Managing Gynaecological Emergencies

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This work covers the management of all nature of emergencies and professional dilemmas facing the gynaecologist, ranging from problems of a more medical nature through to those which require surgical intervention.

Author(s): Cox C
Edition: 1
Publisher: Taylor & Francis Ltd
Year: 2003

Language: English
Pages: 349

BOOK COVER......Page 1
HALF-TITLE......Page 2
TITLE......Page 4
COPYRIGHT......Page 5
CONTENTS......Page 6
CONTRIBUTORS......Page 12
ABBREVIATIONS......Page 14
PREFACE......Page 19
FOREWORD......Page 21
ACUTE ABDOMINAL PAIN......Page 23
SURGICAL MANAGEMENT OF OVARIAN CYSTS IN THE PREGNANT AND NON-PREGNANT......Page 30
OVARIAN HYPERSTIMULATION SYNDROME......Page 34
UPPER TRACT PELVIC INFECTION......Page 38
VULVAL AND LOWER TRACT GENITAL INFECTION......Page 44
TOXIC SHOCK SYNDROME......Page 50
GENITAL TRACT TRAUMA......Page 53
FEMALE GENITAL MUTILATION (CIRCUMCISION OR INFIBULATION)......Page 57
MANAGEMENT OF THE RAPE VICTIM......Page 59
DOMESTIC VIOLENCE OR ABUSE......Page 66
EMERGENCY CONTRACEPTION......Page 70
COMPLICATIONS OF THE INTRAUTERINE CONTRACEPTIVE DEVICE......Page 74
CHILDHOOD EMERGENCIES......Page 80
GYNAECOLOGICAL EMERGENCIES IN THE OLDER WOMAN......Page 86
NON-PREGNANT CAUSES OF VAGINAL BLEEDING......Page 95
MANAGEMENT OF THE EARLY PREGNANCY ASSESSMENT UNIT......Page 101
SCAN FINDINGS RELEVANT TO THE EARLY PREGNANCY ASSESSMENT UNIT......Page 105
EARLY PREGNANCY EMERGENCIES—ADMITTING PATIENTS TO THE WARD......Page 110
ECTOPIC PREGNANCY......Page 113
OTHER CAUSES OF ABDOMINAL PAIN IN EARLY PREGNANCY......Page 122
THERAPEUTIC ABORTION—INDICATIONS AND THE ABORTION......Page 127
COMPLICATIONS OF MEDICAL MANAGEMENT FOR THERAPEUTIC ABORTION AND MISCARRIAGE......Page 138
TERMINATION OF PREGNANCY AND MATERNAL CARDIAC DISEASE......Page 144
ACUTE AND EMERGENCY MANAGEMENT OF MOLAR PREGNANCY......Page 149
PREGNANCY WITH AN INTRAUTERINE CONTRACEPTIVE DEVICE PRESENT......Page 152
LAPAROSCOPY......Page 156
HYSTEROSCOPY......Page 167
HYSTERECTOMY......Page 170
BOWEL COMPLICATIONS IN OTHER GYNAECOLOGICAL SURGERY......Page 177
ACUTE RETENTION OF URINE......Page 182
CHRONIC RETENTION OF URINE......Page 184
HAEMATURIA......Page 186
URINE LEAKAGE PER VAGINUM—FISTULAE......Page 187
BLADDER INJURY IN GYNAECOLOGICAL SURGERY......Page 190
URETERIC AND URETHRAL DAMAGE AT THE TIME OF GYNAECOLOGICAL SURGERY......Page 191
TRAUMA TO THE LOWER URINARY TRACT......Page 194
POST–OPERATIVE ANURIA......Page 197
RENAL COLIC......Page 198
IMMEDIATE COMPLICATIONS OF OPERATIONS FOR URINARY INCONTINENCE......Page 199
