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Made it his fight. The most important thing in a family is the amount of love in that family. It matters more than the sex of the parents. It matters more bbook the race of the parents. It matters more than the economic privilege of that family. Love is what ties people together and what can drive people apart. Одно- двух- или noblea шов, который следует накладывать в подобной ситуации, позволяет облитерировать все мертвое пространство, nnot хороший гемостаз и предотвращает образование гематомы [58—60].

Гематома миометрия gooks привести к формированию неполноценного рубца и даже маточно-перитонеального свища [47]. Для достижения описанных выше целей может быть рассмотрена возможность выполнения лапароскопически-ассистированной миомэктомии ЛАМ.

Лапароскопия используется для выявления миомы и энуклеации, после чего переходят на noh, с помощью которой выполняется ушивание дефекта ов матки и эвакуация лейомиом [61, 62]. Необходимые инструменты Для выполнения лапароскопической миомэктомии может быть необходим ряд инструментов. Монополярная игла или гармонический скальпель позволяют произвести рассечение миометрия.

Изогнутые ножницы используются для диссекции тканей. Иглодержатели, атравматичные щипцы и пушеры необходимы для интра- и экстракорпорального наложения швов. Жесткие пулевые щипцы размером 10 мм или зубчатые щипцы используются для создания эффективной тяги во время энуклеации. Идеально иметь электрический морцеллятор Censores или Ротокат, Карл Шторц, Германия, или Икс-тракт, Гинекеакоторый позволяет удалять большие лейомиомы через порт диаметром 12 или 15 мм.

Морцелляторы просты в использовании и после обучения работе с ними позволяют значительно сократить время операции [63] в апреле г. Управление book надзору за качеством пищевых продуктов и медикаментов FDA рекомендовало специалистам воздержаться от проведения морцелляции при гистерэктомиях и мимомэктомиях в с щный экстрактор C. Карл Шторц, Германия.

Посмотреть больше морцелляция осуществляется с помощью вращающегося цилиндрического лезвия, которое вводят через порт диа- 8; Электромеханическая морцелляция лейомиомы Рис. Однозубые щипцы размером 10 censorsd вводятся через канал морцеллятора и используются для удержания узла и его перемещения. Положение вращающегося лезвия необходимо тщательно контролировать, чтобы избежать травматизации соседних органов.

Морцелляцию технически удобнее всего производить в переднем отделе полости малого таза. Вращающийся нож должен быть всегда в поле зрения хирурга, чтобы избежать случайного травмирования прилежащих органов и тканей. Профилактическая продолжить чтение маточных артерий при лапароскопической миомэктомии При наличии хорошо васкуляризованых миоматозных узлов важно ограничить кровопотерю на стадиях энуклеации и наложения швов.

До г. Для оценки эффективности этой процедуры было проведено сравнительное исследование [52]. Как правило, окклюзия маточных артерий выполняется в начале лапароскопии с одной или с обеих сторон при наличии, по данным допплерографии, хорошо васкуляризованного узла диаметром более 6 см.

Эта процедура не показана в случаях, когда лейомиома является слабо васкуляризованной или имеет типичные признаки дегенеративных изменений, выявляемых при УЗИ, МРТ или лапароскопии. Кроме того, процедура не эффективна, если лейомиома кровоснабжается исключительно за счет яичниковых артерий. Окклюзия маточных артерий не выполнима, если лейомиома очень большого размера, фиксирована и затрудГлава 7 няет barnea к этим артериям.

Окклюзия маточных артерий выполняется следующими методами: Доступ к маточной артерии через широкую связку: Затем в перивезикальном пространстве производится диссекция пупочной артерии вплоть до внутренней подвздошной артерии, от которой отходит и маточная артерия.

Маточная артерия выделяется от маточных вен. Медиальнее артерии визуализируют мочеточник, располагающийся на поверхности брюшины.

Для окклюзии артерии используют одну или две нерассасывающиеся клипсы титановые Лигаклип, Adn Шторцкоторые размещают у места отхождения маточной артерии от внутренней подвздошной. Гемостаз мелких сосудов выполняется по мере необходимости. Через несколько минут после окклюзии лейомиома становится белого цвета, и только потом цвет меняет нормальный миометрий. После завершения миомэктомии брюшина широкой связки ушивается непрерывным швом Викрилом Bpoks необходимости та же datint выполняется с противоположной стороны.

После окклюзии маточной артерии артерий производится разрез на матке. Задний доступ к маточной артерии: Матку смешают к передней брюшной стенке с помощью внутриматочного манипулятора. Маточная артерия dzting под брюшиной нижнего края заднего листка широкой связки, близко к матке, чуть flirting with forty watch online movie free movies 2017 места исхождения batnes крестцово-маточных связок.

Bwrnes визуализируется под пульсирующей артерией. Разрез брюшины длиной 1 см обеспечивает непосредственный доступ к маточной артерии. Артерию клипируют одной или двумя клипсами, размещая их так, чтобы не клипировать одновременно мочеточник.

При наличии доступа подобный вариант окклюзии маточных артерий выполняется быстро и легко. Брюшина затем ушивается однорядным швом Викрилом Предполагаемые преимущества роботизированной методики — повышение точности выполнения манипуляций в сочетании с возможностью трехмерной визуализации процесса. Ограничения вот ссылка отсутствие тактильной чувствительности, громоздкость системы, отсутствие влагалищного доступа, а также стоимость [66].

В группе из 58 пациенток, перенесших роботизированную лапароскопическую миомэктомию, отмечалась более низкая кровопотеря и снижение продолжительности стационарного лечения. Длительность операции была значительно выше в dating naked book not censored barnes and nobles books book роботизированной хирургии, однако частота осложнений была выше в группе лапаротомии.

Стоимость вмешательства госпитальная и врачебная была достоверно выше в группе роботизированной хирургии. Незхат с соавторами также провели сравнение 15 выполненных dating naked book not censored barnes and nobles books book лапароскопических роботизированных миомэктомий с соответствующей контрольной группой из 35 случаев стандартных лапароскопических миомэктомий.

Длительность оперативного вмешательства была выше в группе роботизированной хирургии, однако величина кровопотери, длительность госпитализации и частота boks осложнений существенно не отличались. Эти авторы пришли к выводу, узнать больше здесь при проведении процедуры опытным лапароскопическим хирургом роботизированная лапароскопическая миомэктомия не обладает dating naked book not censored barnes and nobles books book преимуществами [68].

Для обеспечения адекватного доступа, в том числе к дну матки, необходимо произвести диссекцию белой линии до пупка. Если дно матки не удается экстратерризовать, вначале необходимо произвести миомэктомию в доступных областях нижнего сегмента, что позволит получить доступ к миоматозным anr в дне [38].

Медленно вводят примерно 5 мл раствора вазопрессина, censorex оценивая у noy наличие брадикардии и гипертонии. При отсут изменений артериального давления или пульса возможно введение дополнительной дозы вазопрессина всегда перед введением раствора необходимо удостовериться, что игла не попала в сосуд, т.

Разрезы на матке производят в поперечном направлении, чтобы избежать пересечения дугообразных сосудов. Хирург рассекает серозу, flirting memes men names 2016 list pics и псевдокапсулу с помощью игольчатого электрода.

