Modern Management of Abnormal Uterine Bleeding

410 Pages·2008·6.52 MB·English

by  Peter O'Donovan

Modern Management…Uterine Bleeding rev2:Modern Management…Uterine Bleeding rev2 9/1/08 10:24 Page 1
Modern Management of
O
ABNORMAL ’
D
o
n
o
v
UTERINE BLEEDING a
n

•
M
i
l
l Modern Management of
e
r
Modern Management of Abnormal Uterine Bleeding is written by an
internationally recognized team of experts – many of whom are at the forefront of
ABNORMAL
developing 'second-generation' endometrial ablation techniques as well as A M
standard practice. The book covers the full range of surgical and medical B
o
treatments, including the background, diagnosis and treatment. N d
O e
UTERINE BLEEDING
This must have book will help gynecologists refine their operative techniques and r
R n
consider new approaches to this highly challenging condition.
M
M
A
a
L
Edited by n

a
Peter Joseph O`Donovan FRCOG FRCS (ENG) U
g
Consultant Gynaecologist and Gynaecological Cancer Lead T e
m
Director MERIT Centre, Bradford Teaching Hospitals NHS Trust, Bradford and E
Professor of Medical Innovation, Bradford University, Bradford,UK R e
n
I
Charles E Miller MD FACOG N t
o
Director of Minimally Invasive Gynecologic Surgery, Lutheran General Hospital, E
f
Park Ridge, and Clinical Associate Professor, Department of Obstetrics and
B
Gynecology, University of Chicago, and Clinical Associate Professor,
L
Department of Obstetrics and Gynecology, University of Illinois at Chicago, E
Chicago, IL, USA E
D
I
N
G
Edited by
Cover illustration: ‘The Uterine’ by Elizabeth Gray © UK 2008
ISBN 978-0-415-45479-7 Peter Joseph O’Donovan
Charles Miller
www.informahealthcare.com 9 780415 454797
MODERN MANAGEMENT OF
ABNORMAL UTERINE BLEEDING
Edited by
Peter Joseph O’Donovan FRCOG FRCS(ENG)
Consultant Gynaecologist and Gynaecological Cancer Lead,
Director, MERIT Centre, Bradford Teaching Hospitals NHS Trust,
Bradford, and Professor of Medical Innovation,
Bradford University,
Bradford, UK
Charles E Miller
MD FACOG
Director of Minimally Invasive Gynecologic Surgery,
Lutheran General Hospital, Park Ridge, and Clinical Associate Professor,
Department of Obstetrics and Gynecology, University of Chicago, and
Clinical Associate Professor, Department of Obstetrics and Gynecology,
University of Illinois at Chicago,
Chicago, IL, USA
© 2008 Informa UK Ltd
First published in the United Kingdom in 2008 by Informa Healthcare, Telephone House, 69-77 Paul Street, London EC2A
4LQ. Informa Healthcare is a trading division of Informa UK Ltd. Registered Office: 37/41 Mortimer Street, London W1T
3JH. Registered in England and Wales number 1072954.
Tel: [phone]
Fax: [phone]
Website: www.informahealthcare.com
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or
by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of the publisher or
in accordance with the provisions of the Copyright, Designs and Patents Act 1988 or under the terms of any licence permitting
limited copying issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London W1P 0LP.
Although every effort has been made to ensure that all owners of copyright material have been acknowledged in this publication,
we would be glad to acknowledge in subsequent reprints or editions any omissions brought to our attention.
Although every effort has been made to ensure that drug doses and other information are presented accurately in this publica-
tion, the ultimate responsibility rests with the prescribing physician. Neither the publishers nor the authors can be held respon-
sible for errors or for any consequences arising from the use of information contained herein. For detailed prescribing
information or instructions on the use of any product or procedure discussed herein, please consult the prescribing information
or instructional material issued by the manufacturer.
A CIP record for this book is available from the British Library.
Library of Congress Cataloging-in-Publication Data
Data available on application
ISBN-10: 0 415 45479 4
ISBN-13: 978 0 415 45479 7
Distributed in North and South America by
Taylor & Francis
6000 Broken Sound Parkway, NW, (Suite 300)
Boca Raton, FL 33487, USA
Within Continental USA
Tel: [phone]; Fax: [phone]
Outside Continental USA
Tel: [phone]; Fax: [phone]
Email: [email protected]
Distributed in the rest of the world by
Cengage Learning Services Limited
Cheriton House
North Way
Andover, Hampshire SP10 5BE, UK
Tel: [phone]
Email: [email protected]
Composition by Exeter Premedia Services Private Ltd., Chennai, India
Printed and bound in India by Replika Press Pvt. Ltd
I would like to dedicate this book to my parents, Patrick and Sheila and also my loving wife Carmel and
children, James, Olivia, Charles and Niamh, who have always been a constant source of encouragement to me.
Peter Joseph O’Donovan
I would like to dedicate this book to the women in my life – my mother, Muriel, my daughter, Abagayle
and my loving wife Laura.
Charles E Miller

