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The 2nd World Congress on
Controversies in Obstetrics Gynecology & Infertility
Paris, France,
September 6-9, 2001
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1 Volume
for the Invited Speakers and 1 Cdrom for the Free Papers
Foreword
This is the 2nd book of
proceedings of Controversies in Obstetrics, Gynecology & Infertility which
summarizes the 2nd World Congress in Paris. This book,
like the congress, is solely devoted to controversial issues in the field
and represents a unique source of cutting edge knowledge for the general
practitioner as well as for the expert.
Over the years the field of Obstetrics and Gynecology has
witnessed an enormous expansion in clinical and basic data as well as
tremendous growth in field-related technology. This growth has also created
a greater need to debate the many controversial issues that have
subsequently arisen.
As evident from the content of this book the
controversies presented encompass the main unresolved issues of our
profession. The various chapters presented here consolidate the knowledge
through evidence based medicine but also indicate the gaps and lack of
evidence to support certain clinical practices.
We believe that readers will find the chapters
stimulating as a source for updating their knowledge and helpful for
practical handling of their patients.
Zion Ben-Rafael
Rene Frydman
Zeev Shoham
Volume of the Invited
Speakers
Index
The Enigma of PCO
Do PCOS Features Predict
Ovulation Induction Outcome
B.C.J.M. Fauser
Should Insulin Resistance
Be Controlled and How Can it Be Done Safely?
S.
Franks
Improving Ovarian Response and Success Rate
in Art
Do All Women Need LH for
Stimulation?
M.
Filicori
Do All Women Need LH for
Ovarian Stimulation?
E.
Loumaye
Is Inhibin B a Static or
Dynamic Test of Ovarian Reserve?
D.
Seifer
Assessing Uterine Blood
Perfusion in 2001
R.
Fanchin
Individualized Treatment in Reproductive
Medicine
New Options in Hormonal
Contraception: To Bleed or Not to Bleed – Is That Your Question?
U.
Karck
Individualized Treatment
Improving Outcome and Convenience in Assisted Reproduction
G.
Trew
Human-derived Versus Recombinant
Gonadotropins
Human-derived Vs.
Recombinant Gonadotropins in Assisted Reproduction: What Makes the
Difference?
M.
Filicori
Cryopreservation and Gamete Maturation
Vitrification – Is It Going
to Replace Conventional Freezing Techniques?
D.K.
Gardner and M. Lane
Freezing the Embryo? What
Stage?
M.J.
Torelló, A. Veiga and Y. Ménézo
Oocyte In-vitro Maturation
and Ovarian Transplantation
S.L.
Tan and T.J. Child
Ovarian Cancer: Screening and Prophylactic
Oophorectomy
Incidental Prophylactic
Oophorectomy During Abdominal Surgery
P.E.
Schwartz and M. Chu
Ovarian Cancer Screening
B.
Rufford, U. Menon and I. Jacobs
The Current Place of Laparoscopic Surgery in
Gineco-oncology
Should Laparoscopy Be Used
for Surgical Staging in Cervical Cancer
D.
Dargent and R. Enria
Urogenital Aging
Incontinence and Prolapse:
Benefits of Laparoscopic Access
T.
Falcone
Multiple Gestation: How Do We Cope?
Genetic Testing - Before or
After Multiple Pregnancy Reduction?
Y.
Ville and A. Rafii
When and How to Deliver
Twins?
I.
Blickstein
Birth Weight Discordance –
A Normal Variation or IUGR?
J.O.
Gardosi
How to Avoid Multiple
Pregnancy - Who Is Responsible?
L.
Hamberger Lars and N. Simberg
Thrombophilia in Obstetrics and Gynecology
Thrombophilia in Obstetrics
and Gynecology: Introduction
D.
Blickstein
Thrombophilic Risk of HRT,
OC and ART
I.
Walker
Pregnancy and Thrombophila:
Are They Related? Can the Complications Be Prevented?
B.
Brenner
Risks and Benefits of Low
Molecular Weight Heparins in Obstetrics and Gynecology
J.C.
Gris
Fetal Malformations
MRI / 3D for the Detection
of Fetal Anomalies
A.
Kurjak, S. Kupesic and M. Kos
Prenatal Informed Consent
for Sonogram: The Time for First Trimester Nuchal Translucency Has Come
S.T.
