Operative Techniques in Obstetric Surgery

 

Description:

 

 

The fifth volume in Dr. Jonathan Berek’s bestselling series, Operative Techniques in Obstetric Surgery provides superbly illustrated, authoritative guidance on operative techniques along with a thorough understanding of how to select the best procedure, how to avoid complications, and what outcomes to expect. Easy to follow, up to date, and highly visual, this step-by-step reference edited by Drs. Michael A. Belfort, Alireza A. Shamshirsaz, Steven L. Clark, and Karin A. Fox covers the most common operations in obstetrics and is ideal for residents and physicians in daily practice. Succinct text, bulleted points, and quick-reference tables allow you to review information quickly and understand best practices and potential problems for each procedure.  Hundreds of full-color intraoperative photographs and drawings, as well as more than 20 high-quality videos, capture procedures step by step and help you immediately apply your knowledge.  Each clinical problem is discussed in the same templated format: general principles, anatomy and differential diagnosis, imaging and other diagnostics, preoperative planning, surgical management, procedures and techniques, pearls and pitfalls, postoperative care, outcomes, and complications.  Coverage includes Cesarean delivery, management of postpartum hemorrhage including hysterectomy for placenta accreta spectrum, operative vaginal delivery and repair of lacerations, obstetric fistula repair, and more.   Perfect for a quick preoperative review of the steps of a procedure.  Volume editors and contributors are thought leaders in their respective subspecialties and are known for their surgical expertise.  Enrich Your eBook Reading Experience  Read directly on your preferred device(s), such as computer, tablet, or smartphone.  Easily convert to audiobook, powering your content with natural language text-to-speech. 

 

Table of Contents:

 

SECTION I: GENERAL CONSIDERATIONS

Chapter 1.1 A Brief Overview of Needles, Sutures, and Knots

THE ANATOMY OF THE NEEDLE

SUTURES

KNOTS

NEEDLES AND SUTURES USED IN THE MORE COMMON OBSTETRIC PROCEDURES

Perineal Laceration and Episiotomy

Cesarean Birth

CONCLUSION

KEY REFERENCES

Chapter 1.2 Surgical Instruments

BACKGROUND

CUTTING AND DISSECTING

RETRACTING AND EXPOSING

GRASPING AND HOLDING

OTHER INSTRUMENTS

ACKNOWLEDGMENTS

KEY REFERENCES

Chapter 1.3 Pelvic Anatomy

INTRODUCTION

EXTERNAL GENITALIA

PERINEUM

PELVIC FLOOR

VAGINA

UTERUS

Uterine Body (Corpus)

CERVIX

FALLOPIAN TUBES (OVIDUCTS)

OVARIES

URETERS

ANTERIOR ABDOMINAL WALL

SURGICAL SPACES OF THE PELVIS

Prevesical Space

Paravesical Spaces

Vesicovaginal Space

Rectovaginal Space

Pararectal Space

Presacral (Retrorectal) Space

LANDMARKS TO RETROPERITONEAL STRUCTURES

PELVIC BRIM

PELVIC SIDEWALL

PELVIC LYMPH NODES

KEY REFERENCES

Chapter 1.4 Incision and Closure

GENERAL PRINCIPLES

Definition

Physical Examination

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 1.5 Fetal Preoperative Imaging

INTRODUCTION

SPINAL DYSRAPHISM

CONGENITAL DIAPHRAGMATIC HERNIA

CONGENITAL TUMORS

Congenital Lung Malformations

KEY REFERENCES

Chapter 1.6 Clinical Simulation

GENERAL PRINCIPLES

KEY REFERENCES

Chapter 1.7 Management of Critical Surgical Pregnant Patients

GENERAL PRINCIPLES

Definition

VASCULAR ACCESS

Vascular Access Preprocedure Planning

Central Venous Access (Internal Jugular Vein)

Central Venous Access (Subclavian Vein)

Central Venous Access (Femoral Vein)

Arterial Catheterization (Radial Artery)

