburgh Building, Cambridge CB2 8RU, UK
Published in the United States of America by Cambridge University Press, New York
www.cambridge.org
Information on this title: www.cambridge.org/9780521509763
© Cambridge University Press 2010
This publication is in copyright. Subject to statutory exception and to the
provision of relevant collective licensing agreements, no reproduction of any part
may take place without the written permission of Cambridge University Press.
First published in print format
ISBN-13 978-0-511-77609-0
ISBN-13 978-0-521-50976-3
2010
eBook (NetLibrar
Hardback
Cambridge University Press has no responsibility for the persistence or accuracy
of urls for external or third-party internet websites referred to in this publication,
and does not guarantee that any content on such websites is, or will remain,
accurate or appropriate.

This book is dedicated to my verydear wife and life partner Mary for her love,
support and sacrifice and to my children Christopher, Christine, David, and
Danielle who inspire me every morning.


Contents
List of contributors page ix
Foreword xiii
Ronald Franks
Preface xv
Botros Rizk
Acknowledgments xvi
Section 1: Imaging techniques
1 The future of imaging and assisted reproduction 1
Alan H. DeCherney and Micah J. Hill
2 Ultrasonography: physics and principles 11
Osama M. Azmy and Kareem El-Nahhas
3 Hysterosalpingography 22
Shawky Z.A. Badawy, Stuart J. Singer and Amr Etman
4 Fertiloscopy 34
Antoine Watrelot
5 Sonohysterography 42
William W. Brown, III
6 Diagnostic hysteroscopy 54
Tony Bazi and Tony G. Zreik
7 Ethics of ultrasonog raphy 64
Osama M. Azmy and Kareem El-Nahhas
Section 2: Ultrasonography in infertility
8 3D Ultrasonography and infertility 67
Jose M. Puente and Juan A. Garcia-Velasco
9 Ultrasonography and diagnosis of polycystic ovary
syndrome 75
Manubai Nagamani and Rebecca Chilvers
13 Ultrasonography of the cervix 103
Mona Aboulghar and Botros Rizk
14 Color Doppler imaging of ovulation induction 113
Osama M. Azmy and Alaa El-Ebrashy
15 Ultrasonography of pelvic endometriosis 119
Juan A. Garcia-Velasco, Maria Cerrillo and Lia Ornat
16 Adenomyosis 126
Edward A. Lyons
17 Congenital uterine malformations 134
Mona Aboulghar
18 Uterine septum 141
Mohamed F. M. Mitwally and Mostafa Abuzei d
19 Ultrasonography and incidental ovarian
pathology 155
Dimitrios Siassakos, Valentine Akande and Luciano
G. Nardo
20 Scrotal ultrasonography in male infertility 163
Nabil Aziz and Iwan Lewis-Jones
21 Transrectal ultrasonography in male infertility 171
Levent Gurkan, Andrew C. Harbin and Wayne J. G.
Hellstrom
22 Ultrasonographic evaluation of acute pelvic pain 176
Aimee Eyvazzadeh and Deborah Levine
10 Ultrasonography and the treatment of infertility in
polycystic ovary syndrome 81
Carolyn J. Alexander
11 Ultrasonography of uterine fibroids 87
Angela Clough and Yakoub Khalaf
12 Ultrasonography of the endometrium 97
Richard Palmer Dickey
23 Ultrasonographic evaluation of chronic pelvic pain 187
Nicole Brooks and Moshood Olatinwo
Section 3: Ultrasonography in assisted
reproduction
24 Ultrasonography and IVF 193
Luciano G. Nardo and Tarek A. Gelbaya
vii

Contents
25 Ultrasonography and hydrosalpinges in IVF 202
Annika Strandell and Seth Granberg
26 Ultrasonographic evaluation of ovarian reserve 213
Timur Gurgan, Aygul Demirol and Suleyman Guven
27 Ultrasonography in oocyte retrieval for IVF 220
Matts Wikland and Lars Hamberger
28 Ultrasonography-guid ed embryo transfer: evidence-
based practice 225
Gautam N. Allahbadia
29 Ultrasonography-guid ed embryo transfer: clinical
experience 234
Mostafa Abuzeid and Botros Rizk
Section 4: Early pregnancy after infertility
treatment
30 First-trimester pregnancy failure 251
William W. Brown, III
31 Ectopic pregnancy 259
Botros Rizk, Mostafa Abuzeid, Christine B. Rizk, Sheri
Owens, John C. LaFleur and Youssef Simaika
32 Heterotopic pregnancy and assisted reproduction 271
Samuel F. Marcus, Essam S. Dimitry, Maria Dimitry, Diana
M. Marcus and Botros Rizk
33 Cervical pregnancy 276
Hany F. Moustafa, Botros Rizk, Nicole Brooks, Brad
Steffler, Susan L. Baker and Elizabeth Puscheck
34 Congenital anomalies and assisted reproductive
technologies 283
Mona Aboulghar
35 Multiple pregnancy following IVF 291
James Hole, Kathy B. Porter, Sherri K. Taylor, Vicki
Arguello, Robin Brown, Tiffany Driver and Willie Cotten
36 Ultrasonography in the prediction and management of
ovarian hyperstimulation syndrome 299
Botros Rizk, Christopher B. Rizk, Mary G. Nawar, Juan
A. Garcia-Velasco and Hassan N. Sallam
Index 313
viii
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