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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_3932_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Foreword
- •Preface
- •Disclaimer
- •Contents
- •Contributors
- •1: Uterine Artery Embolization
- •Introduction
- •Anatomy
- •Pelvic Arterial Anatomy
- •Imaging
- •Differential Diagnosis on MR Imaging
- •Adenomyosis
- •Solid Adnexal Mass
- •Focal Myometrial Contraction
- •Uterine Leiomyosarcoma
- •Patient Encounter
- •Indications
- •Pathophysiology
- •Clinical Manifestations
- •Contraindications
- •Consult, Consent, and Preparation
- •Patient Preparation
- •Technique
- •Equipment and Materials
- •Contrast Media
- •Catheters and Wires
- •Embolic Agents
- •Vascular Closure Devices
- •Procedure Start
- •Step by Step
- •Technical Points, Pitfalls, and Pearls
- •Postoperative Care, Discharge Instructions, and Follow-Up
- •Pain Management
- •Assessing the Need for Hospital Admission
- •Inpatient Care
- •Care After Discharge
- •Repeat Treatment
- •Outcomes
- •Complications
- •Summary and Conclusions
- •References
- •2: Pelvic Varices Embolization
- •Introduction
- •Pathophysiology
- •Clinical Manifestations
- •Anatomy
- •Veins of the Pelvis
- •Imaging
- •Patient Encounter
- •Indications and Contraindications
- •Consult, Consent, and Preparation
- •Technique
- •Materials
- •Catheters and Wires
- •Embolic Agents
- •Coils
- •Occlusion Balloons
- •Contrast Agents
- •Procedure Start
- •Step by Step
- •Hints, Technical Pitfalls, and Pearls
- •Post-Operative Care, Discharge Instructions, and Follow-up
- •Outcomes
- •Complications
- •Summary and Conclusions
- •References
- •3: Fallopian Tube Recanalization
- •Introduction
- •Pathophysiology
- •Clinical Manifestations
- •Anatomy
- •The Female Reproductive Organs
- •Imaging
- •The Hysterosalpingogram (HSG)
- •Patient Encounter
- •Indications and Contraindications
- •Consult, Consent, and Preparation
- •Technique
- •Materials
- •Vaginal Speculum
- •Transcervical Catheters
- •Catheters and Wires
- •Contrast Agents
- •Cervical Os Finder, Cervical Dilator, Uterine Sound
- •Procedure Start
- •Step by Step
- •Hints, Technical Pitfalls, and Pearls
- •Postoperative Care, Discharge Instructions, and Follow-Up
- •Outcomes
- •Complications
- •Summary and Conclusions
- •References
- •4: Fallopian Tube Occlusion
- •Introduction
- •Consult, Consent, and Preparation
- •Patient Preparation
- •Technique
- •Equipment and Materials
- •Vaginal Speculum
- •Guide Sheath
- •Essure ® Occlusion Device
- •Catheter
- •Procedure Start
- •Step by Step
- •Hints, Technical Pitfalls, and Pearls
- •Postoperative Care, Discharge Instructions, and Follow-Up
- •Anatomy
- •Female Reproductive Anatomy
- •Imaging
- •Patient Encounter
- •Indications and Contraindications
- •Alternative Imaging for Confirmation
- •Outcomes
- •Complications
- •Summary and Conclusions
- •References
- •5: Kyphoplasty and Vertebroplasty
- •Introduction
- •Pathophysiology
- •Anatomy
- •Anatomy of the Spine
- •Imaging
- •Patient Encounter
- •Indications and Contraindications
- •Consult, Consent, and Preparation
- •Technique
- •Equipment and Materials
- •Radiopaque Bone Cement
- •Cement Infusion Systems
- •Balloon Tamp: Kyphoplasty
- •Bone Biopsy Devices and Drills
- •Vertebroplasty or Kyphoplasty Kits
- •Contrast
- •Procedure Start
- •Step by Step
- •Balloon Kyphoplasty
- •Vertebroplasty
- •Radiofrequency Kyphoplasty: Overview and Technique
- •Hints, Technical Points, Pitfalls, and Pearls
- •Postoperative Care, Discharge Instructions, and Follow-Up
- •Outcomes
- •Vertebroplasty
- •Kyphoplasty
- •Controversy over Outcomes
- •Cost
- •Complications
- •Summary and Conclusions
- •References
- •6: Spine Pain Management
- •Introduction
- •Pathophysiology
- •Clinical Manifestations
- •Anatomy
- •Anatomy of the Spine
- •Imaging
- •Patient Encounter
- •Indications and Contraindications
- •Consult, Consent, and Preparation
