Abstract book 6th RMS 16.indd

137
Endometrial Cancer: Clinical
Guidelines of Management
Adnan Hassan MD (Jordan)
138
Hysteroscopy Challenges in
Management of Infertility
Mustapha Chaaban MD (Lebanon)
Hysteroscopy permits visual evaluation of
the uterine cavity and in the presence of
intrauterine anomalies, allows the direct
management of these anomalies on a see
and treat basis.
Numerous procedures that were once
performed to manage intrauterine
anomalies and whose damage by far
outweighed the benefits from these
surgeries have been discarded because
of the use of hysteroscopy in the
management of these conditions such
as the management of uterine septae,
endometrial polyps , intrauterine synechiae
and submucous fibroids.
The hysteroscopic management of these
conditions allows at the same time a
painless minimally invasive procedure
and a fertility preserving if not boosting
procedure.
These advantages, added to the recent
reports of an imporved pregnancy rate
following hysteroscopy in ivf make
hysteroscopy an invaluable tool in the
management of infertility.
139
Gynecologic Cancers in Pregnancy:
Guidelines of Management
Adnan Hassan MD (Jordan)
Cancer affecting the reproductive system
during pregnancy is a complex situation
that endangers 2 lives; the pregnant
woman and the fetus.
The tremendous therapeutic challenge
implicated by this coincidence on one hand
and the sparse experience on the other
hand demands management guidance.
Literature data on cancers of the female
genital tract during pregnancy consist of
case reports or small series only.
In this presentation, the author will discuss
methods of diagnosis and treatment
of female genital tract cancers during
pregnancy.
Radiology, surgery, radiotherapy and
chemotherapy and their effects on the
mother and the fetus. Carcinoma of the
cervix and ovary during pregnancy will be
discussed in more details.
140
Laparoscopic CO2 LASER Treatment
of Endometriomas
Mustapha Chaaban MD (Lebanon)
Endometriomas and their effect on
fertility and the management of the
endometriomas is still an issue of debate.
There are always comparisons between
the deleterious effect of endometrioma on
oocyte quality and the effect on pregnancy
rates versus the long term effects of
surgical endometrioma management
whether it be on ovarian reserve or even
oocyte quality.
A main drawback of endometrioma
surgery is the fact that even in experienced
hands, simple surgery can lead to a
significant depletion in the ovarian reserve
which is technique dependent rather than
just operator dependent.
We present our technique which
depends on the precise and low thermal
yielding properties of CO2 LASER in the
management of endometriomas.
Hall G Session 3
Obstetrics & Gynecology
141
Fetal Doppler and IUGR
Zarko Alfirevic MD (UK)
This lecture will present systematic review
of the evidence to support the use of
fetal Doppler in suspected IUGR. We will
also discuss pros and cons of routine use
of Doppler to screen for IUGR and raise
awareness of some practical technical
aspects needed for safe and accurate use
of Doppler in obstetrics.
142
Hypertension in Pregnancy
David James MD (UK)
The National Collaborating Centre for
Women’s and Children’s Health produces
clinical practice guidelines on topics related
to women’s and children’s health for
www.jrms.gov.jo
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