Howkins & Bourne: Shaw's Textbook of Gynaecology, 18th Edition
- 18th Edition - September 1, 2022
- Imprint: Elsevier India
- Editors: Sunesh Kumar, V. G. Padubidri, Shirish N Daftary
- Language: English
- Paperback ISBN:9 7 8 - 8 1 - 3 1 2 - 6 6 3 0 - 4
- eBook ISBN:9 7 8 - 8 1 - 3 1 2 - 6 6 3 1 - 1
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- Content Organized in a logical sequence that aids learning and enables the students to build sound knowledge of the subject.
- Book covers the entire course curriculum in a narrative manner that helps build concepts and makes it easy to retain and reproduce.
- Colored Illustrations, pathological images and slides, and supporting sonographs have been included extensively to enhance understanding of various diseases.
- Key points at the end of chapter for quick revision.
- Self-assessment questions at the end of each chapter help in preparing for expected/frequently asked questions in the examination.
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Preface to 18th edition
- Preface to the 17th edition
- Preface to the 16th edition
- Preface to the 10th edition
- List of videos and ppts
- Competency codes
- List of Tables
- List of Illustrations
- 1. Approach to a gynaecological patient OG 33.3; OG 35.1; AN 48.8
- History
- Physical examination
- Gynaecological examination
- Investigations
- Self-assessment
- Section 1. Anatomy, Physiology and Development of Female Reproductive Organs
- 2. Anatomy of female genital tract OG2.1
- The vulva
- The vagina
- The uterus
- The uterine appendages
- Fallopian tubes
- The ovaries
- The urethra
- The bladder
- The ureters
- The rectum and anal canal
- The pelvic musculature
- The pelvic cellular tissue
- The pelvic blood vessels
- The lymphatic system
- The nerve supply
- Applied anatomy and its clinical significance
- Self-assessment
- Suggested reading
- 3. Normal histology of ovary and endometrium OG2.1
- The ovary AN77.3
- Ovulation
- The endometrium
- Ovarian functions
- Self-assessment
- Suggested reading
- 4. Physiology of ovulation and menstruation OG4.1
- Hypothalamic–pituitary–ovarian axis AN77.2
- Ovarian steroidogenesis
- Physiology of menstruation OG3.1
- Feedback mechanism in the H–P–O axis
- Leptin
- Menstruation
- Menstrual fluid in ‘stem cell’ therapy
- Self-assessment
- Suggested reading
- 5. Development of female reproductive organs and related disorders OG2.1; AN52.8
- Development of the female genital organs
- Development of the ovaries
- Malformations of the rectum and anal canal
- Wolffian duct anomalies
- Renal tract abnormalities
- Self-assessment
- Suggested reading
- 6. Puberty, adolescence and related gynaecological problems OG23.1
- Introduction
- Reproductive endocrinology of the growing girl child
- The newborn female infant
- The growing girl child
- Common paediatric gynaecologic problems
- Puberty and adolescence
- Puberty – anomalies of gonadal function
- Adolescent contraception
- Miscellaneous problems
- Self-assessment
- Suggested reading
- 7. Menopause and related problems
- Introduction OG32.1
- Perimenopause (climacteric) PY9.11
- Diagnosis of approaching menopause
- Menopause
- Postmenopausal bleeding OG32.2
- Self-assessment
- 8. Breast and gynaecologist
- Congenital deformities
- Benign tumours
- Breast cancer
- Self-assessment
- Suggested reading
- 9. Sexual development and variations of sexual development OG2.1
- Principles of sexual development (Fig. 9.1)
- Factors influencing designation of sex
- Disorders of female sexual differentiation