Arterial Catheterization (Femoral Artery)

POINT OF CARE ULTRASOUND (POCUS)

Cardiac Point of Care Ultrasound

Lung Point of Care Ultrasound

Abdomen Point of Care Ultrasound

Putting It All Together

KEY REFERENCES

SECTION II: PRECONCEPTION CONSIDERATIONS

Chapter 2.1 Operative Concerns in Patients With Congenital Anomalies of the Reproductive Tract and External Genitalia for the Obstetrician

GENERAL PRINCIPLES

Definitions

Physical Examination (Table 2.1.3)

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

General Overview

Mode of Delivery Counseling (1,2,8,9,16,19–23)

SURGICAL MANAGEMENT

PROCEDURES AND TECHNIQUES

PEARLS AND PITFALLS (TABLES 2.1.8 and 2.1.9)

POSTOPERATIVE CARE

Vaginal Delivery

Cesarean Delivery

OUTCOMES (21,23,26,27)

COMPLICATIONS

KEY REFERENCES

Chapter 2.2 Scar Defects (Niche and Isthmocele)

GENERAL PRINCIPLES

SURGICAL MANAGEMENT

Hysteroscopic Approach to the Symptomatic Isthmocele

Vaginal Approach to the Symptomatic Isthmocele

Laparoscopic Approach to the Symptomatic Isthmocele

KEY REFERENCES

Chapter 2.3 Uterus Transplantation

GENERAL PRINCIPLES

Definition

History

Nonoperative Management

PREOPERATIVE PLANNING

Transplant Team

Preoperative Patient Selection

Timeline of Events

SURGICAL MANAGEMENT

Living Donor Versus Deceased Donor

Laparotomy Versus Minimally Invasive Approaches

POSTOPERATIVE CARE

Immediate Postoperative Care

Ultrasound Monitoring

Immunosuppression

Cervical Biopsies

Cytomegalovirus

Embryo Transfer

OUTCOMES

COMPLICATIONS

Perioperative Complications and Graft Hysterectomy

Additional Surgical Complications

Rejection

Early Pregnancy Failure

Long-Term Recipient Complications

ETHICAL ISSUES AND UTERUS TRANSPLANTATION

KEY REFERENCES

Chapter 2.4 Abdominal Cerclage

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

Live Birth Rate

Gestational Age at Delivery

Fetal Loss

Postoperative Conception Rate

COMPLICATIONS

KEY REFERENCES

SECTION III: ANTEPARTUM

Chapter 3.1 Cesarean Scar Pregnancy: Diagnosis and Management

GENERAL PRINCIPLES

Definition

Differential Diagnosis

Terms and Nomenclature

Background Information

Pathogenesis

Clinical Presentation

IMAGING AND OTHER DIAGNOSTICS

Transvaginal US

Magnetic Resonance Imaging (MRI)

Recurrent CSP

Heterotopic CSP

PREOPERATIVE PLANNING

Expectant Management

SURGICAL MANAGEMENT

Approach

COMPLICATIONS

Enhanced Myometrial Vascularity (EMV)

KEY REFERENCES

Chapter 3.2 First- and Second-Trimester Termination of Pregnancy

GENERAL PRINCIPLES

Definition

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

COMPLICATIONS

KEY REFERENCES

Chapter 3.3 Gestational Trophoblastic Disease

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

Staging of GTN

SURGICAL MANAGEMENT

Positioning

Approach (2-5)

POSTOPERATIVE CARE

OUTCOMES (1-3)

Adjuvant Treatment (2,3,5)

COMPLICATIONS

KEY REFERENCES

Chapter 3.4 Invasive Prenatal Diagnostic Procedures

GENERAL PRINCIPLES

Definition

Nonoperative Management: Counseling Before Invasive Procedures

KEY REFERENCES

Chapter 3.5 Surgical Management of Adnexal Masses in Pregnancy

GENERAL PRINCIPLES

Definition

Adnexal Pathology

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

Ultrasound

Magnetic Resonance Imaging (MRI)

