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The routine pelvic examination has been a usual part of preventive care for women for many decades. In 2008, 63.4 million pelvic examinations were performed in the United States. Many women and providers believe that the routine pelvic exam should be included in an annual comprehensive well-woman visit.^The exam consists of inspection of the external genitalia, speculum examination of the vagina and cervix, bimanual examination, and sometimes rectal or rectovaginal examination.^Traditionally, the examination in the asymptomatic average risk women has been used to screen for pathology through palpation, visualization, and specimen collection.^Pathology potentially detectable on the pelvic examination includes malignancies (e.g., cervical, ovarian, uterine, bladder, vaginal or vulvar); infections (e.g., Chlamydia, gonorrhea, warts, candidiasis, bacterial vaginosis); pelvic inflammatory disease (PID); or other pathology (e.g., atrophic vaginitis, cervical polyps, uterine prolapse, fibroids). In addition, pelvic examinations are often performed prior to the provision of hormonal contraception.^Recent high quality evidence-based reviews and guidelines have concluded that pelvic examinations are not required for Chlamydia and gonorrhea screening or for hormonal contraception initiation and up-to-date evidence-based guidelines for cervical cancer screening are also available.^However, we are unaware of any systematic reviews that have investigated the utility of the pelvic examination for the other indications.^This systematic review was undertaken to evaluate the benefits and harms of the routine screening pelvic examination in asymptomatic, average risk, non-pregnant, adult women. For cervical cancer and sexually transmitted infection (i.e., Chlamydia and gonorrhea) screening and for initiation of hormonal contraception we summarize the results of recent reviews and guidelines from major US health organizations. For all other indications, we performed and report results from a comprehensive search of the medical literature.

Gynecologic examination. --- United States.

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Laparoscopy. --- Gynecologic examination. --- Generative organs, Female --- Laparoscopic surgery. --- Endoscopic surgery.

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Gynecologic examination --- Colposcopy. --- Colposcopy --- Vagina --- Generative organs, Female --- Colposcopie --- Vagin --- Examen gynécologique --- Examination --- Examen

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L'échographie endovaginale est devenue une technique irremplaçable dans la pratique clinique quotidienne. Grâce au développement des sondes, elle apparaît de plus en plus comme un outil de diagnostic extrêmement précis dans le cadre des pathologies utéro-ovariennes, de l'endométriose et dans le suivi de la grossesse normale et pathologique durant le premier trimestre. Elle trouve également des applications dans l'assistance médicale à la procréation et est un véritable outil de planification du geste chirurgical. Devenu indispensable pour les radiologues et les gynécologues obstétriciens qui utilisent cette technique, cet ouvrage constitue désormais un best-seller. Pour sa 7e édition, l'ensemble de l'ouvrage est mis à jour, intégrant notamment les dernières recommandations. Une grande partie de l'iconographie a été renouvelée et enrichie.Après un rappel de la technique de l'examen échographique sont abordés les principes anatomiques physiologiques puis les pathologies gynécologiques et vésicales : - Pathologie endométriale et cavitaire ; - Pathologie myométriale ; - Pathologie ovarienne ; - Pathologie tubaire ; - Endométriose pelvienne. Puis sont traitées les spécificités du pelvis postopératoire, de l'assistance médicale à la procréation, de la grossesse et de la vessie. Plus de quarante vidéos viennent renforcer la pédagogie, ainsi qu'une banque d'images en ligne.

Gynecologic examination. --- Generative organs, Female --- Color Doppler ultrasonography. --- Fetus --- Organes génitaux femelles --- Embryon humain --- Échographie Doppler --- Échographie prénatale. --- Système génital de la femme. --- Échographie-doppler. --- Ultrasonic imaging. --- Échographie --- Transvaginal ultrasonography.

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This book provides up-to-date evidence on laparoscopic emergency surgery and supplies concrete advice on when and how to approach patients laparoscopically in an emergency setting. All the diseases elegible for emergency laparoscopy are addressed, and for each disease recommendations, levels of evidence, and technical key points are discussed and analyzed. Diagnostic flow charts are included for cases in which laparoscopy turns out to be the final diagnostic step and the first therapeutic one. Furthermore, problematic and positive aspects of the laparoscopic approach from the anesthesiologic point of view are fully explored. Finally, a useful overview of current practice in hospitals across the world is provided, highlighting the varying applications in relation to different medical “cultures”, skills, resources, and healthcare systems.

Medicine. --- Emergency medicine. --- Interventional radiology. --- Abdominal surgery. --- Minimally invasive surgery. --- Traumatology. --- Medicine & Public Health. --- Abdominal Surgery. --- Traumatic Surgery. --- Emergency Medicine. --- Minimally Invasive Surgery. --- Interventional Radiology. --- Laparoscopy. --- Gynecologic examination. --- Generative organs, Female --- Endoscopic surgery. --- Celioscopy --- Peritoneoscopy --- Gynecology --- Physical diagnosis --- Women --- Abdomen --- Endoscopy --- Diagnosis --- Medical examinations --- Examination --- Trauma. --- Surgery. --- Radiology, Interventional --- Medical radiology --- Therapeutics --- Endosurgery --- Minimal access surgery --- Minimally invasive surgery --- MIS (Minimally invasive surgery) --- Operative endoscopy --- Surgical endoscopy --- Microsurgery --- Surgery, Operative --- Medicine, Emergency --- Medicine --- Critical care medicine --- Disaster medicine --- Medical emergencies --- Abdominal surgery --- Laparotomy --- Interventional radiology . --- Accident medicine --- Trauma medicine --- Emergency medicine --- Surgery --- Wounds and injuries