Radiological Interventions in Obstetrics and Gynaecology

• Corporate Author: SpringerLink (Online service)
• Other Authors: Reidy, John (Editor), Hacking, Nigel (Editor), McLucas, Bruce (Editor)
• Format: Electronic eBook
• Language: English
• Published: Berlin, Heidelberg : Springer Berlin Heidelberg : Imprint: Springer, 2014.
• Series: Medical Radiology,
• Subjects: Medicine.; Gynecology.; Obstetrics.; Radiology.; Interventional radiology.; Medicine & Public Health.; Imaging / Radiology.; Interventional Radiology.; Obstetrics/Perinatology.

 This book provides a state-of-the-art review of the technical and clinical aspects of the vascular interventional radiological (IR) procedures currently employed in obstetrics and gynaecology. A particular focus is on uterine artery embolisation for fibroid disease, which is contrasted with the main alternative uterus-conserving surgical approach of myomectomy, and with ablation therapy. Detailed consideration is also given to the role of embolisation in a variety of other less common conditions, including arteriovenous malformations, post-partum haemorrhage, abnormal placentation and pelvic congestion syndrome. IR procedures are examined from a critical gynaecological perspective and with regard to surgical alternatives. The authors include leading interventional radiologists and gynaecologists from the United Kingdom, Europe and North America.  . 

 The History and Epidemiology of Fibroids -- Medical Treatment of Fibroids -- Clinical presentations of fibroids -- Gynaecological assessment prior to UAE -- Imaging of fibroids pre and post-UAE -- Indications and contraindications -- Embolisation Techniques -- Choice of Embolisation materials --  Clinical results of fibroid embolisation, trials and registries --  Complications of fibroid embolisation -- When to consider Ovarian embolization -- Early Post UAE management -- Post UAE problems and management -- The role of a repeat UAE procedure -- Myomectomy techniques -- Myomectomy results and complications -- Myomectomy after UAE Gynae -- There is a role for UAE in women with symptomatic fibroids and fertility goals -- UAE is not recommended for women with future fertility goals -- Costing issues and UAE in the developing  world -- Who can and should do UAE -- Is there a place for UAE in Adenomyosis -- The role for Focussed Ultrasound ablation in the treatment of Fibroids -- Bleeding in Obstetrics: Obstetric Management of Post-Partum Haemorrhage -- Embolisation in Post-Partum Haemorrhage -- The problem of abnormal Placentation and is there a role for Interventional Radiology -- Pelvic Congestion Syndrome: Clinical Significance of Pelvic Congestion Syndrome -- Embolisation in Pelvic Congestion Syndrome.             .