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- BookJonathan D. Emery, Marie Fidela R. Paraiso, editors.Summary: Recent trends in medicine have pushed many gynecologic procedures to the outpatient setting, whether in-office, in small medical ambulatory surgery centers, or in procedure rooms. Office-Based Gynecologic Surgical Procedures covers both basic and advanced procedures, from biopsy and saline ultrasound to cystoscopy. It answers the "How?", "What?", and "When?" of setting up, preparing for, and confidently performing office procedures. While appropriate training and certification in these procedures such as cystoscopy and hysteroscopy is needed, this book is an excellent resource for advice and tips on how to safely transition from the technique used in the operating room. It also provides the necessary algorithms and in-depth instructions pertinent to performing these types of procedures effectively in the office setting. A chapter on patient safety in the office is also included. Office-Based Gynecologic Surgical Procedures is ideal for established OBGYNs in practice who want to expand their range of procedures offered in-office, fellows in Women's Health, advanced nurse practitioners, recent OBGYN residency graduates, and family medicine physicians eager to familiarize themselves with women's health procedures.
Contents:
Pre-Procedure Patient Evaluation and Management
Getting Started in Office Based Gynecologic Procedures: Office Set-up, Procedural Implications and Ensuring Patient Safety
Informed Consent
Anesthesia and Analgesia
Basic Gynecologic Procedures
Saline Infusion Sonohysterography
Office Diagnostic Hysteroscopy
Hysteroscopic Tubal Sterilization
Office Operative Hysteroscopy: Polyp and Sub-mucosal Fibroid Removal
Office-Based Global Endometrial Ablation
Cystoscopy
Urodynamics
Peri-Urethral Injections
Trigger Point Injections for Pelvic Pain
Colposcopy
Loop Electro-Excision Procedure (LEEP)
Vulvar Biopsy and Excision/Ablation.Digital Access Springer 2015 - ArticleMassof RW, Finkelstein D.Invest Ophthalmol Vis Sci. 1979 Apr;18(4):426-9.Absolute thresholds for blue-green and red stimuli were measured along the horizontal and vertical meridans in two patients with X-linked retinitis pigmentosa. From these data, we deduced that cones mediate detection of both stimuli in the central 10 degrees, there is a ring scotoma in the mid-periphery, and in the far periphery rods mediate detection of both stimuli. Conclusions drawn from the psychophysical measures about rod and cone function across the retina are in point-by-point agreement with the data of a recent electron microscopic study by Szamier et al. on the retina of a 24-year-old X-linked retinitis pigmentosa patient.