Chasen, D.W. Skupski, L.B. McCullough and F.A. Chervenak
Fetal Monitoring
Is There a Place for
Electronic Fetal Monitoring in Low Risk Pregnancy?
O.
Tamizian and S. Arulkumaran
Does Electronic Fetal
Monitoring Increase CS Rate?
O.
Tamizian and S. Arulkumaran
Does Fetal ECG Affect
Detection of Fetal Distress?
K.G.
Rosén, R Luzietti and H Norén for the EU Innovation Project "FECG"
Diagnosis and Surgical Procedures
Hysterosalpingography vs
Hysteroscopy vs Hydrosonography
F.M.
Severi, C. Bocchi, P. Florio, L. Cobellis, R. La Rosa, M.G. Ricci and F.
Petraglia
Laparoscopy Vs
Minilaparoscopy Vs Transvaginal Hydrolaparoscopy (THL)
H.C.
Verhoeven
Myomectomy: It’s Role in
Infertility
J.-B. Dubuisson, A. Fauconnier, P.-Y. Ancel and C. Chapron
Hydrosalpinx – To Treat or
Not
A.
Strandell
Ovulation Induction and Insemination
Should Treatment with
Clomiphene Continue?
H.J.
Out
Is IUI Mandatory Before
IVF? Natural or Stimulated Cycle
P.G.
Crosignani
Cervical, Intrauterine or
Tubal Insemination What Is the Evidence?
P.-N. Barri, R. Tur, B. Coroleu and R. Buxaderas
Forget About Ovulation
Induction! Proceed Directly to IVF
N.
Gleicher and V. Karande
When Should We Proceed to
IVF and ICSI?
M.
Germond, R. Laganara, M.C. Fadda, D. Wirthner,
A. Chanson and A. Senn
IVF - Can We Increase the Success Rate?
Can We Improve the Embryo
Quality? Improving Art Efficacy: Biologist’s Role
Y.
Ménézo, MJ. Torelló and A. Veiga
Can We Improve the Embryo
Quality – The Clinician’s Role
M.
Germond, M.C. Fadda, D. Wirthner, A. Chanson and A. Senn
Improving Endometrial
Receptivity in Assisted Reproduction (AR)
A.
Pellicer, J.A. García-Velasco, A. Ruiz, D. Valbuena and C. Simón
Assisted Hatching – Is It a
Serious Alternative?
N.
Laufer
Embryo Transfer: Techniques
and Variables Affecting Success
W.B.
Schoolcraft and D.K. Gardner
Blastocysts Vs. Day 2-3 ET
– How Strong Is the Evidence?
D.K.
Gardner and W.B. Schoolcraft
Birth Control
Oral Contraceptives- Very
Low Estrogen Dosages: Pros and Cons
G.
Creatsas and A. Elsheikh
Oral Contraception in a
Patient with a First Degree Relative with Breast Cancer
P.
Spinola
Menopausal Health - Treatment
Oestrogen - P.O. or Nasal
Administration
F.
Al-Azzawi
The Role for Supplemental
Androgens in Men and Women
J.
Studd, W. Cronje and A. Vashisht
DHEA: A New Challenge in
Menopausal Health
A.R.
Genazzani, M. Stomati, F. Bernardi, E. Casarosa, S. Luisi, M. Pieri and M.
Luisi
The Future of Global Endometrial Ablation
Technology, Today
NovaSure GEA Technology
Overview
P.
Laberge
NovaSure™ GEA Technology
Overview. Analysis of Worldwide Clinical Results
J.
Cooper
Menopause and HRT
Does HRT Enhance Quality of
Life?
W.H.
Utian
Prematurity
The Spectrum of Preterm
Birth
G.C.
Di Renzo, R. Luzietti, M. Mignosa, F. Taddei, G. Clerici and A. Cutuli
Can We Establish a
Universal Lower Limit of Viability?
M.
Carrapato and F. Menezes
Cesarean Section - Mode of Delivery
Delivery after Caesarean
Section: One or More
O.
Tamizian and S. Arulkumaran
What is the Optimal C/S
Rate?
D.
Farine
Management of Preterm Labour: the Way Forward
Treatment with the Oxytocin
Receptor Antagonist Atosiban in Patients with Risk of Preterm Delivery – The
Vienna Experience
P.
