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"According to the International Association for Ambulatory Surgery (IAAS), ambulatory surgery should be defined as: 'an operation/procedure, excluding an office or outpatient operation/procedure, where the patient is discharged on the same working day'. The origins of ambulatory surgery can be traced back to the pioneering work of James Nicholl at the Glasgow Royal Hospital who reported 8988 paediatric day case procedures between 1899-1908. Despite initial scepticism from the surgical profession, there has been a rapid expansion in the complexity and amount of ambulatory surgery in recent years: between 1989-2003 the percentage of elective surgery undertaken as day case in the UK increased from 15% to 70%. Many health services have set targets for the percentage of elective surgeries to be done as day-case procedures and in the UK this target is set at 75%"--
According to the International Association for Ambulatory Surgery (IAAS), ambulatory surgery should be defined as 'an operation/procedure, excluding an office or outpatient operation/procedure, where the patient is discharged on the same working day'. The rise of ambulatory surgery has been driven by technological advances that reduce the need for overnight hospital stays, enhanced recovery programmes that advocate early mobilisation, and the need for economic efficiency. Recent experience has shown that redistributing surgical procedures from the inpatient setting to ambulatory centres can be done without impacting quality. The majority of people requiring urologic surgery are now treated as day/outpatients thus requiring a different level of care from inpatients. Ambulatory Urology and Urogynaecology is the only book that combines urology and urogynaecology focuses on outpatient management. Packed with learning points, practical hints and tips, and boasting an international group of contributing authors, this book is co-edited by world-leading pioneers in urologic and urogynaecological surgery. Ambulatory Urology and Urogynaecology is ideal for urologists, urogynaecologists and gynaecologists, as well as specialist urology nurses and surgeons. With more and outpatient procedures being performed, this book is the perfect step-by-step guide to consult time and time again.
This book is a comprehensive and easy-to-read guide to obstetrics and gynecology in developing countries. Although significant progress has been made towards the reduction of maternal mortality and morbidity globally, they are still unacceptably high in developing countries. This can be directly or indirectly tied to poor quality maternal health care and lack of access to cost-effective, comprehensive healthcare. Health practitioners in developing countries also contend with trying to keep abreast of recent developments in obstetrics and gynecology while dealing with lack of time, resources, and access to relevant information. This textbook was thus created by experts in obstetrics and gynecology with extensive experience in African clinical settings and consultants in developed countries to teach proper and accurate diagnosis, treatment and management of gynecologic and obstetric health issues within the context of developing countries. This second edition has been fully updated throughout with an added 25+ chapters that cover topics such as reproductive health, gynecological cancers and research methods. The book is divided into six sections: Women’s Reproductive Health; Obstetrics; Medical and Surgical Disorders in Pregnancy; General Gynecology; Gynecological Malignancies; Health Systems Organization, Research Methodology and Biostatistics. These section topics have been carefully covered by expert authors with the use of valid scientific data, policy instruments, and adapted to the cultural and social context of developing countries, with particular in depth coverage of conditions that have greater prevalence and incidence in developing countries. Each chapter also focuses on filling gaps in knowledge with a distinct pedagogical approach, starting with a set of learning objectives and ending with key takeaways for the chapter. This is an ideal guide for residents, medical students, practitioners of obstetrics and gynecology, midwives, general practitioners, and pediatricians, particularly those working in developing companies.
Urogynecology: Evidence-Based Clinical Practice 2nd Edition is a fully revised and updated text providing an evidence based approach to the treatment of urinary incontinence and prolapse. This updated version incorporates new evidence in the areas of continence procedures, prolapse management, mesh usage and complications; in addition to new insights into Sacral Nerve Stimulation for refractory detrusor overactivity. Written by a leading expert in the field, Urogynecology: Evidence-Based Clinical Practice 2nd Edition is a handy how-to guide, valuable for the junior registrar assigned to work in a urogynecology department, as well as for those with no previous formal urogynecological training who wish to know more about the subject.
