Atlas of female infertility surgery

Atlas of female infertility surgery

385 comprise the epidemiology of drug intake in pregnancy and more controversial matters such as treatment with antihypertensives, antiepileptics and...

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385

comprise the epidemiology of drug intake in pregnancy and more controversial matters such as treatment with antihypertensives, antiepileptics and psychotropics. Also of note is the chapter by Spielberg on pharmacogenetics, a concept taking much more account of the individually programmed susceptibility of the fetus to teratogenics than was hitherto the case. The concept could shed a very different light on the teratogenecity problem; indeed, it might single out groups of especially susceptible mothers and/or fetuses. The two volumes by Onnis and Grella deal in a very systematic way with a range of current drugs, schematically indicating their potential harmfulness through the 3 trimesters of pregnancy, labour and lactation. The evidence is succinctly discussed and for each chapter an ample bibliography is provided. This relatively inexpensive reference tool should be within the reach (on the desk) of every physician currently dealing with pregnant or puerperal patients, and even proves not too forbidding for browsing after office hours. P. Defoort, Gent Atlas of Female Infertility

Surgery

Robert B. Hunt Year Book Medical Publishers/Blackwell ~126.00

Scientific Publications, Oxford

This book deals with almost all aspects of female infertility surgery. The chapters are written in a clear and concise way, with very illustrative pictures and drawings. The basic science section is very complete and good: the authors realize that a good knowledge of anatomy, physiology and pathology of the fallopian tube is indispensable before performing tubal surgery. The chapter on pre-operative officetesting is very short and the part on ovulatory disorders is not quite up-to-date and on some points inaccurate. The book contains very good chapters on animal experiments, the use of loupes and operating microscopes, electrosurgery, lasersurgery, opening and closing of the abdomen, microsurgical instruments, complications and documentation. These chapters make this book one of the most complete in the field. Also the section on hysterosalpingography, hysteroscopy and laparoscopy is of high quality. Concerning the actual infertility surgery, the pictures on myomectomy are unclear, in contrast with the other parts of the chapter. I was a bit amazed when seeing that tubal implantation is still a major topic in the book (also appearing on the cover) while in my opinion there are hardly any indications left for this procedure any more. The chapters on tubal anastomosis, salpingostomy and adhaesiolysis and ovarian surgery are truly beautiful and very clear. The same can be said about the section on ectopic pregnancy, although the laparoscopic treatment for ectopics, as recommended by Rruhat, is not mentioned there. Although I really miss a chapter on indications for in-vitro fertilization versus indications for infertility surgery, I can definitely recommend this book to anyone working in the field of female infertility surgery. Hans M. Vemer, Nijmegen