- Masculinization OG30.2
- Virilism
- True hermaphrodite
- Psychological sex
- Self-assessment
- Suggested reading
- Section 2. Disorders of Menstruation
- 10. Common disorders of menstruation
- Menstrual cycle irregularities
- Heavy menstrual bleeding (HMB)
- Oligomenorrhea and hypomenorrhoea
- Polymenorrhoea or epimenorrhoea
- Metrorrhagia
- Dysmenorrhoea
- Premenstrual syndrome
- Self-assessment
- Suggested reading
- 11. Abnormal uterine bleeding (AUB) OG24.1
- Introduction
- Normal control of menstrual bleeding
- Causes of abnormal uterine bleeding (Table 11.1)
- Investigations
- Management
- PALM–COEIN classification
- Abnormal uterine bleeding in women of reproductive age and premenopausal women
- Abnormal uterine bleeding in adolescents
- Self-assessment
- Suggested reading
- 12. Primary and secondary amenorrhoea OG25.1
- Amenorrhoea
- Primary amenorrhoea
- Secondary amenorrhoea
- Self-assessment
- Suggested reading
- 13. Fibroid uterus OG29.1
- Fibromyomas
- Pathological classification of fibroids (uterine smooth muscle tumours [USMT])
- Uterine polyps
- Self-assessment
- Suggested reading
- 14. Endometriosis and adenomyosis OG26.1; PA30.7; PA30.8
- Endometriosis
- Adenomyosis
- Self-assessment
- Suggested reading
- 15. Hormonal therapy in gynaecology
- Oestrogens
- Progesterone
- Androgens (Fig. 15.1)
- Anti-oestrogens
- Aromatase inhibitors
- Selective oestrogen receptor modulators acting as anti-oestrogen (Table 15.3)
- Antiprogesterone
- Antiandrogens
- Pituitary hormones
- Growth hormone
- Gonadotropin-releasing hormone (GnRH) and its analogues
- Self-assessment
- Section 3. Common Conditions in Gynaecology
- 16. Infertility – male and female OG 28.1; PY9.12
- Physiology of fertilization
- Infertility
- Male infertility
- Female infertility
- Vaginismus
- Dyspareunia
- Assisted reproductive technology: An overview OG28.4
- Self-assessment
- 17. Ectopic gestation OG9.3
- Types of ectopic gestation
- Epidemiology
- Incidence
- Aetiology (Table 17.1)
- Aetiopathogenesis
- Pathology
- Symptoms, signs and diagnosis
- Physical signs
- Differential diagnosis of chronic ectopic pregnancy
- Diagnostic investigations (Table 17.3)
- Treatment
- Interstitial pregnancy
- Unruptured ectopic gestation
- Ovarian pregnancy
- Cervical pregnancy
- Cornual pregnancy
- Heterotopic pregnancy
- Caesarean scar ectopic pregnancy
- Persistent ectopic pregnancy (PEP)
- Recurrent ectopic pregnancy
- Self-assessment
- Suggested reading
- 18. Acute and chronic pelvic pain
- Acute pelvic pain
- Chronic pelvic pain
- Self-assessment
- Suggested reading
- 19. Temporary and permanent methods of contraception
- Birth control
- Hormonal contraceptives PH1.39
- WHO Contraceptive Wheel
- Male contraception
- Self-assessment
- 20. Medical termination of pregnancy OG9.2; OG20.1
- Medical termination of pregnancy
- Self-assessment
- Section 4. Benign Conditions in Gynaecology
- 21. Genital prolapse OG31.1
- Supports of the uterus
- Aetiology of prolapse of uterus (Table 21.1)
- Classification of prolapse (Figs 21.3 and 21.4)
- POP-Q system (Table 21.2; Figs 21.3 and 21.4)
- Symptoms of prolapse
- Investigations
- Differential diagnosis
- Complications of pelvic organ prolapse
- Prevention of prolapse
- Treatment (Table 21.3)
- Self-assessment
- Suggested reading
- 22. Displacements of the uterus
- Introduction
- Retroversion
- Inversion of the uterus
- Self-assessment
- Suggested reading
- 23. Diseases of the broad ligament, fallopian tubes and parametrium
- Diseases of broad ligament
