(Ebook PDF) Shaw’s Textbook of Gynaecology 17th edition by Sunesh Kumar ISBN 9788131254127 8131254127 full chapters

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ISBN 10: 8131254127

ISBN 13: 9788131254127

Author: Sunesh Kumar

Table of Contents:

• 1.  Approach to a gynaecological patient
• History
• Physical examination
• Gynaecological examination
• Investigations
• Self-assessment
• Suggested reading

Section 1. Anatomy, Physiology and Development of Female Reproductive Organs

• 2.  Anatomy of female genital tract
• The vulva
• The vagina
• The uterus
• The uterine appendages
• Fallopian tubes
• The ovaries
• The urethra
• The bladder
• The ureters
• The rectum and anal canal
• The pelvic musculature
• The pelvic cellular tissue
• The pelvic blood vessels
• The lymphatic system
• The nerve supply
• Applied anatomy and its clinical significance
• Self-assessment
• Suggested reading
• 3.  Normal histology of ovary and endometrium
• The ovary
• Ovulation
• The endometrium
• Ovarian functions
• Self-assessment
• Suggested reading
• 4.  Physiology of ovulation and menstruation
• Hypothalamic–pituitary–ovarian axis
• Ovarian steroidogenesis
• Physiology of menstruation
• Feedback mechanism in the H–P–O axis
• Leptin
• Menstruation
• Menstrual fluid in ‘stem cell’ therapy
• Self-assessment
• Suggested reading
• 5.  Development of female reproductive organs and related disorders
• Development of the female genital organs
• Development of the ovaries
• Malformations of the rectum and anal canal
• Wolffian duct anomalies
• Renal tract abnormalities
• Self-assessment
• Suggested reading
• 6.  Puberty, adolescence and related gynaecological problems
• Introduction
• Reproductive endocrinology of the growing girl child
• The newborn female infant
• The growing girl child
• Common paediatric gynaecologic problems
• Puberty and adolescence
• Puberty – anomalies of gonadal function
• Adolescent contraception
• Miscellaneous problems
• Self-assessment
• Suggested reading
• 7.  Menopause and related problems
• Introduction
• Perimenopause (climacteric)
• Diagnosis of approaching menopause
• Menopause
• Postmenopausal bleeding
• Self-assessment
• Suggested reading
• 8.  Breast and gynaecologist
• Congenital deformities
• Benign tumours
• Breast cancer
• Self-assessment
• Suggested reading
• 9.  Sexual development and disorders of sexual development
• Principles of sexual development (fig. 9.1)
• Factors influencing designation of sex
• Disorders of female sexual differentiation
• Masculinization
• Virilism
• Hirsutism
• Self-assessment
• Suggested reading

Section 2. Disorders of Menstruation

• 10.  Common disorders of menstruation
• Menstrual cycle irregularities
• Heavy menstrual bleeding (HMB)
• Oligomenorrhoea and hypomenorrhoea
• Polymenorrhoea or epimenorrhoea
• Metrorrhagia
• Dysmenorrhoea
• Premenstrual syndrome
• Self-assessment
• Suggested reading
• 11.  Abnormal uterine bleeding (AUB)
• Introduction
• Normal control of menstrual bleeding
• Causes of abnormal uterine bleeding (table 11.1)
• Investigations
• Management
• Palm–coein classification
• Abnormal uterine bleeding in reproductive age and premenopausal women
• Abnormal uterine bleeding in adolescents
• Self-assessment
• Suggested reading
• 12.  Primary and secondary amenorrhoea
• Amenorrhoea
• Primary amenorrhoea
• Secondary amenorrhoea
• Self-assessment
• Suggested reading
• 13.  Fibroid uterus
• Fibromyomas
• Endometrial polyps
• Self-assessment
• Suggested reading
• 14.  Endometriosis and adenomyosis
• Endometriosis
• Adenomyosis
• Self-assessment
• Suggested reading
• 15.  Hormonal therapy in gynaecology
• Oestrogens
• Progesterone
• Androgens (fig. 15.1)
• Antioestrogens
• Aromatase inhibitors
• Selective oestrogen receptor modulators acting as antioestrogen (table 15.3)
• Antiprogesterone
• Antiandrogens
• Pituitary hormones
• Growth hormone
• Gonadotropin-releasing hormone and its analogues
• Self-assessment
• Suggested reading