EMERGENCY PRESENTATIONS ASSOCIATED WITH PROLAPSE......Page 201
VAGINAL EVISCERATION (BOWEL IN THE VAGINA)......Page 203
SPECIFIC PERI-OPERATIVE COMPLICATIONS OF PROLAPSE SURGERY......Page 204
GYNAECOLOGICAL EMERGENCIES IN OVARIAN CANCER......Page 210
GYNAECOLOGICAL EMERGENCIES IN CANCER OF THE FALLOPIAN TUBE......Page 212
GYNAECOLOGICAL EMERGENCIES IN UTERINE CANCER......Page 214
GYNAECOLOGICAL EMERGENCIES IN CERVICAL CANCER......Page 217
COMPLICATIONS OF WERTHEIM’S HYSTERECTOMY AND LYMPH NODE DISSECTION FOR CERVICAL CANCER......Page 221
COMPLICATIONS OF EXENTERATIVE SURGERY FOR GYNAECOLOGICAL MALIGNANCY......Page 223
GYNAECOLOGICAL EMERGENCIES IN VAGINAL CANCER......Page 225
COMPLICATIONS OF VAGINECTOMY FOR VAGINAL CANCER......Page 228
GYNAECOLOGICAL EMERGENCIES IN VULVAL CANCER......Page 229
COMPLICATIONS OF THE SURGICAL MANAGEMENT OF VULVAL CANCER......Page 232
EMERGENCIES IN PAEDIATRIC GYNAECOLOGICAL ONCOLOGY......Page 235
COMPLICATIONS OF LAPAROTOMY FOR GYNAECOLOGICAL MALIGNANCY......Page 238
COMPLICATIONS OF LARGE LOOP EXCISION OF THE TRANSFORMATION ZONE......Page 240
COMPLICATIONS OF CHEMOTHERAPY IN GYNAECOLOGICAL MALIGNANCY......Page 242
COMPLICATIONS OF RADIOTHERAPY IN GYNAECOLOGICAL MALIGNANCY......Page 244
HAEMORRHAGE CONTROL......Page 245
UNSUSPECTED GYNAECOLOGICAL MALIGNANCY......Page 250
UNSUSPECTED OVARIAN DISEASE FOUND AT LAPAROTOMY FOR SUSPECTED BENIGN GYNAECOLOGICAL PATHOLOGY......Page 252
APPENDIX 1 PRE-OPERATIVE INVESTIGATION AND FITNESS FOR ANAESTHESIA......Page 253
PERI-OPERATIVE MANAGEMENT OF COMMON PRE-EXISTING DISEASES......Page 258
PERI-OPERATIVE MANAGEMENT OF REGULAR MEDICATION......Page 266
PERI-OPERATIVE MANAGEMENT OF FLUID AND ELECTROLYTE BALANCE......Page 273
PERI-OPERATIVE MANAGEMENT OF THE EARLY PREGNANT PATIENT......Page 276
PERI-OPERATIVE MANAGEMENT OF PATIENT DECLINING BLOOD AND BLOOD PRODUCTS......Page 279
POST-OPERATIVE PAIN......Page 282
POST–OPERATIVE NAUSEA AND VOMITING......Page 284
APPENDIX 2......Page 286
CARDIOPULMONARY RESUSCITATION......Page 287
ANAPHYLAXIS......Page 294
TRANSFUSION REACTIONS......Page 299
DEEP VEIN THROMBOSIS......Page 304
PULMONARY EMBOLISM......Page 308
MYOCARDIAL INFARCTION......Page 310
PULMONARY OEDEMA......Page 313
ACUTE SEVERE ASTHMA......Page 315
CHEST INFECTION......Page 318
PYREXIA OF UNKNOWN ORIGIN......Page 320
URINARY TRACT INFECTION......Page 323
SEPTIC SHOCK......Page 326
CONFUSION......Page 329
EMERGENCIES IN TERMINAL ILLNESS......Page 332
APPENDIX 3 RISK MANAGEMENT FOR MEDICAL STAFF......Page 336
CONSENT......Page 339
INDEX......Page 344