Chapters authored
Peripartum Hysterectomy By Zouhair O. Amarin
Peripartum hysterectomy is uncommon in modern obstetrics. It is mostly performed as an emergency procedure to control life-threatening haemorrhage. Despite recent technical advances in medicine, it is associated with high rates of morbidity and mortality. Peripartum hysterectomy constitutes a life-saving procedure.
Part of the book: Approaches to Hysterectomy
Venous Thromboembolism in the Context of Reproduction: The Royal College of Obstetricians and Gynecologists Recommendations By Zouhair O. Amarin and Mahmoud A. Alfaqih
Venous thromboembolism complicates 1–2 of every 1000 deliveries. It may manifest as deep vein thrombosis or pulmonary embolism. Pregnancy-associated venous thromboembolism is an important major cause of maternal morbidity and mortality. Prophylaxis and therapy in pregnancy are complicated by the need to take both fetal and maternal well-being into consideration. Risk factors for venous thromboembolism during pregnancy or the puerperium are multiple. They include, but are not limited to, thrombophilia, multiparity, orthopedic injuries, medical comorbidities, prior venous thromboembolism, smoking, gross varicose veins, age, if older than 35, obesity, multiple pregnancy, preeclampsia, cesarean section, prolonged labor, instrumental vaginal delivery, stillbirth, preterm birth, postpartum hemorrhage, hyperemesis gravidarum, ovarian hyperstimulation syndrome, immobility, long periods of hospitalization, and long haul travel. This chapter is a clinical guide that covers prophylaxis and therapy of pregnancy-associated venous thromboembolism, based on evidence-based research and consensus opinion.
Part of the book: Family Planning and Reproductive Health
Hysterectomy: Past, Present and Future By Zouhair Odeh Amarin
Hysterectomy is a major operation and is as old as time. This chapter touches briefly on the history of this procedure, its present aspects and general advice for these women who may need a hysterectomy, and finally the direction of new developments about it.
Part of the book: Hysterectomy
The Quantum Theory of Reproduction – How Unique is an Individual? By Zouhair O. Amarin
Our understanding of nature’s way is founded on quantum mechanics. In its existence of over 80 years, quantum theory has been describing the physical world. The attraction of studying quantum mechanics is the perception of the conceptual structure of nature. This is aided by the mathematical structure that exposes the internal logic of the subject by inventing a notation that embeds the philosophy of the question. To describe how unique each individual is. A calculation method was applied. The uniqueness of an individual is one in two nonillion, octillion, septillion, sextillion, quintillion, quadrillion, trillion, billion, million and thousand. Individuals are indefinitely unique.
Part of the book: Studies in Family Planning
Alternatives to Hysterectomy for Dysfunctional Uterine Bleeding By Zouhair O. Amarin and Omar Farouq Al tal
Hysterectomy is a major surgical procedure that is performed through conventional laparotomy, laparoscopy and robotic surgery, or through the vaginal route to avoid abdominal wall incisions. In certain situations, both the abdominal and vaginal routes are used in combination. Hysterectomy is indicated for malignancies of the uterus, uterine cervix, and ovaries; to reduce the risk of future malignancies and genital prolapse; and for dysfunctional uterine bleeding. Dysfunctional uterine bleeding is an aberration caused by hormonal imbalance that is not related to the normal menstrual cycle, with no clear etiology in most cases. Dysfunctional uterine bleeding can be treated medically or surgically. Medical treatment includes non-steroidal anti-inflammatory drugs, the combined oral contraceptive pills, progestogens, danazol, analogs of gonadotrophin-releasing hormone, and the anti-fibrinolytic tranexamic acid. Endometrial ablation and hysterectomy are common routine, low-risk surgical procedures for dysfunctional uterine bleeding but are associated with some comparatively rare serious complications, both operatively and post-operatively. All types of endometrial ablation and hysterectomy remain a mainstay of alternative options for patients where the medical approach proves to be ineffective or is associated with intolerable side effects.
Part of the book: Hysterectomy Matters
Amenorrhea: A General Approach to Diagnosis and Management By Zouhair O. Amarin and Omar F. Altal
The etymology of the term menstruation relates to the moon. The words menses and menstruation are related to the Latin word for month, which originates from the ancient Greek word “mene”, meaning moon. Menorrhagia refers to heavy and prolonged menstrual periods. The opposite is hypomenorrhea, which refers to light menstrual periods. When the frequency of menstruation is less than 21 days, it is described as polymenorrhea. If the frequency is more than 35 days, it is described as oligomenorrhea. Metrorrhagia refers to the situation of the cycles being irregular. This chapter will address the main aspects of the etiology, presentation, investigation, and management of amenorrhea.
Part of the book: Understanding Polycystic Ovary Syndrome
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