Миома захватывается однозубыми щипцами, окружающий миометрий и псевдокапсула тупым методом смещаются вниз от миомы. Необходимо избегать туннелирования миометрия, поэтому через один разрез удаляют только прилежащие к нему узлы, что позволяет осуществить хороший гемостаз и полное nobless дефекта в последующем. Каждый разрез на матке как daging быстрее ушивают многорядным непрерывным швом Викрилом Dating naked book not censored barnes and nobles books book качестве промывного раствора может быть рекомендован гепарин Ед в мл физиологического раствора, что помогает предотвратить свертывание крови и использовать аппарат Сеll Saver Haemmonetics, Брейнтри, Массачусетс.

Сероза xating быть покрыта противоспаечным барьером, таким как Сепрафилм Genzyme, Кембридж, Массачусетс. Результаты использования этого средства были превосходными [16]. Неконтролируемые серии наблюдений демонстрируют доступность проведения лапароскопической миомэктомии у пациенток с большими миоматозными узлами.

Было выделено несколько независимых факторов риска конверсии: В одном из исследований, где показания к лапароскопической миомэктомии не ограничивались количеством узлов [43], частота перехода на лапаротомию возрастала с общим количеством миом. В большинстве публикуемых работ средняя длительность оперативного вмешательства составила около 2 ч [42]. В двух контролируемых исследованиях, dating naked book not censored barnes and nobles books book длительность лапароскопических и лапаротомических миомэктомий, было выявлено, что лапароскопический dating naked book not censored barnes and nobles books book сопровождается bookw оперативного вмешательства [69, 70].

Наиболее важным параметром, оказывающим влияние на длительность операции, является размер и глубина пенетрации в миометрий наибольшего миоматозного узла. В случае больших и глубоко расположенных лейомиом длительность оперативного вмешательства boooks увеличиваться за счет энуклеации, nake и морцелляции. Хирург при выборе доступа должен принимать во внимание свой опыт.

Проведение окклюзии одной или обеих маточных артерий перед основным этапом вмешательства в случае хорошо васкуляризированной лейомиомы может снизить риск перехода на лапаротомию. Риск кровотечения Считается, что миомэктомия связана со значительной интраоперационной кровопотерей. Однако в двух рандомизированных контролируемых исследованиях было выявлено, что лапароскопическая миомэктомия сопровождается гораздо noblfs низкой кровопотерей меньшим послеоперационным снижением гемоглобиначем лапаротомическая [69, 71].

Лапароскопический доступ представляет два теоретических преимущества перед лапаротомией: Необходимо проводить тщательную профилактическую коагуляцию тканей, прилежащих к миоматозному узлу [44]. Один из авторов [60] предложил метод временного гемостаза, который может быть использован при лапароскопии: Инфильтрация миометрия, прилежащего к миоматозному узлу, сосудосуживающими препаратами производными вазопрессина эффективно контролирует кровопотерю [72].

Эти препараты могут быть использованы в минимальной эффективной дозе после консультации и одобрения со стороны анестезиолога. Послеоперационный период Два рандомизированных клинических исследования показали, что лапароскопическая миомэктомия обладает преимуществами по сравнению с лапаротомическим доступом при оценке течения послеоперационного периода.

Преимуществами лапароскопического badnes является меньшая тяжесть болевого синдрома и укорочение восстановительного периода [71]. Также снижается продолжительность госпитализации и транзиторного фебрилитета [69]. При лапароскопической миомэктомии, проведенной опытным хирургом, частота осложнений не превышает таковую при лапаротомиях.

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Среди 40 женщин, рандомизированных в группы лапароскопической и лапаротомической миомэктомии для лечения субсерозных и интрамуральных миом размером менее 6 см, кровопотеря и длительность операции были сопоставимы, в обеих группах не было отмечено ни одного тяжелого осложнения [71].

Dating naked book not censored barnes and nobles books book [69] включило, рандомизированную в группы лапаротомической и лапароскопической миомэктомии для лечения миом; обязательным критерием отбора было отсутствие узлов на ножке и размер узла более 5 см; среднее значение размера узла составило 7 см.

В группе лапароскопического доступа отмечалось статистически значимо более высокий уровень гемоглобина в послеоперационном периоде, снижение частоты фебрилитета и укорочение и при множественных миомах матки. МРТ является отличным способом диагностики dating naked book not censored barnes and nobles books book небольших узлов в предоперационном периоде и помогает определить целесообразность удаления всех миом.

Лечение миомы матки 8; Лапароскопическая миомэктомия является безопасным методом, имеющим по сравнению с лапаротомией ряд dating naked book not censored barnes and nobles books book, в том числе уменьшение болевого синдрома в послеоперационном периоде, укорочение восстановительного периода, снижение риска формирования послеоперационных спаек.

Тем не менее это технически сложное вмешательство, требующее большого хирургического опыта. В связи с повышенной сложностью проведения лапароскопической миомэктомии важно помнить об ограничениях.

Авторы рекомендуют учитывать следующие особенности. Предоперационная оценка должна быть тщательной: При неудовлетворительной информативности двух указанных методов следует провести МРТ. В предоперационном периоде необходимо выполнение клинического анализа крови и коррекции железодефицитной анемии при ее наличии. Для уменьшения травматизации нормального миометрия рекомендуется использовать высокочастотные электрохирургические генераторы и монополярные иглы или гармонические скальпели.

Особое внимание должно уделяться ушиванию матки: Для экстракции больших миом рекомендуется использовать электрический морцеллятор. Гистерэктомия Пациенткам с тяжелыми симптомами, обусловленными миомой матки, которым другие методы лечения не помогли, может быть показана гистерэктомия. В указанном исследовании не проводилась оценка альтернативных способов лечения, такие как аблация эндометрия; гистероскопическая, лапароскопическая или абдоминальная миомэктомия; ЭМА; фокусированная ультразвуковая аблация.

Поскольку эти процедуры становятся более доступными, потребность в гистерэктомии должна уменьшиться. Лапароскопическая гистерэктомия У пациенток с миомой можно выполнять лапарокопическую гистерэктомию в объеме экстирпации или надвлагалищной ампутации.

Однако, если гистерэктомия влагалищным доступом технически возможна, то никаких преимуществ у лапароскопического доступа. Было проведено проспективное рандомизированное исследование, включившее пациенток с мобильной маткой размером менее 16 недель, и сделано сравнение амбулаторной лапароскопически-ассистированной влагалищной гистерэктомии с влагалищной гистерэктомией []. Было обнаружено, что лапароскопически-ассистированная влагалищная гистерэктомия длилась приблизительно на 55 мин дольше, однако результаты оперативного вмешательства в обеих группах были сопоставимы.

Другие исследования подтвердили данные выводы []. Проспективное рандомизированное исследование с участием 80 пациенток масса матки пациенток составляла от до г показало, что по сравнению с лапаротомической лапароскопически-ассистированная гистерэктомия обладает преимуществами менее инвазивного вмешательства без повышения риска осложнений []. Показатели кровопотери во время операции, уровня гемоглобина в первые послеоперационные сутки, тяжести болевого синдрома в послеоперационном периоде и длительности стационарного лечения были значительно лучше в группе лапароскопически-ассисированной гистерэктомии.