- Broad ligament cysts
- Paraovarian cysts
- Tumours of the fallopian tubes
- Conditions affecting the broad ligament and parametrium
- Tumours of the broad ligament and parametrium
- Self-assessment
- Suggested reading
- 24. Benign diseases of the ovary
- Nonneoplastic enlargements of the ovary (Table 24.1)
- Polycystic ovarian syndrome (PCO, PCOS, PCOD) OG30.1
- Self-assessment
- Suggested reading
- 25. Benign diseases of the vulva
- Introduction
- Benign diseases of the vulva
- Inflammatory lesions
- Ulcers
- Atrophy
- Vulval dystrophies
- Cysts and neoplasms
- Three-ring vulvoscopy
- Self-assessment
- Suggested reading
- 26. Benign diseases of the vagina OG22.2
- Biology of the vagina
- Pathological vaginal infections OG22.2
- Inflammation of the vagina
- Ulcerations of the vagina
- Cysts and neoplasms of the vagina
- Self-assessment
- Suggested reading
- Section 5. Infections in Gynaecology
- 27. Pelvic inflammatory disease OG27.4
- Pelvic inflammatory disease
- Chronic pelvic inflammatory disease
- Rare variety of PID due to actinomyces
- Self-assessment
- 28. Tuberculosis of the female genital tract OG27.2
- Introduction
- Epidemiology
- Etiology
- Pathogenesis
- Pathology of genital tuberculosis
- Clinical features of genital tuberculosis
- Investigations
- Differential diagnosis
- Treatment
- Prognosis
- In vitro fertilization (IVF)
- Self-assessment
- 29. Sexually transmitted diseases including HIV infection OG27.1
- Vaginal infections
- Vulvar infections
- Genital ulcers
- Vaginitis
- Human immunodeficiency virus infection OG27.3
- Contraception
- Sexually transmitted infections and infertility
- Practical approach to common vaginal infections: Syndromic management
- Hepatitis B virus
- Self-assessment
- Section 6. Urinary and Intestinal Tract in Gynaecology
- 30. Diseases of the urinary tract
- Common urinary symptoms
- Diseases of the female urethra
- Urinary fistulae
- Ureteric obstruction
- Pregnancy and urinary problems
- Self-assessment
- Suggested reading
- 31. Urinary fistula and stress urinary incontinence
- Urinary fistulae
- Stress urinary incontinence
- Self-assessment
- 32. Injuries of the genital tract and intestinal tract OG26.2
- Obstetric injuries
- Injuries due to coitus
- Direct trauma and vulval haematoma
- Injuries due to foreign bodies and instruments
- Chemical and other burns of the vagina
- Perineal injuries
- Old, longstanding complete perineal tears
- Rupture of the uterus
- Perforation of the uterus
- Injuries of the intestinal tract
- Vaginal delivery
- Faecal incontinence
- Rectovaginal fistula
- Bowel injury
- Self-assessment
- Section 7. Gynaecological Malignancies
- 33. Preinvasive and invasive carcinoma of cervix OG33.1; OG33.2; PA30.1
- WHO cervical cancer elimination strategy targets for 2030
- Epidemiology (Table 33.1) OG33.3
- Cervical intraepithelial neoplasia (CIN)
- Cryosurgery
- Invasive cancer of the cervix
- Carcinoma cervix in pregnancy
- Endocervical adenocarcinoma of cervix
- Self-assessment
- 34. Cancer of the body of the uterus OG34.1; PA30.2
- Endometrial cancer OG34.1
- Sarcomas of the uterus PA30.3
- Endometrial stromal tumours
- Self-assessment
- 35. Pathology of ovarian tumours PA30.4
- Pathology of ovarian tumours
- Tumours of the surface epithelium
- Borderline ovarian tumours
- Germ cell tumours
- Sex cord stromal tumours
- Feminizing tumours
- Virilizing tumours
- Tumours arising from connective tissues of the ovary
- Benign cystic ovarian tumours
- Ovarian tumours associated with pregnancy