Section 3. Common Conditions in Gynaecology

• 16.  Infertility – male and female
• Physiology of fertilization
• Infertility
• Male infertility
• Vaginismus
• Dyspareunia
• Assisted reproductive technology: An overview
• Self-assessment
• Suggested reading
• 17.  Ectopic gestation
• Types of ectopic gestation
• Epidemiology
• Incidence
• Aetiology (table 17.1)
• Aetiopathogenesis
• Pathology
• Abdominal pregnancy
• Symptoms, signs and diagnosis
• Physical signs
• Differential diagnosis of chronic ectopic pregnancy
• Diagnostic investigations (table 17.3)
• Treatment
• Interstitial pregnancy
• Unruptured ectopic gestation
• Ovarian pregnancy
• Cervical pregnancy
• Cornual pregnancy
• Heterotopic pregnancy
• Caesarean scar ectopic pregnancy
• Persistent ectopic pregnancy (PEP)
• Recurrent ectopic pregnancy
• Self-assessment
• Suggested reading
• 18.  Acute and chronic pelvic pain
• Acute pelvic pain
• Chronic pelvic pain
• Self-assessment
• Suggested reading
• 19.  Temporary and permanent methods of contraception
• Birth control
• Who contraceptive wheel
• Male contraception
• Self-assessment
• Suggested reading
• 20.  Medical termination of pregnancy
• Medical termination of pregnancy
• Self-assessment

Section 4. Benign Conditions in Gynaecology

• 21.  Genital prolapse
• Supports of the uterus
• Aetiology of prolapse uterus (table 21.1)
• Classification of prolapse (figs 21.3 and 21.4)
• Pop-Q system (table 21.2, fig. 21.3)
• Symptoms of prolapse
• Investigations
• Differential diagnosis
• Complications of pelvic organ prolapse
• Prevention of prolapse
• Treatment (table 21.3)
• Self-assessment
• Suggested reading
• 22.  Displacements of the uterus
• Introduction
• Retroversion
• Inversion of the uterus
• Self-assessment
• Suggested reading
• 23.  Diseases of the broad ligament, fallopian tubes and parametrium
• Diseases of broad ligament
• Broad ligament cysts
• Paraovarian cysts
• Tumours of the fallopian tubes
• Conditions affecting the broad ligament and parametrium
• Tumours of the broad ligament and parametrium
• Self-assessment
• Suggested reading
• 24.  Benign diseases of the ovary
• Nonneoplastic enlargements of the ovary (table 24.1)
• Self-assessment
• Suggested reading
• 25.  Benign diseases of the vulva
• Introduction
• Benign diseases of the vulva
• Inflammatory lesions
• Ulcers
• Atrophy
• Vulval dystrophies
• Cysts and neoplasms
• Self-assessment
• Suggested reading
• 26.  Benign diseases of the vagina
• Biology of the vagina
• Pathological vaginal infections
• Inflammation of the vagina
• Ulcerations of the vagina
• Cysts and neoplasms of the vagina
• Self-assessment
• Suggested reading

Section 5. Infections in Gynaecology

• 27.  Pelvic inflammatory disease
• Pelvic inflammatory disease
• Chronic pelvic inflammatory disease
• Rare variety of PID due to actinomyces
• Self-assessment
• Suggested reading
• 28.  Tuberculosis of the female genital tract
• Introduction
• Pathogenesis
• Genital tract lesions
• Clinical features of genital tuberculosis
• Investigations
• Differential diagnosis
• Treatment
• Prognosis
• Self-assessment
• Suggested reading
• 29.  Sexually transmitted diseases including HIV infection
• Vulvar infections
• Genital ulcers
• Vaginitis
• Human immunodeficiency virus infection
• Contraception
• Sexually transmitted infections and infertility
• Practical approach to common vaginal infections
• Hepatitis B virus
• Self-assessment
• Suggested reading

Section 6. Urinary and Intestinal Tract in Gynaecology

• 30.  Diseases of the urinary tract
• Common urinary symptoms
• Diseases of the female urethra
• Urinary fistulae
• Ureteric obstruction
• Pregnancy and urinary problems
• Self-assessment
• Suggested reading
• 31.  Urinary fistula and stress urinary incontinence
• Urinary fistulae
• Stress urinary incontinence
• Self-assessment
• Suggested reading
• 32.  Injuries of the genital tract and intestinal tract
• Obstetric injuries
• Injuries due to coitus
• Direct trauma and vulval haematoma
• Injuries due to foreign bodies and instruments
• Chemical and other burns of the vagina
• Perineal injuries
• Old, longstanding complete perineal tears
• Rupture of the uterus
• Perforation of the uterus
• Injuries of the intestinal tract
• Vaginal delivery
• Faecal incontinence
• Rectovaginal fistula
• Bowel injury
• Self-assessment
• Suggested reading