Husslein
Second Trimester Miscarriage - Diagnosis of
Cervical Incompetence
Cervical Funneling – False
Positive and False Negative Observations
B.
Arabin
Uterine Anomalies – When To
Treat?, When To Circle?
E.
Shalev
Endometriosis
Can Surgery Relieve Pain
and Improve Sexual Activity
C.
Sutton
How to Prevent
Endometriosis?
A.
Audebert
Fertility Preserving in Gineco-oncology
Chemotherapy and Conization
for Preserving Fertility in Stage IB1 Cervical Cancer
F.
Landoni, A. Maneo, A. Villa and T. dell’Anna
Abdominal Radical
Trachelectomy
L.
Ungar and J.R. Smith
Laparoscopic Vaginal
Radical Trachelectomy (LVRT) in the Management of Early Cervical Cancer
D.
Dargent and R. Enria
Endometrial Carcinoma – Can
Fertility Be Preserved?
T.
Levy
Endometrial Ablation - Critical Evaluation of
5 New Techniques
A Safe and Effective Method
of Controlling Abnormal Uterine Bleeding
D.E.
Townsend for the Endometrial Ablation Study Group
Thermachoice Balloon
Ablation: Long-Term Follow-up Studies
N.N.
Amso, B. Blanc, M. Bongers, H. Fernandez, C. Fortin, P. McFaul, B. Sanders,
M. Schaffer, P. Van der Heijden and G. Vilos
A Unique Form of
Endometrial Ablation Utilizing Direct Visualization; Hydro ThermAblator®
(HTA®) FDA 12-Month Registration Trial Results
P.
Brooks
Laparoscopic and Advanced Procedure
RCT-Laparotomy Vs.
Laparoscopic Hysterectomy
T.
Falcone
Fertiloscopy or Laparoscopy
for Pelvic Examination
A.
Watrelot and C. Racinet
Myomectomy
Limitations of Uterine
Artery Embolisation
W.J.
Walker
Pelvic Pain
Laparoscopy Versus
Mini-endoscopy. When To Do It?
R.
Campo, S. Gordts and I. Brosens
Painful Retroversion Does
It Exists?
A.
Fauconnier, J.-B. Dubuisson, H. Foulot, C. Deyrolle, G. Bréart and C.
Chapron
Dyspareunia
C.
Sutton
Effective Treatment for
Chronic Pelvic Pain
R.W.
Stones
Evidence-Based Medicine
Randomized Controlled Trial
– When and Why We Need It
S.
Daya
Evidenced Based Medicine
Will Influence the Number of Publications in Journals
A.H.
Decherney
Ethical Dimensions of
Obstetrics and Gynecological Controversies
F.A.
Chervenak and L.B. McCullough
Meta-analysis – The Role of
Cochrane Collaboration. Will it Change Future Medical Studies?
E.
Hughes
Cdrom of the
Free Papers
Index
Perinatology
Controversies in Embryological Development of Fallopian Tubes
B.K. Chakrabarti
Reasons For Low Uptake of Amniocentesis in a Multi-ethnic Population
Y. Chua, F.M. Lai and G.S.H. Yeo
Research of Intervention on Prolonged Pregnancy
Faramarzi Mahbobeh
Vaginal Delivery after Previous Cesarean Section: An Analysis of
Maternal and Fetal Outcome
O. Kontic-Vucinic, J. Opalic, Z. Bogdanovic, I.
Likic and P. Momcilov
Improving Pregnancy Rates by Means of Polarized Maca Based Phytoterapy
and Intratubal Insemination
G. Menaldo, S. Serrano and B. Lopez
Is Repeat Cesarean Really Necessary For a Breech Delivery?