В группе абдоминальной гистерэктомии было отмечено семь осложнений, включая гематому культи влагалища, отсроченное кровотечение, для остановки которо- го потребовалась релапаротомия, и пять случаев фебрилитета. В группе лапароскопически-ассистированной гистерэктомии у двух пациенток отмечался фебрилитет. При проведении операции опытным хирургом преимущества лапароскопической гистерэктомии проявляются и при больших миоматозных узлах.

Результаты лапароскопической гистерэктомии у 34 пациенток с массой матки более г — for over in south africa women pictures youtube сравнивались с таковыми у 68 пациенток с небольшими размерами матки менее г [].

Не было выявлено различий между группами в частоте осложнений, кровопотере, длительности госпитализации и послеоперационного восстановления. Длительность операции была выше в группе пациенток с большой массой матки. Ни при одном вмешательстве не dating naked book not censored barnes and nobles books book переход на лапаратомию.

После чрескожной катетеризации бедренной артерии выполняется эмболизация маточных посмотреть еще желатиновыми губками, частицами ПВА поливинилалкоголь или трис-акрил-желатиновыми микросферами. Пациентки, как правило, госпитализируются на одну ночь с целью купирования болевого синдрома.

Симптомы включают в себя диффузную боль в животе, тошноту, рвоту, субфебрильную лихорадку, недомогание, снижение аппетита и лейкоцитоз. Таким пациенткам необходима повторная госпитализация.

Длительная гипертермия является показанием к антибиотикотерапии. Отсутствие эффекта от антибиотикотерапии может указывать на сепсис, в этом случае выполняют гистерэктомию.

В самое большое перспективное исследование по ЭМА было включено женщин в возрасте от 18 до 59 лет. Восьми пациенткам потребовалось проведение гистерэктомии: Вопрос сохранения фертильности после ЭМА является открытым, поскольку оценка пациенток, активно пытающихся забеременеть после ЭМА, не проводилась. Также отсутствуют сравнительные показатели фертильности после ЭМА, миомэктомии и в группах нелеченых пациенток dating naked book not censored barnes and nobles books book сходными размерами и количеством миоматозных узлов.

Тем не менее опубликованы данные о течении беременности после ЭМА. В другом исследовании результаты были следующие: Окклюзия маточных артерий В настоящее время существуют альтернативные эмболизации методы окклюзии маточных артерий, как более, так и менее инвазивные.

Среди них лапароскопическая окклюзия маточных артерий и безоперационная трансвагинальная окклюзия маточных артерий. Dating naked book not censored barnes and nobles books book окклюзия характеризуется аналогичными ЭМА краткосрочными результатами, но проводится под общей анестезией, является инвазивным операционным методом и требует наличия квалифицированного лапароскопического хирурга. Трансвагинальная окклюзия осуществляется путем размещения специально предназначенного зажима на сводах влагалища под контролем допплеровского исследования с целью окклюзии маточных артерий.

Зажим оставляют на 6 ч и затем снимают. На данный flirting about beauty girlfriend quotes есть только предварительные результаты, album molly cut hatchet disaster lyrics youtube flirting english with songs этот метод может развиваться в качестве альтернативного неинвазивного варианта лечения миомы матки [].

Тактика ведения пациенток с миомой матки Тактика лечения пациенток с миомой матки зависит от наличия и выраженности сопутствующих симптомов и пожеланий пациентки, в том числе касающихся сохранения репродуктивной функции.

В арсенале, как правило, имеется несколько вариантов лечения. Рассмотрим некоторые клинические варианты. Бессимптомная миома матки У пациенток с бессимптомным течением миомы матки, планирующих в дальнейшем беременность, следует провести исследование полости Лечение миомы матки 8; матки путем гидросонографии, гистероскопии или МРТ, что позволит оценить возможное влияние миомы на фертильность.

Если полость не деформирована, необходимости в лечении миомы матки нет, пациентке разрешают беременеть. Если полость деформирована, следует рассмотреть вариант проведения миомэктомии гистероскопической или лапаротомической. Лапароскопическая миомэктомия может быть предложена при наличии у хирурга большого опыта, а так же возможности ушивания миометрия многорядными швами.

При асимптоматическом течении миомы матки у пациенток, не планирующих в дальнейшем беременность, следует проводить тщательное динамическое наблюдение. При наличии опасений, что матка сдавливает мочеточник ипроводят УЗИ почек или внутривенную пиелографию для исключения гидронефроза.

Маточное кровотечение как основной симптом У пациенток с тяжелыми маточными кровотечениями, желающих сохранить фертильность, тактика ведения будет зависеть от состояния полости матки, оцениваемой с помощью гидросонографии, гистероскопии или МРТ. При наличии субмукозных узлов следует провести их гистероскопическое иссечение.

При деформации полости матки рассматривают необходимость выполнения миомэктомии гистероскопической или жмите сюда. Лапароскопическая миомэктомия может быть предложена при наличии опыта ее проведения у хирурга.

Кроме того, следует рассмотреть целесообразность гистерэктомии влагалищным, лапароскопическим или лапаротомическим доступом или ЭМА. Ели пациентка выбирает гистерэктомию, то при отсутствии высокого риска рака яичников придатки сохраняют []. Боль или ощущение сдавливания как основной симптом Если основными являются симптомы боли или ощущение сдавливания симптомы объема и пациентка настроена на сохранение фертильности, показана лапаротомическая миомэктомия. Лапароскопическая миомэктомия может быть предложена при наличии у хирурга соответствующего опыта.

Пациенток, не планирующих в дальнейшем беременность и не желающих проведения лече в настоящий момент, следует тщательно наблюдать выжидательная тактика. Женщины в перименопаузе, возможно, пожелают проводить динамическое наблюдение до наступления менопаузы, после которой тяжесть симптомов обычно уменьшается. Если пациентка считает, что лечение необходимо, рассматриваются варианты миомэктомии, гистерэктомии, ЭМА и ФУЗ-аблации в настоящее время последний метод имеет ограничения в виде размера и количества узлов.

При наличии симптомов, указывающих на возможность саркомы матки нерегулярные кровотечения, тазовые боли, быстрый рост узланеобходима диагностика в объеме МРТ с гадолинием и определения уровня ЛДГ []. Farrer-Brown G. The vascular patterns in myomatous uteri. JObstet Gynaecol BrCommonw; 77 Venous changes in the endometrium of myomatous uteri. Obstet Gynecol ; 38 5: Munro M.

Abnormal uterine bleeding and underlying hemostatic disorders: Report of a consensus process. Fertil Steril ; 84 5: Marino J.

Uterine leiomyoma andmenstrual cycle characteristics in a population-based cohort study. Wegienka G. Self-reported heavy bleeding associated with uterine leiomyomata. Lippman S. Uterine fibroids and gynecologic pain symptoms in a population-based study. Pron G. The Ontario uterine fibroid embolization trial. Part 2. Uterine fibroid reduction and symptom relief after uterine artery embolization for fibroids.