Contents
List of contributors ix
Preface xiii
Acknowledgments xiv
SECTION I BACKGROUND
1. Menstruation: historical perspective 1
James Drife
2. Physiology of menstruation 11
Michael Zinger
3. Terminologies and definitions around abnormal uterine bleeding 17
Ian S Fraser, Hilary OD Critchley, and Malcolm G Munro
4. Epidemiology of abnormal uterine bleeding 25
Michael Zinger
5. Practical assessment and measurement of abnormal uterine bleeding 29
Ian S Fraser, Pamela Warner, and Hilary OD Critchley
6. Pathogenesis of abnormal uterine bleeding 34
Malcolm G Munro and Ian S Fraser
7. Menstrual problems in adolescence 41
D Keith Edmonds
8. Menstrual dysfunction secondary to medical diseases 48
Tharani Balasubramaniam and LA Parapia
SECTION II DIAGNOSIS
9. The role of ultrasound in investigating abnormal uterine bleeding 58
Maha Alkatib and Thomas H Bourne
10. The role of hysteroscopy in investigating abnormal uterine bleeding 64
Aarathi Cholkeri-Singh and Keith B Isaacson
SECTION III TREATMENT
11. Medical management of abnormal uterine bleeding 71
Margaret CP Rees
v
vi Contents
12. The levonorgestrel intrauterine system 79
Diana Mansour
13. Current surgical treatment options: an evidence-based approach 89
Erik Qvigstad and Olav Istre
14. The use of contemporary energy modalities during operative laparoscopy 94
Andrew I Brill
15. Hysteroscopic rollerball endometrial ablation 100
George A Vilos, Jackie Hollett-Caines, and Fawaz Edris
16. Hysteroscopic electrosurgical resection 110
Nikolaos P Papadopoulos and Adam Magos
17. Hysteroscopic laser ablation technique 122
David C Hunter
18. ThermaChoice balloon endometrial ablation 130
George A Vilos, Fawaz Edris, and Jackie Hollett-Caines
19. Cavaterm thermal balloon ablation 143
Britt Friberg
20. Thermablate EAS balloon endometrial ablation 148
George A Vilos, Jackie Hollett-Caines, and Fawaz Edris
21. Microwave endometrial ablation 157
Nicholas C Sharp
22. NovaSure endometrial ablation 166
Adolf Gallinat
23. Hydrothermablation 175
Mark H Glasser
24. Endometrial cryoablation 187
Andrea S Lukes
25. Vesta: distensible multielectrode balloon endometrial ablation 193
Kevin Jones
26. Randomized controlled trials in second-generation endometrial ablation 199
Paul McGurgan and Peter Joseph O’Donovan
27. Photodynamic therapy 210
Michael J Gannon
28. Hysteroscopic morcellation 215
Charles E Miller
29. Uterine artery embolization – the evidence 220
Anju Sinha and Janesh Gupta
30. Avoiding and managing laparoscopic complications in gynecologic surgery 226
Paul Tulikangas and Tommaso Falcone
31. Laparoscopic myomectomy 232
Charles E Miller
32. Hysteroscopic myomectomy: indications, technique, outcome, and complications 240
Aethele Khunda and Peter Joseph O’Donovan
33. Laparoscopic uterine artery occlusion 250
Moises Lichtinger
Contents vii
34. Temporary occlusion of uterine artery for the treatment of fibroids 255
Olav Istre and Erik Qvigstad
35. Hysterectomy rate variations 260
Fulvio Zullo and Stefano Palomba
36. Total abdominal hysterectomy 267
Isaac T Manyonda and Essam Hadoura
37. Vaginal hysterectomy 280
Henri Clavé
38. Laparoscopic hysterectomy – historical perspective 291
Harry L Reich
39. Total laparoscopic hysterectomy 299
Charles E Miller
40. Laparoscopic supracervical hysterectomy 306
Thomas L Lyons and Wendy K Winer
41. Laparoscopic-assisted vaginal hysterectomy and abnormal uterine bleeding 312
Melissa Cameron and Peter J Maher
42. Laparoscopic hysterectomy for the large uterus 324
Pascale Jadoul and Jacques Donnez
43. Robotics: an evolving option in the management of abnormal uterine bleeding 331
Arnold P Advincula
44. Complications and clinical outcomes of hysterectomy 337
Craig Skidmore and Caroline E Overton
45. Comparison of hysterectomy techniques and cost–benefit analysis 346
Kirsten B Kluivers, Ben WJ Mol, Khalid S Khan, and Neil P Johnson
46. Analysis of sexual activity after hysterectomy 354
Sahana Gupta and Isaac Manyonda
47. Non-invasive surgery using magnetic resonance-guided focused ultrasound surgery technology 366
Richard Chudacoff
48. Future research in abnormal uterine bleeding 373
Marlies Y Bongers, Ben WJ Mol, Khalid S Khan, and Neil P Johnson
Index 383

