Download Management of Common Problems in Obstetrics and Gynecology 5th Edition PDF

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by T. Murphy Goodwin (Editor), Martin N. Montoro (Editor), Laila Muderspach (Editor), Richard Paulson (Editor), Subir Roy (Editor)

For over 25 years, and through four prior editions, this book has espoused the “USC way” of managing clinical problems in obstetrics and gynecology. This fifth edition, again exclusively organized and written by the department faculty, fellows and residents, continues the tradition. Major milestones in our specialty, electronic fetal monitoring, ultrasound, colposcopy, and laparoscopy, formed an impressive panoply of techniques that were refi ned and firmly established in the last part of the previous century. Since the fourth edition was published 8 years ago, other advances have occurred, which will be addressed in this edition.
Maternal fetal medicine (obstetrics) has improved enormously in its ability to diagnose maternal and fetal changes during pregnancy. Fetal heart rate monitoring terminology has undergone refinement  and standardization. As evidenced by the burgeoning use of three- and four-dimensional ultrasound, obstetricultrasonography continues to advance its clarity and efficiency. The diagnosis and prevention of preterm birth are improving dramatically through the evolution of ultrasound cervical length, fetal fibronectin testing, and prophylactic progesterone therapy. A newchapter on fetal interventions emphasizes another exciting area of advancement in maternal fetal medicine. The difficulties and dangers presented by the mature gravida, who has delayed childbearing or conceived via assisted reproductive technologies, comprise another new chapter. Obesity has become a significant entity in today’s society, and another new chapter looks at its impact on the pregnant woman and her passenger.Gynecologic oncology has made major strides in introducing minimally invasive surgical techniques, especially with the advent and ongoing evolution of robotic surgery. In addition, new biologic therapies are being developed and will improve and increase before the next edition of this book. Cancer prevention strategies, as evidenced by the HPV vaccine, should lead to the future promise of a reduction in invasive malignancies. To the practicing physician, understanding the nuts and bolts of gynecologic oncology is important for recognizing the signs and symptoms of cancer, especially in its neophyte stages, and for knowing when to refer patients to gynecologic oncology. To assess all the above, the gynecologic oncology chapters in this edition have been updated.Gynecology has been specialized by the addition of female pelvic medicine and reconstructive surgery (urogynecology). Advances in the areas of endometriosis, uterine myomas, and pelvic infection have not been as dramatic as those in urogynecology. Laparoscopic and robotic surgical approaches to endometriosis and uterine myomata have reduced hospital stays and made for shorter recovery times, while medical therapies for these conditions have remained stable with limited effectiveness. Preventive techniques have reduced the severity of pelvic infection and more specific antibiotic therapies have improved treatment. These chapters have been updated, but the largest revision of the gynecology section is the increased number and coverage of the urogynecology chapters, e.g. fi  stulae, voiding dysfunction, and urethral disorders. Since the fourth edition, interstitial cystitis (painful bladder syndrome) has become a major gynecologic entity and a new chapter looks at its diagnosis and treatment. Differentiation of the various urinary incontinence diagnoses has become an important part of gynecologic testing and the practitioner will benefi t from an updated look at these procedures. Additionally, the development of newer techniques for sling placement is reviewed, including the transobturator route where the needle does not pass retropubically, thus minimalizing complications. As with many other fading traditional surgical approaches in our specialty, single-incision sling procedures are evolving, which may allow this surgery to become an outpatient clinic operation. With sexuality becoming more public in our society, a new chapter looks at female sexual dysfunction. Family planning remains important and the traditional methods are reviewed along with indepth analysis of new hormonal contraceptive techniques. The medically complicated patient deserves contraception and these patients are discussed as well

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