Transvaginal endoscopy of the female genital tract is a powerful new technique for the evaluation and management of pelvic disease. This highly illustrated book details the possibilities and advantages of these techniques, including transvaginal laparoscopy, salpingoscopy, patency testing, and vaginocervicohysteroscopy for the exploration of the uterine cavity. The techniques are particularly useful in the investigation and management of infertility - e.g. oocyte pick-up, implantation, and the exploration of the uterine cavity and tubo-ovarian structures. As the use of water-based distension media is new in laparoscopy, and provides detailed images of pelvic structures, the high-quality illustrations are a particularly important part of the book.
Section I: Diagnostic transvaginal endoscopy. 1. Rationale of transvaginal laparoscopy in infertility. 2. Diagnostic hysteroscopy. 3. Transvaginal endoscopy: instrumentation and technique. 4. Normal tubo-ovarian events at transvaginal laparoscopy. 5. Risks and complications of transvaginal access to the peritoneal cavity. Section II: Pathology at transvaginal endoscopy. 6. Fertility-enhancing hysteroscopic surgery. 7. Bipolar resectoscopy: the future perspective of hysteroscopic surgery. 8. Endometriosis: features at transvaginal laparoscopy. 9. Role of transvaginal salpingoscopy. 10. Operative transvaginal laparoscopy. 11. Cost-effectiveness of office transvaginal laparoscopy.