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Here is a state-of-the-art review of technical and clinical aspects of vascular interventional radiological procedures used in obstetrics and gynaecology. Examines IR procedures from a critical gynaecological perspective and in light of surgical alternatives.

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This book provides a state-of-the-art review of the technical and clinical aspects of the vascular interventional radiological (IR) procedures currently employed in obstetrics and gynaecology. A particular focus is on uterine artery embolisation for fibroid disease, which is contrasted with the main alternative uterus-conserving surgical approach of myomectomy, and with ablation therapy. Detailed consideration is also given to the role of embolisation in a variety of other less common conditions, including arteriovenous malformations, post-partum haemorrhage, abnormal placentation and pelvic congestion syndrome. IR procedures are examined from a critical gynaecological perspective and with regard to surgical alternatives. The authors include leading interventional radiologists and gynaecologists from the United Kingdom, Europe and North America.

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The History and Epidemiology of Fibroids.- Medical Treatment of Fibroids.- Clinical presentations of fibroids.- Gynaecological assessment prior to UAE.- Imaging of fibroids pre and post-UAE.- Indications and contraindications.- Embolisation Techniques.- Choice of Embolisation materials.- Clinical results of fibroid embolisation, trials and registries.- Complications of fibroid embolisation.- When to consider Ovarian embolization.- Early Post UAE management.- Post UAE problems and management.- The role of a repeat UAE procedure.- Myomectomy techniques.- Myomectomy results and complications.- Myomectomy after UAE Gynae.- There is a role for UAE in women with symptomatic fibroids and fertility goals.- UAE is not recommended for women with future fertility goals.- Costing issues and UAE in the developing world.- Who can and should do UAE.- Is there a place for UAE in Adenomyosis.- The role for Focussed Ultrasound ablation in the treatment of Fibroids.- Bleeding in Obstetrics: Obstetric Management of Post-Partum Haemorrhage.- Embolisation in Post-Partum Haemorrhage.- The problem of abnormal Placentation and is there a role for Interventional Radiology.- Pelvic Congestion Syndrome: Clinical Significance of Pelvic Congestion Syndrome.- Embolisation in Pelvic Congestion Syndrome.

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