E. Ophir, M. Oettinger, H. Kreutzer, A. Priborkin,
S. Hutova and V. Fait
Misoprostol for Prevention of Postpartum Hemorrhage: An Evidence-based
Review by U.S. Pharmacopeia (USP)
J. Primo Carpenter
External Cephalic Version with Tocolysis in Late Pregnancy
W. Ruangchainikom, C. Chareonpron and S. Sarapak
Severe Obstetric Bleeding Treated with Recombinant Activated Factor VII
(rFVIIa)
S. Segal, IY. Shemesh, R. Blumental, B. Yoffe, N.
Laufer, Y. Ezra, I. Levy, M. Mazor and U. Martinowitz
Low Dose Aspirin in the Management of Idiopathic Recurrent Miscarriage
A.Y.K. Wong and L.C.H. Tang
Infertility
Controlled Ovarian Stimulation Using a Single Dose GnRH Antagonists (Cetrotide®
3 mg)
J.M. Antoine, J.D. Alby, P. Merviel, B. Boutlane,
J. Mandelbaum and S. Uzan
Different Concentrations of IL-12 and IL-13 in Follicular Fluid of
Women with and without PCOS
A. Gallinelli, M. Salvatori, T. Marsella, L.
Giannella, I. Ciaccio, S. Giulini and A. Volpe
The Effect of Serum Prolactin on the Day of Oocyte Retrieval on
Pregnancy Rate in Patients Undergoing Invitrofertilization and Embryo
Transfer (IVF-ET)
B.H. Rashidi
Leptin Attenuates the Insulin-like Growth Factor I Augmentation of
Follicle Stimulating Hormone-Stimulated [Ca2+]i in Human Granulosa Cells
H.F. Huang and J.Z. Sheng
Early Transvaginal Embryo Aspiration For Selective Reduction in High
Orders Multiple Gestations: The Experience From China
H. Huang, Y. Zhu, Y. Ye and M. Jin
To Correct a Defective Endometrium…
A. Husulak, D. Vazquez, C. Tajer and R. Marcomini
What Is the Role of Proinflammatory Cytokines in Follicular Fluid
During In Vitro Fertilization
A. Ljubić, M. Cvetković, V. Šulović, V. Jelušić,
T. Zdravković and T. Motrenko
How Safe Is Reduction To One?
T. Mardesic and P. Muller
GnRH Antagonists and Poor Responders: Results of a Preliminary Study
T. Papageorgiou, J. Guibert, Y. Janssens and
J.-R. Zorn
A Phase III Trial to Study the Efficacy and Safety of Highly Purified
Menotrophin (Menopurä) Versus Recombinant FSH (Follitrophin Alpha) in
Female Patients in an IVF/ICSI Programme
The European Study Group on highly purifed hMG
versus rFSH
Hysterosonosalpingography (HSSG) – Diagnostic Procedure in Infertility
Work-up
V. Radić, S. Ciglar and V. Kukura
Xenoesterogens and Male Reproductive Failure: Is There a Casual Role?
R. Rozati, P.P. Reddy, P. Reddanna and R. Mujtaba
Blastocyst Transfer As an Alternative Art Treatment
V. Šulović, A. Ljubić, A. Stanković, Z. Stanković,
T. Zdravković, V. Vlaisavljević and B. Kovačić
The Role of Free Radicals Regarding the Effectivness of Assisted
Reproductive Cycles
A. Török, J. Belágyi, P. Németh, B. Török, T.
Berki, J. Bódis and H.R. Tinneberg
Gynecology
CavatermTM Balloon Ablation
A. Alaily and Y. Diab
Evaluating the Risk of Tumor Aneuploidy on the Basis of Preoperative
Blood Flow Resistance Index (RI) Measurements in Patients with Serous
Ovarian Tumors
I. But and I. Takač
Computer Assisted Vaginal Hysterectomy
R Canales de la F., J.L. Mosso, V. Lara V., A.
Minor M. and J.M. Grosso E.
Uterine Polyps and Pelvic Inflammatory Disease the Missing Link
S.M. Eldurrija, O.I. Abusnena and I.A. Al. Arbah
NovaSure™ Impedance Controlled Endometrial Ablation System. Long-term
Follow-up Results
T. Fulop, I. Rakoczi and I. Barna
Estimate of Endometrium During Tibolone Treatment in Postmenopausal
Women
L. Marianowski, B. Grzechocińska and H. Gadomska
A Case Report of Breast Hamartoma
I.A. Maruccio, M. Marziali and R. Maruccio
LigaSure versus Sutures in Total Abdominal Hysterectomy: A Prospective
Randomized Study
R. McLellan, C. Anania, M. Birdsall, R. Bruno, J.K. Hurd and P. Prakash
Culdolaparoscopy: When and Why
D.A. Tsin
Uterine Sarcomas: Clinical Study in Five Years Period
S. Vrzic, V. Kesic, S. Petkovic and M.
Petronijevic
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