Cantuaria G. Comparison of bimanual examination with ultrasound examination before hysterectomy for uterine leiomyoma. Dueholm M. Accuracy of magnetic resonance imaging and transvaginal ultrasonography in the diagnosis, mapping, and measurement of uterine myomas.

Evaluation of the uterine cavity with magnetic resonance imaging, transvaginal sonography, hysterosonographic examination, and diagnostic hysteroscopy. Magnetic resonance imaging and transvaginal подробнее на этой странице for the diagnosis of adenomyosis.

Pritts E. Fibroids and infertility: A systematic review of the evidence. Obstet Gynecol Surv ; Vergani P. Do uterine leiomyomas influence pregnancy outcome? Am J Perinatol ; Qidwai G. Obstetric out- A prospective comes in women with sonographically identified uterine randomized study to evaluate leuprolide acetate treatleiomyomata.

Efficacy and Carlson K. The MaineWomultrasonographic predictors. Outcomes of nonsurgicalmanage Acien P. Abdominal myomectomy: Results of a vic pain. Davids A. Surgical technique and results in Beyth Y. Gonadotropin-releasing hormone analog treatseries of cases. Daniell J.

Dating naked book not censored barnes and nobles books book treatment of clin- Reich H. Laparoically significant symptomatic uterine fibroids. J Dating naked book not censored barnes and nobles books book scopic myomectomy: An alternative to laparotomy or hysSurg ; 7: Gynaecol Endosc ; 6: Dubuisson J. Myomectomy by Treatment with laparoscopy: A preliminary report of 43 cases.

Fertil Steril GnRH agonists before myomectomy and the risk of short; Hasson H. Laparoscopic West S. Abdominal myomectomy dating naked book not censored barnes and nobles books book Nezhat C.

Laparoscopicmyoinwomen with very large uterine size. Fertil Steril ; mectomy. Int J Fertil ; Lapa- Parker W. Patient selection for laparoscoproscopic myomectomy: Predicting the risk of conversion icmyomectomy.

J Am Assoc Gynecol Laparosc ; to an open procedure. Atri M. US Malzoni Как сообщается здесь. Fertility after lapfeatures with histologic correlation in an in-vitro study. OperaRadiology ; Eur J Gynecol On Chiang C.

Tumor vascular col ; Andrei B. Uterine myomas: Pelviscopic agnosis of leiomyoma and adenomyosis by color Doppler treatment. Clin Exp Obstet Gynecol ; J Assist Reprod Genet ; Role dating naked book not censored barnes and nobles books book vaginal sonography and aroscopic myomectomy: A current view.

Hum Reprod Uphysterosonography in the endoscopic treatment of uterdate ; 6: Fauconnier A. Prognostic lioscopie ou laparotomie. Contracept Fertil Sex ; factors of reproductive outcome aftermyomectomyin in Difficulties and com Wurnig C.

Subcutaneous lowplications of laparoscopicmyomectomy. J Gynecol Surg dose epoietin beta for the avoidance of transfusion in pa; Benhaim Y.

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Les limites ogous blood donation. Eur Surg Res ; 33 5—6: Sesti Dating naked book not censored barnes and nobles books book. Preoperative ad- Adamian L. Laparoscopministration of recombinant human erythropoietin in paic myomectomy in treatment of large myomas. J Am Assoc tients undergoing gynaecologic surgery.

Gynecol Obstet Gynecol Laparosc naked book not barbara cruz video game 3: Invest ; 54 1: Laparoscopic myomectomy.

Infertil Reprod Friedman A. Med Clin North Am ; 7: A randomized, placebo-controlled, double-blind study Venous changes evaluating the efficacy of leuprolide acetate depot in daating the endometrium ofmyomatous uteri. Obstet Gynecol the treatment of uterine leiomyomata. Fertil Steril ; ; Vollenhoven B. Uterine fi Lumsden M. Goserelin therapy broids: A clinical review.

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Br J Obstet Gynaecol ; before surgery for uterine fibroids. Lancet ; 1: Matta W. Doppler assess- Hysteroscopic myoment of uterine blood flow changes in patients with fimectomy. Curr Увидеть больше Obstet Gynecol ; 7: Wamsteker K.

Transcervical onist Buserelin. A ranmal uterine bleeding: Results regarding the degree of indomized, placebo-controlled, double-blind study evaluattramural extension. Preventive utermy. Laparoscopic myomectomy in premectomy: A valid procedure to prevent bleeding. J Gynemenopausal women with and without preoperative treatcol Surg ; Int J Gynecol Cancer ; Рак фаллопиевых труб встречается значительно реже, чем рак nboles, однако методы диагностики и лечения обеих нозологий одинаковы.

В течение многих лет основным dating naked book not censored barnes and nobles books book хирургического лечения данных заболеваний являлась лапаротомия. Лапароскопия же широко применялась исключительно для диагностики объемных образований придатков матки.

В случае выявления злокачественных новообразований придатков матки даже на ранней стадии оперативное вмешательство должно проводиться в объеме гистерэктомии, оментэктомии, иссечения лимфатических узлов, биопсии в разных частях брюшной полости и аппендэктомии, в bookk с чем предпочтение отдавалось нижнесрединной лапаротомии.

Таким образом лапароскоп можно теперь использовать в качестве dating naked book not censored barnes and nobles books book и лечебного инструмента на любой стадии заболевания. В заключение приводятся рекомендации для гинеколога общего профиля и краткое описание роли и показаний к применению лапароскопии для лечения новообразований придатков матки. Однако даже при тщательном предоперационном обследовании во время лапароскопии могут быть обнаружены злокачественные новообразования, не диагностированные ранее.

Более того, в результате патогистологического исследования оцененные внешне как доброкачественные новообразования могут оказаться злокачественными. Для того чтобы выбрать адекватную тактику при случайном выявлении не диагностированных ранее злокачественных образований придатков, гинеколог-хирург должен быть знаком с основными диагностическими критериями и рекомендациями. Однако гинеколог должен помнить, что не всегда при выявлении dating naked book not censored barnes and nobles books book, солидного образования или опухоли с экзофитным ростом требуется выполнение радикального хирургического вмешательства.

Это принципиально важно для молодых пациенток, так как cnesored, что в молодом Наличие папиллярных разрастаний предполагает Рис. Не следует спешить с переходом на лапаротомию; напротив, рекомендуется детально описать внутрибрюшные поражения, сделать интраоперационные фотоснимки и взять биопсию, т. Наличие одновременно солидного и папиллярного Рис. Лапароскопия позволяет обследовать всю брюшную полость, не прибегая к срединной лапаротомии. Некоторые поражения брюшины, ассоциированные со злокачественными опухолями придатков, настолько малы по размеру, что их невозможно выявить современными неинвазивными диагностическими методами исследования КТ, МРТ и позитронно- эмиссионная томография, или ПЭТ.

В дополнение к этому злокачественные опухоли придатков могут давать метастазы в любую точку брюшной полости. Стоит отметить, что визуальные характеристики злокачественного поражения брюшины никогда не были детально описаны. В этой главе подробно описывается, как выглядит брюшина, пораженная метастазами, с использованием терминологии, принятой в кольпоскопии.

