GYNAECOLOGY AND OBSTETRICS

Degree course: 
Corso di Long single cycle degree (6 years) in MEDICINE AND SURGERY
Academic year when starting the degree: 
2018/2019
Year: 
5
Academic year in which the course will be held: 
2022/2023
Course type: 
Compulsory subjects, characteristic of the class
Credits: 
3
Period: 
Second semester
Standard lectures hours: 
36
Detail of lecture’s hours: 
Lesson (24 hours), Seminar (12 hours)
Assessment: 
Voto Finale

- Anatomy of the female genital apparatus
- Cyclical changes in the fertile age, physiology of human reproduction.
- Climaterium.
- Etiopathogenesis, diagnosis, general principles of therapy and gynecological emergencies derived frompathologies of the menstrual cycle.
- Amenorrhea and menometrorrhages.
- Pelvic inflammatory disease and sexually transmitted diseases.
- Pelvic mass: differential diagnosis and diagnostic imaging
- Benign neoplasms of the ovary
- Endometriosis
- Benign neoplasm of uterus and uterine myomas.
- Diagnosis and treatment of extrauterine pregnancy
- Pelvic inflammatory disease.
- Diagnosis and treatment of couple sterility.
- Nesting and placentation
- Physiological pregnancy and changes in the maternal organism during pregnancy and puerperium.
-Ultrasound diagnostics and monitoring of fetal growth.
- Indications and techniques of prenatal diagnosis.
- Labor and eutocical childbirth
-Epidemiology of gynecological neoplasms.
- Anti papilloma virus screening and vaccination methods
- Cervical cancer: natural history; aetiology; risk factors; cervical preneoplastic lesions; screening methods. Staging and treatment of invasive forms.
- Endometrial cancer: risk factors; endometrial hyperplasia; clinical history; diagnostic methods; staging and treatment.
- Ovarian cancers: risk factors; clinical history; diagnosis; validity and limits of ultrasound screening; staging and treatment.
-Malignant tumors of the vagina and vulva: clinical history; precancerous lesions, diagnosis. Staging and treatment of invasive forms.
- Indications, limits and complications of chemotherapy and radiotherapy treatment

- Anatomy of the female genital apparatus (uterus, adnexae, vagina, vulva, pelvic nerves, pelvic floor, pelvic vessels)
- Cyclical changes in the fertile age, physiology of human reproduction. (menstrual cycles, female genital tract modification in the different woman age and during pregnancy)
- Climaterium (definition, symptoms, medical treatment, lifestyle habits).
- Etiopathogenesis, diagnosis, general principles of therapy and gynecological emergencies derived from pathologies of the menstrual cycle (ovarian bleeding, ovarian torsion, hematometra, Hematocolpus), clinical and sonographic diagnosis, conservative and surgical treatments.
- Amenorrhea and menometrorrhages (clinical and sonographic diagnosis, laboratory tests, medical and surgical treatments, endometrial ablation).
- Pelvic inflammatory disease and sexually transmitted diseases (etiology, sonograghic diagnosis, CT scan, medical and surgical treatment, diagnostic laparoscopy, fertility counseling).
- Pelvic mass: differential diagnosis and diagnostic imaging (Ultrasound CT Scan, Magnetic resonance, serum markers)
- Benign neoplasms of the ovary (mucinous, serous, dermoid, myomas).
- Endometriosis (diagnosis, symptoms, pain treatment, ultrasound, medical and surgical treatment, fertility, serum markers).
- Benign neoplasm of uterus and uterine myomas (epidemiology, etiology, classification, diagnosis, ultrasound and magnetic resonance, medical and surgical treatments, myomectomy, hysterectomy, fertility)
- Diagnosis and treatment of extrauterine pregnancy (etiology, sites, sonographic and clinical diagnosis, medical and surgical treatments)
- Pelvic inflammatory disease (etiology, diagnosis and treatments, fertility)
- Diagnosis and treatment of couple sterility (primary and secondary amenorrhea, polycystic ovarian syndrome, ovulation induction, Fivet, Icsi)
- Nesting and placentation (physiology, abnormal placentation)
- Physiological pregnancy and changes in the maternal organism during pregnancy and puerperium (changes of the genital tract, cardiac function, lung function, pelvic floor)
-Ultrasound diagnostics and monitoring of fetal growth (role of ultrasounds, accuracy, sensitivity, transvaginal and transabdominal ultrasound, Doppler flow assessment, external and internal fetal heart rate monitoring, timing of delivery)
- Indications and techniques of prenatal diagnosis (non invasive prenatal diagnosis, Fetal DNA in maternal blood, chorionic villous sampling, amniocentesis, fetal blood sampling, fetal surgery).
- Labor and eutocical childbirth (first, second, and third stage of labor, diagnosis, length, monitoring, maternal and fetal modifictions, maternal and fetal complications, normal and abnormal contractions, episiotomy, afterbirth).
-Epidemiology of gynecological neoplasms (sources, data analysis)
- Anti papilloma virus screening and vaccination methods (Subtypes, mechanism of action)
- Cervical cancer: natural history; aetiology; risk factors; cervical preneoplastic lesions; screening methods. Staging (ultrasound and magnetic resonance) and treatment of invasive forms (Different types of radical hysterectomy, classification of the different surgeries, surgical approaches, sentinel node biopsy). Fertility sparing approaches and effects on future pregnancies. Chemoterapy and radiotherapy.
- Endometrial cancer: risk factors; endometrial hyperplasia; histological types; clinical history; diagnostic methods (Ultrasound, CT scan, Magnetic Resonance, Hysteroscopy); staging (FIGO and TNM) and treatment (Hysterectomy, pelvic and para-aortic lymphadenectomy, Sentinel Lymph node biopsy). Fertility sparing treatment; medical treatment and chemotherapy
- Ovarian cancers: risk factors; clinical history; histological diagnosis; validity and limits of ultrasound screening; staging (Ultrasound, TC Scan, PET TC, laparoscopy) and treatment (Hysterectomy, Salpingo-ophorectomy, omentectomy, appendectomy, pelvic and para-aortic lymphadenectomy, debulking), sentinel lymp

The course will be held through lectures, with presentation of slides and videos

It will be possible to attend the gynecology and obstetrics clinics (subject to a formal request from the student via email addressed to the Director of the Gynecology and Obstetrics department) to explore specific diagnostic and surgical aspects in obstetrics and gynecology.
For an appointment contact the department secretariat Monday to Friday from 8.00 am to 12.00 pm, tel. 0332.299210
email: fabio.ghezzi@uninsubria.it

Professors