Abrams’ Urodynamics A complete guide to urodynamic investigation in modern health care Urodynamic testing is an ever-advancing field with applications in the management of patients from across a wide range of clinical areas. Bringing together fundamental principles and cutting-edge innovations, Abrams’ Urodynamics has been designed as an all-in-one guide to Functional Urology and Urogynecology, offering direct, up-to-date instruction on how to best perform and understand urodynamic tests within the overall treatment pathway. Its chapters cover everything from everyday basic practice to advanced complex cases, and are enhanced with more than 450 helpful illustrations. Including numerous revisions and new features, this fourth edition of the book boasts: Coverage of all investigative approaches, including uroflowmetry, cystometry, video-urodynamics, and non-invasive techniques Details on the successful running of a urodynamic unit, with information on organizational issues, equipment set-up, and common problems and pitfalls Sections addressing children, women, men, the elderly, and neuropaths Extensive description of International Continence Society (ICS) Standards throughout Appendices that include ICS Standards and Fundamentals documents, ICIQ modules, and Patient Information Leaflets With its wealth of clinical tips, illustrations, new innovations, and hands-on advice, Abrams’ Urodynamics is essential reading for all those wishing to better integrate urodynamic testing into their daily practice.
Urogynaecological problems are one of the most common reasons that women are referred to the hospital services, and can account for up to a fifth of the gynaecological surgery waiting list at any time. Pelvic floor problems can have a huge impact on the patient's quality of life, and therefore should be managed appropriately. Compact, portable, and comprehensive, this new addition to the Oxford Specialist Handbooks in Obstetrics and Gynaecology series covers all aspects of pelvic floor function and dysfunction, and approaches to assessment and management in all compartments (the bladder, reproductive system, and bowel). Special chapters are dedicated to urogynaecological issues in pregnancy and childbirth, and also to the effects of age on the pelvic floor. Covering all material needed for those undertaking the RCOG Advanced Training Skills Module in Urogynaecology and Vaginal Surgery, this is an invaluable guide for both senior general trainees in Gynaecology, and subspecialty trainees in urogynaecology.
With contributions drawn from recognized experts on both sides of the Atlantic, Textbook of Female Urology and Urogynaecology comprehensively chronicles past contributions, documents the present state of the science, and provides a foundation for understanding future developments in the field. The multidisciplinary nature of this field is reflected by the diversity of the chapter authors. The section on surgery, formatted for use as both a text and an atlas, covers the decision-making process and the technical aspects of surgical procedures. Helping readers master concepts and techniques in urology, gynaecology, and colorectal surgery, the book is a rich and copiously illustrated source of information on key topics in this rapidly developing field.
This text includes sections on anatomy, normal and abnormal physiology, investigation techniques, inflammatory conditions and treatment options. The international panel of contributors is at the forefront of research in the field; the editors have assembled these contributors and topics that span the entire range of pelvic floor disorders in women. Throughout, the emphasis is on an evidence-based approach to the treatment of pelvic floor problems. Indispensable for gynecologists and urologists.
Dramatic improvement in imaging techniques (3D ultrasonography, dynamic magnetic resonance) allows greater insight into the complex anatomy of the pelvic floor and its pathological modifications.Obstetrical events leading to fecal and urinary incontinence in women, the development of pelvic organ prolapse, and mechanism of voiding dysfunction and obstructed defecation can now be accurately assessed, which is fundamental for appropriate treatment decision making. This book is written for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists with a special interest in this field of medicine. It is also relevant to everyone who aspires to improve their understanding of the fundamental principles of pelvic floor disorders.
This excellent textbook provides up-to-date information on all aspects of pelvic floor disorders. After an opening section on anatomy and physiology, it explains the methodology, role and application of the integrated imaging approach in detail, including the most advanced 3D, 4D, and dynamic ultrasound techniques, illustrated with hundreds of images. It then discusses in depth the epidemiology, etiology, assessment, and management of the full range of pelvic floor disorders from multidisciplinary and practical perspectives. The book also provides information on the various forms of obstetric perineal trauma, urinary incontinence and voiding dysfunction, anal incontinence, pelvic organ prolapse, constipation and obstructed defecation, pelvic pain and sexual dysfunction, and fistulas, and includes treatment algorithms as well as helpful guidance on what to do when surgical treatment goes wrong. The authors are leading experts in the field from around the globe. Since the first edition from 2010 (more than 200,000 chapter downloads), the book has been extensively rewritten and features numerous additional topics. The result is a comprehensive textbook that is invaluable for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists, beginners and veterans alike.