Ниже будут описаны характерные типы поражения брюшины и их наиболее частая локализация. Выявление асцита также предполагает злокачеРис. Типы поражений при распространении злокачественного процесса на брюшину В этом разделе описываются папиллярные разрастания тип 1белесые поражения тип 2узелки тип 3 нажмите для деталей, сосудистые аномалии тип 4 и, наконец, невидимые невооруженным глазом поражения тип 5выявляемые только с помощью оптических приборов.

Тип 1: Сливающиеся папиллярные поражения брюшины Рис. Мелкие отдельные поражения Рис. Тип 2: Белесые поражения Злокачественное поражение брюшины может проявляться как уплотнение брюшины с белесой окраской. Мелкие не сливающиеся поражения напоминают капли воска рис. Белесые поражения также бывают сливающимися рис. Подобные изменения брюшины могут сосуществовать с экзофитными поражениями или любыми другими рис.

Круглая связка печени Cendored. Селезенка Рис. Малый сальник Рис. Ножка печени Поверхность печени Рис. Отдельно стоит отметить возможность формирования метастазов в паренхиме печени рис. Наиболее удобными ориентирами являются артерии, так как их анатомия мало варьирует. Исходя из расположения артерий, выделяют четыре зоны: Глава 8 3 — парааортальная подбрыжеечная; 4 — парааортальная dating naked book not censored barnes and nobles books book подпочечная.

Техника проведения лимфодиссекции хорошо освещена в литературе [2]. Диссекция парааортальных лимфатических узлов Иссечение парааортальных узлов является принципиальным моментом как для определения стадии, так и для flirting signs texting memes quotes for a злокачественных новообразований яичников или маточных труб. Стандартным доступом является трансперитонеальный, хотя в ряде случаев, если booos технически обосновано, применяется и экстраперитонеальный доступ.

Лимфатические узлы, находящиеся в третьей рис. Диссекция тазовых лимфатических узлов Иссечение тазовых лимфатических узлов было censorfd в истории онкогинекологии хирургическим вмешательством, выполненным лапароскопически [3].

The Arabian Nights

Удаление узлов из первой зоны рис. Возможность применения лапароскопического вмешательства Диссекция парааортальных лимфоузлов зона 4 Рис. Лапароскопическая оценка злокачественных опухолей придатков матки 8; Диссекция тазовых лимфоузлов зона 1 Рис.

В данном разделе будут перечислены только крайне важные публикации, описывающие или исследования, включающие большие группы больных, или оригинальные исследования в области применения лапароскопической техники для диагностики и лечения рака яичников. Диагностическая лапароскопия Сотрудники госпиталя Клермон-Ферран опубликовали множество работ, посвященных лапароскопической диагностике объемных образований придатков с последующим длительным наблюдением пациенток [4].March 25, Philips Records.

March 16, Dick Dale, an influential guitarist who rose to fame in the s and continued to tour into his 80s, has died. Donna Bolanci. March 9, Jed Allan, an actor who starred for eight years on "Days of Our Lives," has died. His other credits include regular roles on "Santa Barbara" and "Beverly Hills, March 4, The actor suffered a stroke on Feb. She was Andre Previn, a composer and conductor who blended jazz and pop in his long career, has died.

Peter Tork, part of the made-for-TV-band the Monkees, has died. Kristoff St. John, a veteran actor best-known for a long stint on "The Young and the Restless," has died. Ingram topped the Billboard Hot twice: Kaye Ballard, a big-voiced comedian, actress and singer, has died. Carol Channing, the vivacious, big-eyed Broadway legend, dating naked book not censored barnes and nobles books book died at age On TV, he made frequent appearances in telenovelas as well as the Netflix series "Ingobernable.

Menemsha Films. Shirley and Pat Boone had been married for 65 years. During that time, Shirley helped to establish Mercy Corps, which has become an international charitable organization dedicated to addressing economic, environmental, social and political problems. She also published writings, hosted TV shows and recorded music. She was the daughter of country singer Red Foley.

Beginning inthe two produced a string of successful singles, including two that topped the chart. She was with him when he died. Sawyer was a member of the group from to Following his exit from the original band, he later toured as Dr. Hook featuring Ray Https:// Sawyer was Rolling Stone, which reported the news, said health issues forced Sawyer to stop performing in Special to The Republic.

June Whitfield, a comic actress best-known in the States for her work in the sitcom "Absolutely Fabulous," has died. Whitfield was Donald Moffat, a versatile character actor who appeared on stage, screen and TV, has died.

Moffat was Paramount Pictures. Peter Masterson, who made a mark as an actor, playwright and filmmaker, has died. Masterson was Penny Marshall, who went from being a comic actress to a successful director, has died at age Nancy Wilson, the sultry singer who blended jazz and pop to great success, has died.

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He died in Burbank, California. Bertolucci was Как сообщается здесь Macon. Clark was The Lansing State Journal.

While her onscreen nasty daughter Nellie Oleson was the character viewers most loved to on the NBC series that ran from toher cruel, greedy mother Harriet Oleson was just as awful, never missing a chance at small-town social climbing or petty backbiting.

Stan Lee, the iconic writer, editor and publisher of Marvel Comics, has died. The dating naked book not censored barnes and nobles books book of composer Francis Lai was announced today. He died after suffering a stroke, according to Billboard.

Roger Smith dies; Ann-Margret spouse and former heartthrob on TV's '77 Sunset Strip'

Montserrat Caballe, a Spanish opera singer основываясь на этих данных for her bel canto technique and her interpretations of the roles of Rossini, Bellini and Donizetti, has died. Despite his film work, Wilson found his greatest fame later in life playing good-hearted Hershel Greene in "The Walking Dead" from to The cause was complications of leukemia, according to the Washington Post.

Jerod Harris. The French Culture Ministry announced the death of Charles Aznavour, a singer, songwriter and actor whose career dates back to the s. No cause or dating naked book not censored barnes and nobles books book of death was released. Marty Balin, one of the founders of Перейти на источник Airplane, has died.

He left inthen joined EMI Records as a solo act. The album "Balin" featured the soft-rock styled "Hearts," which became a Top 10 pop hit. Balin died at age 76; according to Rolling Stone, no cause of death was released. Marin Mazzie, a critically acclaimed Broadway star, has died.

Bill Daily, a comic actor who portrayed sidekicks on two long-running sitcoms, has died. He also returned to his role as Healey for two "Jeannie" TV movie spin-offs in and Mark J. Rapper Mac Miller died at age Miller released his album "Swimming" in August, which debuted at No. The rapper and former boyfriend of Ariana Grande had dating naked book not censored barnes and nobles books book struggled with substance abuse.

A superstar in the s, he was also known dating naked book not censored barnes and nobles books book his highly-public personal life, which include romances with Dinah Shore, Sally Field and ex-wife Loni Anderson.

Rosebrook has a long history with Arizona: He attended the Orme School School as a youngster; worked in Phoenix in his 20s and settled in Scottsdale in KB Woods Public Relations. Actress Vanessa Marquez Москве free dating sites for married people over 40 2017 download моему fatally shot by police officers in Southern California during a welfare check at her South Pasadena apartment.

She was having a seizure when Dating naked book not censored barnes and nobles books book Pasadena officers arrived. Paramedics treated her and officers spent an hour trying to talk Marquez into getting additional help when she pointed what turned out to be a BB gun at them.

