Netter's Obstetrics and Gynecology, Second Edition

645 Pages·2008·125.71 MB·English

by  Roger P. Smith MD

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NETTER’S OBSTETRICS AND GYNECOLOGY, ISBN: 978-1-4160-5628-9
SECOND EDITION
Copyright © 2008 by Saunders, an imprint of Elsevier Inc.
All rights reserved. No part of this book may be produced or transmitted in any form or by any
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phone [phone], ext. 3276 or [phone], or email [email protected].
Notice
Knowledge and best practice in this fi eld are constantly changing. As new research and experience
broaden our knowledge, changes in practice, treatment and drug therapy may become necessary
or appropriate. Readers are advised to check the most current information provided (i) on proce-
dures featured or (ii) by the manufacturer of each product to be administered, to verify the
recommended dose or formula, the method and duration of administration, and contraindications.
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patient, to make diagnoses, to determine dosages and the best treatment for each individual patient,
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nor the Authors assumes any liability for any injury and/or damage to persons or property arising
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The Publisher
Library of Congress Cataloging-in-Publication Data
Smith, Roger P. (Roger Perry), 1949–
Netter’s obstetrics and gynecology / Roger P. Smith ; illustrations by Frank H. Netter ; contributing
illustrators, Carlos A.G. Machado, John A. Craig, Kristen Wienandt Marzejon. – 2nd ed.
p. ; cm.
Rev. ed. of: Netter’s obstetrics, gynecology, and women’s health / Roger P. Smith. c2002.
Includes bibliographical references and index.
ISBN 978-1-4160-5682-9
1. Gynecology–Handbooks, manuals, etc. 2. Obstetrics–Handbooks, manuals, etc. 3. Women–
Diseases–Handbooks, manuals, etc. I. Netter, Frank H. (Frank Henry), 1906–1991. II. Smith,
Roger P. (Roger Perry), 1949–. Netter’s obstetrics, gynecology, and women’s health. III. Title.
IV. Title: Obstetrics and gynecology. [DNLM: 1. Genital Diseases, Female–Atlases.
2. Obstetrics–Atlases. WP 17 S658na 2009]
RG110.S53 2009
618–dc22
2008030671
Acquisitions Editor: Elyse O’Grady
Developmental Editor: Marybeth Thiel
Project Manager: Mary Stermel
Design Direction: Lou Forgione
Illustrations Manager: Karen Giacomucci
Marketing Manager: Jason Oberacker
Editorial Assistant: Julie Goolsby
Working together to grow
libraries in developing countries
Printed in China www.elsevier.com | www.bookaid.org | www.sabre.org
Last digit is the print number: 9 8 7 6 5 4 3 2 1
This work is dedicated to my father,
who taught me the “art” of medicine
and who fi rst introduced me to the art of Dr. Netter.

Preface
No student of medicine, past or present, is unaware of the received in the fi rst edition. Chapters have been organized
extraordinary series of medical illustrations created by Dr. to provide a quick, concise resource for the diagnosis and
Frank Netter; it is an incredible body of work that has been treatment of common conditions encountered by anyone
carried forward by the talented Carlos Machado, MD, and who provides care for women. In producing this second
John Craig, MD, since Dr. Netter’s passing. Older physi- edition, more than 40 new topics have been added, a more
cians have looked with envy at these images, wishing they intuitive organization has been developed, a new section
had been available when they were learning; established on commonly encountered procedures has been added,
physicians return to them as comfortable sources of infor- new artwork has been developed, and subtle enhancements
mation; young physicians seek them out for the wealth of (such as indications of the level of evidence provided for
information they contain and their ability to make clear references) have been made throughout the work.
diffi cult clinical concepts. This spirit of concise reference It is our hope that this work will be both a useful resource
and resource is the premise of this text. and celebration of the artistic richness that is clinical
This second edition maintains the same consistent medicine.
format in presenting topics to facilitate rapid access—the Roger P. Smith, MD
same information is in the same location—that was so well
About the Author
Although Roger P. Smith, MD, has spent much of his disciplinary group practice at the Carle Clinic in
career in academic medicine, and has a curriculum vitae that Urbana, lllinois, before moving to the Medical College of
is appropriately long, he regards himself as a clinician. Dr. Georgia in 1985, where he was Chief of the Section of
Smith received his undergraduate education at Purdue General Obstetrics and Gynecology. In 1999, Dr. Smith
University and his medical education, internship (in joined the University of Missouri–Kansas City, where he
General Surgery), and residency at Northwestern Univer- served as Vice Chair and Residency Program Director
sity in Chicago. He then spent almost 10 years in a multi- until 2008.
vii

About the Artists
Frank H. Netter, MD The Netter illustrations are appreciated not only
Frank H. Netter was born in 1906 in New York City. He for their aesthetic qualities, but, more important, for
studied art at the Art Student’s League and the National their intellectual content. As Dr. Netter wrote in 1949,
Academy of Design before entering medical school at New “. . . clarifi cation of a subject is the aim and goal of
York University, where he received his medical degree in illustration. No matter how beautifully painted, how
1931. During his student years, Dr. Netter’s notebook delicately and subtly rendered a subject may be, it is of
sketches attracted the attention of the medical faculty and little value as a medical illustration if it does not serve to
other physicians, allowing him to augment his income by make clear some medical point.” Dr. Netter’s planning,
illustrating articles and textbooks. He continued illustrat- conception, point of view, and approach are what in -
ing as a sideline after establishing a surgical practice in form his paintings and what make them so intellectually
1933, but he ultimately opted to give up his practice in valuable.
favor of a full-time commitment to art. After service in the Frank H. Netter, MD, physician and artist, died in
United States Army during World War II, Dr. Netter 1991.
began his long collaboration with the CIBA Pharmaceuti- Learn more about the physician-artist whose work has
cal Company (now Novartis Pharmaceuticals). This 45- inspired the Netter Reference collection: http://www.
year partnership resulted in the production of the netterimages.com/artist/netter.htm
extraordinary collection of medical art so familiar to physi-
cians and other medical professionals worldwide. Carlos A.G. Machado, MD
In 2005 Elsevier, Inc. purchased the Netter Collection Carlos Machado was chosen by Novartis to be Dr. Netter’s
and all publications from Icon Learning Systems. There successor. He continues to be the main artist who contrib-
are now over 50 publishcations featuring the art of Dr. utes to the Netter collection of medical illustrations.
Netter available through Elsevier, Inc. (in the US: www.
us.elsevierhealth.com/Netter and outside the US: www. Self-taught in medical illustration, cardiologist Carlos
elsevierhealth.com) Machado has contributed meticulous updates to some of
Dr. Netter’s works are among the fi nest examples of the Dr. Netter’s original plates and has created many paintings
use of illustration in the teaching of medical concepts. The of his own in the style of Netter as an extension of the
13-book Netter Collection of Medical Illustrations, which Netter collection. Dr. Machado’s photorealistic expertise
includes the greater part of the more than 20,000 paintings and his keen insight into the physician/patient relationship
created by Dr. Netter, became and remains on eof the informs his vivid and unforgettable visual style. His dedica-
most famous medical works ever published. The Netter tion to researching each topic and subject he paints places
Atlas of Human Anatomy, fi rst published in 1989, presents him among the premier medical illustrators at work
the anatomical paintings from the Netter Collection. Now today.
translated into 16 languages, it is the anatomy atlas of
choice among medical and health professions students the Learn more about his background and see more of his art
world over. at: http://www.netterimages.com/artist/machado.htm
ix