- •Technique
- •Equipment and Materials
- •Needles
- •Contrast
- •Local Anesthesia
- •Steroids
- •Procedure Start
- •Step by Step
- •Lumbar Nerve Block
- •Thoracic Nerve Block
- •Cervical Nerve Block
- •Sacral Nerve Block
- •Epidural Spine Injection
- •Hints, Technical Pitfalls, and Pearls
- •Postoperative Care, Discharge Instructions, and Follow-up
- •Outcomes
- •Complications
- •Summary and Conclusions
- •References
- •Introduction
- •Pathophysiology
- •Clinical Manifestations
- •Anatomy
- •Lower Extremity Venous Anatomy
- •Imaging
- •Patient Encounter
- •Indications and Contraindications
- •Consult and Consent
- •Review of Benefits and Risks of Various Procedures
- •Sclerotherapy
- •Radiofrequency Ablation
- •Endovenous Laser Therapy
- •Bilateral Procedures
- •Patient Preparation
- •Technique
- •Equipment and Materials
- •Sclerotherapy Materials
- •RFA and Laser Materials
- •Procedure Start
- •Step by Step
- •Sclerotherapy
- •RFA and EVLT
- •Hints, Technical Pitfalls, and Pearls
- •Postoperative, Discharge, and Follow-Up
- •Outcomes
- •Sclerotherapy
- •EVLT
- •Complications
- •Summary and Conclusions
- •References
- •Index

184 Index
Thoracic vertebrae, 108–110
Thoracolumbar burst fractures, 115
Thrombophlebitis, 175
Tobramycin, 120
Traditional sclerotherapy, 170
Tubal pregnancy, 79
Tumescent anesthesia, 171–172
U
Uterine artery embolization (UAE)
abdominal aortogram and pelvic
arteriogram, 19, 20
adenomyosis, 12
antibiotic prophylaxis, 19
care after discharge, 27–30
catheters and wires, 17–18
catheter selection, 20, 21
clinical manifestation, 5–6
clinical outcomes, 28–31
collateral arterial fl ow, 23, 24
complications, 31–32
consult, consent, and preparation, 15–16
contraindications, 14–15
contrast media, 17
conventional radiographs, 8, 9
CT, 8–9
embolic agents, 18
equipment, 17
femoral access, 19
focal myometrial contraction, 13
hospital admission assessment, 27
vs. hysterectomy and myomectomy, 4
indications, 13
inpatient care, 27
MR imaging, 10–12
pain management, 26
pathophysiology, 4–5
patient positioning, 19
patient preparation, 16–17
pelvic arterial anatomy, 6–8
postoperative care, discharge instruction
and follow-up, 26–28
repeat treatment, 28
sedation/anesthesia, 18–19
solid adnexal mass, 13
stasis, right uterine artery, 22, 24
symptomatic fi broids, 3–4
technical points, pitfalls and pearls, 25–26
US, 9–10
uterine leiomyosarcoma, 13
vascular closure device, 18, 24–25
Uterine sound, 72
V
Vaginal speculum, 69, 88
Varicose veins, 152, 160–161
Vascular closure device (VCD), 18
Vein of Giacomini, 153
Venacure
®
system, 167–169
Venography, 41
Venous ablation, lower extermity. See Lower
extremity venous ablation
Venous Clinical Severity Score (VCSS), 153
Venous Disability Score (VDS), 153
Venous insuffi ciency, 151
Venous intravasation, 78
Venous Segmental Disease Score (VSDS), 153
Venous thromboembolic events (VTE), 32
Venous thrombosis, 152
Venous ulcers, 162
Vertebral body compression fractures (VCFs)
kyphoplasty ( see Kyphoplasty)
pathophysiology, 107–108
vertebroplasty ( see Vertebroplasty)
Vertebra plana, 115
Vertebroplasty
anesthesia, 120
bone biopsy devices and drills, 118
cement fi xation, 113–114
cement infusion system, 118
clinical outcomes, 130
complications, 133–134
consult, consent, and preparation, 116
contraindications, 114–115
contrast, 120
controversy over outcomes, 131–133
cost, 133
CT scans, 111
hints, technical pitfalls, and pearls, 129
indications, 112–114
kits, 119
MRI, 109, 111
needles, 118
osteonecrosis, 112
pathophysiology, 107–108
patient positioning, 120–121
postoperative care, discharge instructions,
and follow-up, 129–130
radiographs, 108, 109
radiopaque bone cement, 116–117
spine anatomy, 108–110
technical points and pitfalls, 129
technique, 125–127
transpedicular needle placement, 113
Visual Analog Scale (VAS), 130
VNUS
®
closure system, 167
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