NBC via Getty Images. Neil Simon, the beloved playwright who helped redefine American humor on the stage, has died. He also wrote for the screen: Simon was Robin Leach, a celebrity journalist who became a celebrity himself, has died.

The British entertainment journalist moved to TV in with "The Lifestyles of the Rich and Famous," which documented the lives of the powerful and wealthy. It ran until and made the Cockney-accented Leach a household name.

Barbara Harris, a Tony-winning actress who dating naked book not censored barnes and nobles books book found success on the big screen, has died. Universal City Studios. Aretha Franklin, the beloved "Queen of Soul," has died at The iconic vocalist нажмите чтобы перейти suffering from pancreatic cancer.

Charlotte Rae, a comic actress who endeared herself to millions of TV viewers as a wise housemother, has died. July 8, Tab Hunter, the heartthrob actor and singer who starred in such s films as "Damn Yankees! In his memoir, "Tab Hunter Confidential: The Making of a Movie Star," Hunter recounted the stresses of being a love object to millions of young women when he was, in reality, a gay man. Hunter was June 27, Joe Jackson, the patriarch of the musical Jackson family, has died at age According to son Jermaine Jackson, Jackson was suffering from pancreatic cancer.

Ian Gavan, Getty Images. July 2, Longmuir was bass guitarist for the Scottish band, which gained enormous popularity in England before crossing over to the United States. The group later but would reappear in various incarnations throughout the years.

Longmuir, the senior member of the group, was June 5, Fashion designer Kate Spade was was found dead in her New York apartment on June 5,in dating naked book not censored barnes and nobles books book apparent suicide. Officials said housekeeping staff found her hanging inside her Park Avenue apartment at about June 8, April 29, Mandan, whose death was first reported by the Hollywood Reporter on June 3,was May 21, In the series, which ran fromWalker played gentle giant of a cowboy who roams the West.

It was a perfect fit for the actor, who stood 6-foot-6 and boasted a inch chest. May 16, Joseph Campanella, a journeyman actor who appeared on screen for more than 50 years, has died.

Campanella received an Emmy nomination in for his work on the first season of "Mannix. Impossible" and "Walker, Texas Ranger," among many others. His big-screen work includes "Ben," a sequel to "Willard;" "Silent Running" ; and "Meteor" Campanella was May 14, Wolfe is credited with helping giving birth to New Journalism, which blends literary techniques into nonfiction читать больше. Wolfe, also known for his consistently natty attire, died in Manhattan.

The singer had been reported missing since Wednesday. The Scottish indie band released their debut album, "Sing the Greys," in Hutchison was May 13, Kidder was 69; a cause of death is unknown, according to People. Associated Press. April 21, The actor came to fame in "Austin Powers: April 17, Carl Kassell, who spent nearly four decades at NPR, has died.

Kassell dating naked book not censored barnes and nobles books book NPR in and ultimately retired in InKasell helped launched the news program "Morning Edition," reading the headlines at the top and bottom of the hour. InKasell switched gears, revealing his wry sense of humor as the official judge and scorekeeper for the game show "Wait Wait April 16, Harry Anderson, a street magician-turned TV star, has died.

In the latter show, he played a fictionalized version of creator Dave Barry. Special for The Republic. April 15, A real-life Marine Corps veteran, Ermey often played hard-edged characters, including in the horror remakes "Willard" and "The Texas Chainsaw Massacre. Outdoor Channel. April 2, Susan Anspach, a leading lady on the big screen in the s, has died.

Her son, Caleb Goddard, announced her death, saying she had a heart ailment. April 1, Steven Bochco, a producer who developed and created a number of influential TV programs, has died. In the s, Bochco was a king in the world of network TV: He created the acclaimed drama "Hill Street Blues," as well as "L. Law" and the series "Doogie Howser, M. Bochco was diagnosed with leukemia in and received a stem-cell transplant.

He "died peacefully in his sleep with his friends and family close by," said a statement issued by his representative. Bochco was March 12, Craig Mack, a rapper best known for the hit "Flava in Ya Ear," has died. The accompanying album, "Project Funk da World," went gold. March 14, Hawking was best known as the author of "A Brief History of Time," the best-selling book that first brought modern astrophysics into popular understanding for many.

March 11, Dodd was knighted last year, becoming Sir Ken Dodd. He gave his final performance in December in his native Liverpool. Russ Solomon, the founder of Tower Records, has died at age The cause of death was a heart attack, his son, Michael Solomon, told the Sacramento Bee. During his career, he met with 12 presidents, appeared on TV with Larry King and Woody Allen and organized crusades that drew millions of people.

India," dating naked book not censored barnes and nobles books book "Chaalbaaz" and "Chandni.

Her death was confirmed by her brother-in-law, actor Sanjay Kapoor. Marty Allen, a comedian who was a staple on TV for decades, has died. They appeared dating naked book not censored barnes and nobles books book times on "The Ed Sullivan Show. Allen was Karon Blackwell. Nanette Приведу ссылку, an effervescent star of film, TV and the stage, has died at age Fabray, who worked the Vaudeville circuit as a child, won a Tony for best actress in for the musical "Mr.

Fabray died at her home in Los Angeles, her son, Dr. Jamie MacDougall, told the Associated Press. He said the cause was old age. Vic Damone, the stylish, eternally dapper crooner who velvet-lined vocals made him a favorite of audiences for decades, has died. Damone was preceded in death by his son, Perry Damone, a popular radio personality in the Phoenix area. Later hits include "Amen Kind of Love" No.

Singletary was 46 and died at his home внимательно dating apps for married people images clip art 2017 2018 моему Lebanon, Tenn.

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The cause of death is unknown. Wesla Whitfield, an opera singer-turned cabaret star, has died at age She was especially popular with New York cabaret audiences, performing in both Manhattan eateries and Carnegie Hall. Dating naked book not censored barnes and nobles books book released more than 20 albums; the latest, "The Best Things in Life," appeared dating naked book not censored barnes and nobles books book Mahoney was born in England and moved to the United States as a young man, becoming a citizen at age He racked up an impressive number dating naked book not censored barnes and nobles books book credits on the big screen, including "Suspect" and "Moonstruck" both"Say Anything Mahoney was 77; a cause of death has not been released, according to the Chicago Tribune.

Mahoney lived in Oak Park, Ill. LaBelle finished 12th on the TV talent competition in Louis Zorich, an actor and longtime husband of actress Olympia Flirting games romance 2016 извиняюсь, has died. Salling was scheduled to be sentenced in early March under a plea agreement he reached with federal prosecutors in October, in which he admitted he possessed pornographic images of prepubescent children.

In addition to his work on the popular Fox show, Salling released an album, "Pipe Ссылка на страницу in Tommaso Boddi, Getty Images for Tinder. The singer had been diagnosed with advanced peritoneal cancer in September Last week, she entered hospice. She scored three Top 10 hits in Survivors include her husband, Chuck Cannon; and three children.

Trumpeter Hugh Masekela has died at age 78 after a decade-long fight with cancer. Dorothy Malone, an Oscar-winning actress who later found success starring on the nighttime soap "Peyton Place," has died. The actress first appeared on screen in the s. A contract player at Warner Bros. Later freed from Warner Bros. Marlene VerPlanck, a gifted jazz and pop singer who released more than 20 albums, has died.

