Part of the female reproductive system, the fallopian tubes are two thin tubes, positioned one on each side of the uterus, which help lead a fertilised egg from the ovaries to the uterus. This book is a complete guide to the role of fallopian tubes and the diagnosis and management of associated diseases and disorders. Divided into five sections, the text begins with an overview of anatomy and function. The following sections examine obstetrical and gynaecological aspects including infertility, infections, ectopic pregnancy and malignancy. The final sections discuss tubal surgery and new frontiers including stem cells, robotic surgery and transplantation. Numerous descriptive illustrations and tables have been included to enhance learning. Key points Comprehensive guide to the fallopian tubes Discusses obstetrical and gynaecological aspects and diagnosis and management of associated disorders Section on new frontiers includes stem cells and transplantation Includes nearly 140 full colour photographs and illustrations
The Fallopian tube has until recently been a neglected structure, bypassed by IVF and seen only as a tube that transports the egg to the uterus. More recently, its central role as the site of fertilization and early embryogenesis has been recognized, along with the major effects of tubal disease, such as chlamydia trachomatis, on fertility. Tubal surgery is an option for those women who avoid IVF because of anxiety about medication side-effects or for religious reasons. The tube is also the site for female sterilization and its reversal. This definitive guide to the Fallopian tube and its disorders collates all these topics, with authoritative text covering the spectrum of clinically relevant topics in a digestible fashion. It will be of interest to gynecologists, specialists in reproductive medicine and infertility and family planning, and others with interest in this fascinating and underestimated organ of reproduction.
The examination of the human fallopian tubes was, until recently, restricted to observations on gross anatomical disposition and tubal patency. These studies, for decades, were the domain of doctors and physiologists whose primary interest was population control and family planning, funded largely by organisations and agencies seek ing alternatives to steroidal contraceptives. For a "worrying" but short period after the birth of Louise Brown in 1978 as the conse quence of successful in-vitro fertilisation and embryo transfer, the fallopian tube was considered to be "dispensable" given that the metabolic milieu in which human fertilisation takes place could be effortlessly reproduced in a Petri dish, in in-vitro fertilisation procedures. However, a number of factors have acted together to renew in terest in the fallopian tube, namely new techniques in cell biology, microinstrument developments (in particular in imaging), an inter disciplinary transfer of skills from interventional radiology and car diology to gynaecology, the surgeon's wish to improve surgical tech niques, and better techniques to monitor early pregnancy. These factors have led surgeons to develop the new diagnostic and ther apeutic strategies and techniques listed here. This volume contains contributions from the majority of keynote speakers at a conference held in London in April 1992 from which its title is derived. Better diagnostic procedures should lead to the implementation of rational effective treatments.
This monograph has been written in the hope that it will prove of value to medical students and clinicians, to Honours undergradu ates in appropriate branches of the natural sciences, and to repro ductive biologists in general. It would be pleasing if the text also caught the attention of veterinary undergraduates, since there is much information bearing on reproduction in domestic animals. First and foremost, however, the intended audience is a medical one, for scientific studies of human reproduction have been cata lyzed by the intense interest in procedures of fertilization in vitro. Some would judge that this very activity has narrowed our view of physiological events occurring within the Fallopian tubes. The pre sent work may therefore serve as a useful counterbalance to the overwhelming series of publications on procedures of in vitro fer tilization, and offer opportunities to those in the clinical field for extending their knowledge of the scientific background to much of the current work.
This a high-level, technically detailed clinical textbook featuring high-resolution color photographs and extensive referencing. As the volume editors say in their Foreword, For those who seek a comprehensive text on the sonographic aspects of the fallopian tube, starting with histopathologic aspects and continuing through the normal sonographic appearance of the tube, as well as the intriguing picture of the inflamed salpinx, the appropriate chapters will be appreciated. Also discussed are attempts to evaluate the tube through its vascularization and the relatively rare benign and malignant tumors as well as paratubal tumors. The chapter discussing ectopic gestation can serve as an aid to the practicing gynecologist to gain confidence in managing the patient suspected of this disease. A special chapter is dedicated to the relatively new procedure of testing the patency of the fallopian tube by ultrasonography.
As the second volume in the Essentials of Diagnostic Gynecological Pathology series sponsored by the British Association of Gynecological Pathologists, Pathology of the Ovary, Fallopian Tube and Peritoneum is one of the very few dealing wholly with this subject. Pathology of the Ovary, Fallopian Tube and Peritoneum introduces the topic with a discussion of the anatomy, development, histology and normal function of the ovary, followed by chapters on non-neoplastic disorders of the ovary; surgery and medical management of ovarian cancer; and the use of imaging, frozen sections and cytology in ovarian pathology. The book then goes on to describe specific disorders of the ovary, fallopian tube and peritoneum in detail, and finishes with a chapter on specimen cut-up. Pathology of the Ovary, Fallopian Tube and Peritoneum has been written to be useful diagnostically to general as well as specialist gynecological histopathologists and pathologists in training. Gynecologists, oncologists, genitourinary physicians and cancer nurse specialists will find expert insights here that will help in treatment and counselling of their patients.
Presented in the renowned, fast-access format of other Washington Manual® titles, this excellent book is a practical guide to the clinical practice of surgical pathology. This valuable resource covers all aspects of surgical pathology for every organ and anatomic site, including gross examination and dissection; microscopic diagnosis of medical as well as surgical diseases; tumor classification; and tumor staging. Separate chapters are devoted to ancillary surgical pathology techniques, including immunohistochemistry, immunofluorescence microscopy, electron microscopy, frozen section diagnosis, flow cytometry, DNA and RNA based molecular methods, and imaging technologies. A companion Website offers the fully searchable text plus an image bank of more than 2700 figures.
Modern Surgical Pathology, 2nd Edition presents today's most complete, current, and practical assistance in evaluating and signing out surgical specimens. Nearly 3,000 high-quality color pathology images provide a crystal-clear basis for comparison to any sample you see under the microscope. Clinical, gross, microscopic, immunohistochemical, and molecular genetic features are integrated as appropriate for all tumors and tumor-like lesions, addressing all of the investigative contexts relevant to formulating an accurate diagnosis. Edited by four leading surgical pathologists - Noel Weidner, MD, Richard J. Cote, MD, Saul Suster, MD and Lawrence M. Weiss, MD - with contributions from more than 70 other experts, Modern Surgical Pathology, 2nd Edition delivers the well-rounded, well-organized, richly illustrated, user-friendly guidance you need to efficiently arrive at confident diagnoses for even the most challenging lesions. Contributions from many leading surgical pathologists give you well-rounded, expert answers to any question that you may face. Clinical, gross, microscopic, immunohistochemical, and molecular genetic features are correlated as appropriate for every type of surgical pathology specimen, addressing all of the investigative contexts relevant to formulating an accurate diagnosis and thereby ensuring a completely accurate surgical report. Nearly 3,000 brand-new, high-quality color pathology images provide a crystal-clear basis for comparison to any specimen you see under the microscope. A completely rewritten section on the female reproductive tract offers many more illustrations of common entities to help you more easily distinguish between tumors and tumor-like lesions. Expanded coverage of non-neoplastic diseases and disorders makes it easier to recognize benign conditions that can mimic malignancy. The latest classification schemes and criteria for malignancy, incorporated throughout, enable you to include the most current gradings in your reports. A new, more consistent organization explores anatomy/histology, gross and microscopic appearance, adjunct techniques, diagnosis, and differential diagnosis for each neoplastic or non-neoplastic lesion, facilitating rapid consultation in the reporting room. An increased number of differential diagnosis and classification tables expedite diagnosis.