Section 7. Gynaecological Malignancies

• 33.  Preinvasive and invasive carcinoma of cervix
• Epidemiology (table 33.1)
• Cervical intraepithelial neoplasia (CIN)
• Cryosurgery
• Invasive cancer of the cervix
• Carcinoma in pregnancy
• Endocervical adenocarcinoma of cervix
• Self-assessment
• Suggested reading
• 34.  Cancer of the body of the uterus
• Endometrial cancer
• Sarcoma of the uterus
• Endometrial stromal tumours
• Self-assessment
• Suggested reading
• 35.  Pathology of ovarian tumours and benign ovarian tumours
• Pathology of ovarian tumours
• Tumours of the surface epithelium
• Borderline ovarian tumours
• Germ cell tumours
• Sex cord stromal tumours
• Feminizing tumours
• Virilizing tumours
• Tumours arising from connective tissues of the ovary
• Benign ovarian tumours
• Ovarian tumours associated with pregnancy
• Ovarian cyst in a menopausal woman
• Ovarian remnant syndrome
• Ovarian tumours in adolescents (fig. 35.21)
• Self-assessment
• Suggested reading
• 36.  Ovarian malignancies
• Clinical features
• Screening for ovarian cancer
• Investigations
• Surgical treatment of carcinoma ovary
• Chemotherapy for ovarian carcinoma
• Germ cell tumours of ovary
• Sex cord stromal tumours
• Fallopian tube cancer
• Self-assessment
• Suggested reading
• 37.  Vulval and vaginal cancer
• Cancers of the genital tract
• Cancer of vulva
• Vaginal cancer
• Self-assessment
• Suggested reading
• 38.  Gestational trophoblastic diseases
• Hydatidiform mole
• Invasive mole
• Placental site trophoblastic tumour
• Persistent trophoblastic disease
• Treatment of persistent trophoblastic disease
• Perforating mole (chorioangioma destruens)
• Recurrent molar pregnancy
• Coexisting molar pregnancy
• Choriocarcinoma
• Self-assessment
• Suggested reading
• 39.  Radiation therapy, chemotherapy and palliative care for gynaecological cancers
• Radiation therapy
• Clinical applications of radiotherapy
• Cancer chemotherapy for gynaecological cancers
• Self-assessment
• Suggested reading

Section 8. Imaging Modalities, Endoscopic Procedures and Major and Minor Operations in Gynaecology

• 40.  Imaging modalities in gynaecology
• Plain radiography
• Hysterosalpingography
• Ultrasonography (figs 40.6–40.16)
• Computed tomography scan
• Magnetic resonance imaging
• Radionuclide imaging
• Dual-photon densitometry
• Self-assessment
• Suggested readings
• 41.  Endoscopy in gynaecology
• Laparoscopy
• Salpingoscopy and falloscopy
• Self-assessment
• Suggested reading
• 42.  Major and minor operations in gynaecology
• Minor procedures
• Dilatation of the cervix and endometrial curettage (dilatation and curettage)
• Cone biopsy of cervix (conisation)
• Major procedures in gynaecology
• Preoperative investigations
• Preoperative workup
• Steps of abdominal hysterectomy
• Vaginal hysterectomy
• Postoperative care
• Self-assessment
• Suggested reading
• 43.  Obesity and its significance in gynaecology
• Prevalence
• Definition
• Aetiology
• Pathophysiology
• Clinical features
• Complications and sequelae (fig. 43.1)
• Management
• Self-assessment
• Suggested reading
• 44.  Instruments used in gynaecology
• Instruments used to retract vaginal wall and expose cervix
• Instruments used to catch anterior lip of cervix
• Instruments used for dilatation of cervix
• Other commonly used instruments in vaginal gynaecological operations
• Instruments needed for all gynaecological operations (abdominal or vaginal surgeries)
• Instruments used in specialized procedures
• Endoscopy instruments
• Instruments used in laparoscopy
• Instruments used in hysteroscopy and hysteroscopic operative procedures
• Sterilization of laparoscopic and hysteroscopic equipment

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