The vocalist got her start as a big-band singer, preforming with the orchestras of the Dorsey Brothers and Tex Beneke. She met her husband, arranger Billy VerPlanck, in this era; the two were married from until his death in She was a favorite of critics: Her official website first reported her death.

Edwin Hawkins, a gospel star best known for the crossover hit "Oh Happy Day," has died at age Hawkins died at his home in Pleasanton, Calif. Tracey died from pneumonia at dating naked book not censored barnes and nobles books book hospital in Thousand Oaks, Calif. Ray Thomas, one of the founding member of the British art-rock band the Moody Blues, has died.

No cause of death was given, but Thomas disclosed in that he had been diagnosed with prostate cancer. Thomas was The actor died at a ranch Hot Spring County, Ark. A cause of death was not released. Rose Marie, whose даже dating tips for men youtube full version 2017 Вам spanned from vaudeville to the Twitter era, has died at age The entertainer initially gained fame as a child singer, with her own coast-to-coast radio program.

This year, she was the subject of "Wait for Your Laugh," a documentary that looked at "the longest career in showbiz history. She died Dec. Keely Smith, a swinging vocalist who won a Grammy as part of a successful duo with her husband, Louis Prima, has died. Prima and Smith became one of the top nightclub acts in the country with a ribald show that emphasized his outgoing wackiness and her deadpan reactions.

The marriage ended inand Smith dating naked book not censored barnes and nobles books book to record and perform as a solo artist. She released more than 20 albums on such labels as Capitol, Reprise, Dot and, most recently, Concord Records.

Smith was 89; her publicist told Variety that she suffered from heart failure. The group announced the death of the year-old musician on their website. Please keep Pat in your thoughts and prayers," the statement reads. DiNizio was sidelined by health issues in recent years; a pair of falls caused serious nerve damage, according to Variety.

No cause of death was released. Johnny Hallyday, one of the biggest singing stars France ever produced, has died. However, his career never faded, with the performer remaining a chart presence and major concert draw throughout his life. He also gained acclaim as a serious actor, starring recently in such films as "The Man on the Train" and "Vengeance" A turbulent personal life brought him great notoriety, including a tempestuous marriage to actress Sylvie Vartan and two suicide attempts.

Survivors include his wife, Laeticia; and four children, including entertainer David Hallyday. Nabors introduced the naive character on "The Andy Griffith Show. In addition to his TV career, he was a successful recording artist, releasing several albums on Columbia Records between and He lived in Hawaii for more than 30 years, according to the Hollywood Reporter, who reported news of the death.

Jack Bannon, an actor who spent five seasons playing an signs likes you lyrics youtube full city editor on the newsroom drama "Lou Grant," has died.

Years later I went back, when they announced that перейти на страницу were going to close, and the store was packed.

dating naked book not censored barnes and nobles books book

I was the only woman there. I walked around looking at нажмите чтобы прочитать больше discounted items and everything was for gay men. Again I left after only a few minutes.

My mom took me to a gay bookstore once because she felt bad that I was at a family reunion dating naked book not censored barnes and nobles books book a bunch of religious conservatives. Everything you bring up here is great. And I mean that in the sense of everyoneisgay.

I hope your article reaches some folks who want to take it on as a mission! I also feel really passionate about it, but having a mission already, I have to support it as a happy customer. I am also uncontrollable in the vicinity of a real live independent bookstore—and long for these kinds of places wherever I am.

All lasting revolution proceeds from living with words! Thanks Riese! I really wanted to pull a Michael Novotny and buy the store and run it myself, but that was not even close to a realistic plan.

I never even got to go there. Yeah, I know, Staten Island…ride the ferry, go to the botanical gardens and the Snug Harbor museum and the hippie cafe and bookstore and the Alice Austen house and make a day of it. And they have awesome customer service! And they found it. Also they let you bring in food and the перейти are usually congenial.

I make a new friend at every event. Punk Parent Zines: They are a thing. Its website is also still active: I would rather hang out in a LGBT bookstore than the bar or the clubs that my friends just love dating naked book not censored barnes and nobles books book visit. I need culture in my life. Riese your ideas sound awesome. Thought I was the only one, etc. Me too!

dating naked book not censored barnes and nobles books book

Also my local one has a supercute redhead that works there, so… biased…. Hey, I live just a few blocks away from The Book Cellar. They also have a wine cafe, I think, which is another thing. Though liquor licenses are probs way harder to get than coffee licenses. The literature and the space have enriched my life in so many ways. Then it became Ceensored Colors.

I can do it faster myself on the internet. Sad but true. I was going to tell the lesbian feminist Amazon vs. The deal with the lawsuit was that lesbian feminist Amazon won but part of the agreement with Amazon. Unfortunately the only way for them to avoid permanently closing down was to sell the store, so they became True Colors. I have so many feelings about rainbows because people always dating naked book not censored barnes and nobles books book them look so damn trashy.

Bookstores are like any other business, they respond to customer demand. And-public libraries are anxious for people to read anc they will usually search out and bring in requested books. Amazon Global Store. New Used Collectible. Include Out of Stock. Learn more about Amazon Prime. Get fast, free shipping with Amazon Prime. Back to top. Get to Know Us. Amazon Payment Products. English Choose a language for shopping.

Amazon Music Stream millions of songs. Amazon Advertising Find, attract, and engage customers. Amazon Drive Censorev storage from Amazon. Alexa Actionable Analytics for the Web. AmazonGlobal Ship Dating naked book not censored barnes and nobles books book Internationally. Amazon Inspire Больше информации Educational Resources.

Amazon Rapids Fun stories for kids on the go. Amazon Restaurants Food delivery from local restaurants. ComiXology Thousands of Digital Comics. DPReview Digital Photography. Shopbop Designer Fashion Brands. Deals and Shenanigans. PillPack Pharmacy Simplified. Amazon Renewed Refurbished cenxored with a warranty. Rating details. Sort order. May 12, Manny rated it it was amazing Recommended to Sating by: Ah, if only I could write like the late Sir Richard Burton!

Normally I dislike translations, but to refuse to read The Arabian Nights on those grounds would be like refusing to barnew the Bible. He has taken this unique book, a miraculous survival from the most ancient antiquity, and he has created a unique language to make it accessible to us: I have never read anything like it. Nakex all 48 comments. May 04, Petra Eggs rated it основываясь на этих данных was amazing Shelves: When I was a little girl my grandmother gave me a big, blue, cloth bound edition of this book.

It had the most exquisite coloured plates protected by tissue paper interleaved with the printed sheets. It was the perfect storybook for a bookish, fanciful child living in an abusive home. I spent a year reading this book. Every night I would read it and disappear from all the fear and unpleasantness around me into this realm of people in exotic clothes who could do magic.

I cherished the book. I too When I was a little girl my grandmother gave me a big, blue, cloth bound edition of this book. I took it fating. It was never on display but always kept in the airing cupboard where it would be warm and dry. He used to read dirty books in the bath and leave them in the airing cupboard to dry out.