Contributors
Arnold P Advincula MD Melissa Cameron BMBS (Hons) MPH FRANZCOG
Department of Obstetrics and Gynecology Endosurgery Research Fellow
University of Michigan Medical Center Mercy Hospital for Women
Ann Arbor, MI Heidelberg
USA Victoria
Australia
Maha Alkatib MRCOG
Early Pregnancy, Gynecological Ultrasound Richard Chudacoff MD FACOG
and MAS Unit Las Vegas International Center for Advanced
St George’s Hospital Gynecologic Care
London Las Vegas, NV
UK USA
Tharani Balasubramaniam MBCHB MRCP Henri Clavé MD
Department of Gynecologic Surgeryi
Haemotology Centre
Saint-George Clinic
Bradford Teaching Hospitals NHS Foundation Trust
Nice
Bradford
France
UK
Aarathi Cholkeri-Singh MD
Marlies Y Bongers MD PhD
The Advanced Gynecologic Surgery Institute
Maxima Medical Centre
Charles E Miller and Associates
Department of Obstetrics and Gynecology
Chicago, IL
Veldhoven
USA
The Netherlands
Hilary OD Critchley MD FACOG
Thomas H Bourne PhD FRCOG Division of Reproductive and Developmental Sciences
Early Pregnancy
Queen’s Medical Research Institute
Gynaecological Ultrasound and MAS Unit
University of Edinburgh
St George’s Hospital
University of Edinburgh
London
Edinburgh, Scotland
UK
UK
Andrew I Brill MD Jacques Donnez MD PhD
Director, Minimally Invasive Gyncology Catholic University of Louvain
California Pacific Medical Center Cliniques Universitaires Saint-Luc
San Francisco, CA Brussels
USA Belgium
ix