- Ovarian cyst in a menopausal woman
- Ovarian remnant syndrome
- Ovarian tumours in adolescents (Fig. 35.21)
- Self-assessment
- Suggested reading
- 36. Ovarian malignancies OG34.2
- Clinical features
- Screening for ovarian cancer
- Investigations
- Surgical treatment of carcinoma ovary
- Chemotherapy for epithelial ovarian carcinoma
- Germ cell tumours of ovary
- Sex cord stromal tumours
- Fallopian tube cancer
- Self-assessment
- Suggested reading
- 37. Vulval and vaginal cancer
- Cancers of the genital tract
- Cancer of vulva
- Vaginal cancer PA30.5
- Self-assessment
- Suggested reading
- 38. Gestational trophoblastic diseases OG9.4; OG34.3
- Hydatidiform mole
- Invasive mole
- Placental site trophoblastic tumour
- Epithelioid trophoblastic tumour
- Persistent trophoblastic disease (gestational trophoblastic neoplasia)
- Treatment of persistent trophoblastic disease
- Perforating mole (chorioangioma destruens)
- Recurrent molar pregnancy
- Coexisting molar and normal pregnancy
- Choriocarcinoma
- Self-assessment
- Suggested reading
- 39. Radiation therapy, chemotherapy and palliative care for gynaecological cancers
- Radiation therapy
- Clinical applications of radiotherapy
- Cancer chemotherapy for gynaecological cancers
- Self-assessment
- Section 8. Imaging Modalities, Endoscopic Procedures and Major and Minor Operations in Gynaecology
- 40. Imaging modalities in gynaecology
- Plain radiography
- Hysterosalpingography
- Ultrasonography (Figs. 40.6-40.16)
- Computed tomography scan
- Magnetic resonance imaging
- Radionuclide imaging
- Dual-photon densitometry
- Self-assessment
- 41. Endoscopy in gynaecology OG34.4
- Laparoscopy OG38.1
- Hysteroscopy (Fig. 41.8) OG38.2
- Salpingoscopy and falloscopy
- Self-assessment
- 42. Major and minor operations in gynaecology OG34.4
- Minor procedures OG36.3
- Dilatation of the cervix and endometrial curettage (dilatation and curettage) OG37.4
- Cone biopsy of cervix (conisation)
- Major procedures in gynaecology
- Preoperative investigations
- Preoperative workup
- Steps of abdominal hysterectomy OG37.3
- Vaginal hysterectomy OG37.3
- Postoperative care
- Self-assessment
- 43. Obesity, polycystic ovaries and hirsutism
- Prevalence
- Definition
- Aetiology
- Pathophysiology
- Clinical features
- Complications and sequelae (Fig. 43.1)
- Management
- Polycystic ovarian disease and hirsutism
- Polycystic ovarian syndrome (PCO, PCOS, PCOD) OG30.1; OG30.2
- Hirsutism
- Self-assessment
- Suggested reading
- 44. Instruments used in gynaecology
- Instruments used in gynaecology
- Instruments used to retract vaginal walls and expose cervix
- Instruments used to catch anterior lip of cervix
- Instruments used for dilatation of cervix
- Other commonly used instruments in vaginal gynaecological operations
- Instruments needed for all gynaecological operations (abdominal or vaginal surgeries)
- Instruments used in specialized procedures
- Endoscopy instruments
- Instruments used in laparoscopy
- Instruments used in diagnostic hysteroscopy and hysteroscopic operative procedures
- Sterilization of laparoscopic and hysteroscopic equipment
- Self-assessment
- Index
- Edition: 18
- Published: September 1, 2022
- Imprint: Elsevier India
- No. of pages: 596
- Language: English
- Paperback ISBN: 9788131266304
- eBook ISBN: 9788131266311
SD
Shirish N Daftary
Affiliations and expertise
Professor Emeritus and
Consultant, Obstetrician &
Gynecologist, Nowrosjee Wadia
Maternity Hospital, Mumbai.
Dr. Daftary’s Total Care Clinic,
Mumbai.