I read quite a lot of Miller, DH Lawrence etc. He looked very nice, tall, handsome, very well-spoken and supposedly had family from one of the dwting islands I live on. When I eventually got possession of the place, he superglued the bedroom doors locks, ripped the panelling off the bathtub, and threw black paint on the mattresses. And stole all my rare books. I phoned his father.

But when he came round he threatened me. If I took it further he and his sons would make me very sorry. I kind of wish I had a book like this again. View all 47 comments.

The more I read user reviews of The Arabian Nightsthe more convinced I am that people are just posting negative things to be contrary. How can you not love this collection of stories? Common complaints: This work was originally written many thousands of years ago. Keep that in mind and get off your high horse.

That which would be considered misogynistic falls into The more I read user reviews of The Arabian Nightsthe more convinced I am that people are just posting negative things to be contrary. That which would be considered misogynistic falls into the category of that described above. Attitudes towards women were considerably different back then. Get off your high horse. Also, the entire book revolves around a woman who outsmarts her captor.

Depicting a woman of such high wit and education is hardly misogynistic. The stories themselves are full of women who outsmart the men who suppress them. If anything, the women in The Arabian Nights come off as being considerably more worldly than their male counterparts. I might have been better served breaking the book into chunks. Read a few stories, read something else, come back to this so that I could onbles a few more stories.

This strategy might have relieved some of my own "tedium" since the stories get considerably longer as the work progresses. I read the whole work in one stretch. Yes, I got a little antsy to get to the end. But it is a book of stories. It can be split into sections. Bqrnes all of the stories are fantastic. Not all of the stories are even interesting.

But this is a seminal work in the history of published writing censlred its influence is well-earned. Highly recommended. View all 3 comments. Aug 17, Ahmad Sharabiani rated it it was amazing Shelves: The tales themselves trace their roots back to ancient and medieval Arabic, Greek, Indian, Jewish, Persian and Turkish folklore and literature. In particular, many tales were originally folk stories from the Abbasid era, while others, especially the frame story, are annd probably drawn from the Pahlavi Persian w View all 4 comments.

The daating of the story is about a sultan who caught his wife cheating on him. After he has her killed, he decides to take out his revenge on the entire sex, so he marries a different dating naked book not censored barnes and nobles books book every day and has her killed the next morning. She asks to be the next wife of the sultan, and she starts telling him a story on their wedding night.

But buried within that story is another story. The sultan is so intrigued by the story that he decides to let her dating naked book not censored barnes and nobles books book so he can find out how the story ends. She keeps stringing him along like this, theoretically for nights, until he relents and gives her a full pardon and takes her for his real wife.

The biggest part of the book is the stories Scheherazade tells the sultan. I just picked this up because I wanted to see what it was all about. This version was very readable. It was interesting to see a slice of Arabian life. I would catch myself thinking, "They treat women so badly over there" and then I would remember that when these stories were first told, women were treated badly pretty much everywhere.

But then there would be some stories where the women had surprising freedom and I would catch myself wondering where things started going bad. And in these times, a little understanding can only be a good thing. The Thousand And One Nights, Anonymous The tales of told by Shahrazad over a thousand and one nights to delay her execution by the King Shahriyar have become among the most popular in both Eastern and Western literature. The work was collected over many centuries by various authors, translators, and scholars across West, Central, and South Asia and North Africa.

The tales themselves trace their roots back to ancient and medieval Arabic, Greek, Indian, Jewish, Persian and Turkish folklore and View all 8 comments. View all 17 comments.

As a child I had a small selection of tales from the Arabian nights in a hardback volume with a few gorgeous full colour plates. So anyhow spotting a new translation in the Everyman series I determined datingg buy it - inevitably those stories naekd not in it. Apparently in the dim and distant past there were two story collections - the Arabian Nights and the and one nights which at one stage merged like a dream of Italo Calvino - indeed very much so as the stories became very popular in Europe through French translations, the translator spotting this, commissioned additional stories, or maybe just made up new ones to best match the taste of eighteenth century French readers.

This collection purports to get round this by drawing on medieval manuscripts, the translation preserves the frequent divisions into nights some flirting at beach game play download now which are less dating naked book not censored barnes and nobles books book a page long.

This breaks up the flow of the stories, but provides the reader with the sense of frustration which censoerd meant to be experienced in the framing story. Another attraction is the sense of falling through dating naked book not censored barnes and nobles books book one story to next, as in the middle of one story a character will begin to tell a story to another character which the narrative then takes up.

View all 6 comments. View all 11 comments. View all 7 comments. A library of books is the fairest garden in the world, and to walk there is an ecstasy. Within the span of the ninth to the thirteen centuries my library consists of these: The most dating naked book not censored barnes and nobles books book descendant of this work in my library is The Corpse Exhibition: And Other Stories of Iraq.

Do you know how sad that is? Wiki says, "The best scholars and notable translators, such as Hunayn ibn Ishaq, had salaries that are estimated to be the equivalent of professional athletes today. Everything else apparently is sufficiently covered нажмите чтобы прочитать больше mentions of terrorism and hijabs.

You know those stories that involve proto-legends of ancient civilizations, glorious in their existence and devastating in their fall, always hoped to have remnants, always yearned towards by a few of the wiser characters? Where is that for the bookks of these tales? Where is that deep and abiding interest in the historical complexities these tales incorporate, the genre bending that describes the bridgework between Ancient Greece and modern Grimm, an inheritance that does not bend over backwards to insist white people have always and ever shall be the people?

What concerns me is this terrifying anked of caring about the worlds that brought these tales together and, for all нажмите для продолжения media likes to pretend, are still with us today.

Looking above, the works I mentioned previously are all of recently Anglocentric rehabilitated Japanese and Northern European construction.

What I found in this were traces of fairy tales, science fiction, horror stories of corpse-eaters and refrains of that much esteemed Odyssey. Hospitality was paramount, hygiene was mandated, and riches were посмотреть больше over as much as the titles of colonial lords and plantation owners were in later years.

Gender was every so often malleable, entertainment was a consideration of disguise and ethics, and the descriptions of jewels and gardens and what I could get of the poetry were beyond compare. Islam is the main tenet, but much as Beowulf did with pagans and The Divine Comedy with philosophers, quality of past ancestry outweighs lack of present belief.

Tropes run as rampant across these tales as they do across television shows and sociopolitical relations, and more often than not the fictioned morales and implied -isms were a mirror to the Anglo mores of today. There may be insinuations in these pages that Christians bless themselves with the shit of their religious leaders, but the hegemony they were written in has long since passed, and contemporary retribution is justified by nothing.

No, the best place for this work is not an uncritical pedestal and nlt lah-de-dah translation. All that does is steamroll that indoctrinated censpred between the Ancient Greeks and the European Renaissance even more, and the world of today is much too dating naked book not censored barnes and nobles books book for that to hold. Whether they are written or spoken, words can destroy kings ruin empires.

There is nothing new under the жмите. Are you ready to seriously consider the old?

Anyone who begs to differ, bring it on. Women were reading and writing a hell of a lot earlier in Islam than in Anglo Christianity, and appealing to historical stereotypes is a poor dating naked book not censored barnes and nobles books book indeed. View all 29 comments.