Computed Tomography (CT)

Serologic Markers

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 3.6 Diagnostic and Operative Laparoscopy

GENERAL PRINCIPLES

Definition

Physical Examination

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

COMPLICATIONS

KEY REFERENCES

Chapter 3.7 Cerclage

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 3.8 Trauma in Pregnancy

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 3.9 Obstetric Anesthesiology

GENERAL PRINCIPLES

COMMONLY PERFORMED ANESTHETIC PROCEDURES

Neuraxial Techniques

REGIONAL ANESTHESIA TECHNIQUES

ANTEPARTUM AND PREOPERATIVE PLANNING

ANESTHESIA FOR CESAREAN DELIVERY

Choice of Anesthetic Technique for Cesarean Delivery

Neuraxial Anesthesia for Cesarean Delivery

General Anesthesia

Uterotonic Use in Cesarean Delivery

Enhanced Recovery After Cesarean (ERAC) Protocols

Anesthesia for Trial of Labor After Cesarean (TOLAC)

Anesthesia for Emergency Cesarean Delivery

POST-CESAREAN ANALGESIA (7)

ANESTHESIA AND BREASTFEEDING CONSIDERATIONS

ANESTHESIA FOR POSTPARTUM TUBAL LIGATION (PPTL)

COMPLICATIONS

Anesthesia-Related Maternal Mortality

Anesthesia-Related Maternal Morbidity

KEY REFERENCES

Chapter 3.10 Surgical Principles of Fetal Interventions

GENERAL PRINCIPLES

PREOPERATIVE PLANNING

COMPLICATIONS

KEY REFERENCES

Chapter 3.11 Uterine Defect Repair in an Ongoing Pregnancy

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

Delivery

OUTCOMES

CONCLUSIONS

KEY REFERENCES

SECTION IV: INTRAPARTUM

Chapter 4.1 Episiotomy and Episiotomy Repair

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 4.2 Vaginal Breech Delivery

GENERAL PRINCIPLES

Definition

Physical Examination

Risk Factors for Breech Presentation

Differential Diagnosis

EXTERNAL CEPHALIC VERSION (ECV)

Absolute Contraindications

Relative Contraindications

Procedure

Complications

Postprocedure

Management of Vaginal Breech Delivery

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

Positioning

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

Maternal Complications

Fetal Complications

KEY REFERENCES

Chapter 4.3 Delivery of Multiple Gestations

GENERAL PRINCIPLES

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

Timing of Elective Delivery for Multiple Gestations

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

In Recovery

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 4.4 Operative Vaginal Delivery

GENERAL PRINCIPLES

Definition

Physical Examination

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

POSTOPERATIVE CARE

COMPLICATIONS

KEY REFERENCES

Chapter 4.5 Shoulder Dystocia

GENERAL PRINCIPLES

DEFINITION

DIAGNOSIS

RISK FACTORS

VIDEO CAPTION

KEY REFERENCES

Chapter 4.6 Cesarean Delivery

GENERAL PRINCIPLES

Definition

Physical Examination

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 4.7 Peripartum Hysterectomy

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 4.8 Placenta Previa

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 4.9 Placenta Accreta Spectrum

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

Blood Bank/Transfusion Medicine Services

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 4.10 Gastrointestinal Injuries During Delivery

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

Abdominal X-Ray Series

Computed Tomography (CT) Scan

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 4.11 Urologic Injuries During Delivery

GENERAL PRINCIPLES

Definition

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

SECTION V: POSTPARTUM

Chapter 5.1 Management of Postpartum Hemorrhage

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 5.2 Lower Genital Tract Lacerations and Hematomas

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 5.3 Uterine Inversion

GENERAL PRINCIPLES

Definition

Etiology

Risk Factors

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 5.4 Postcesarean Complications

GENERAL PRINCIPLES

Definition

Physical Examination and Differential Diagnoses

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 5.5 Postpartum Sterilization

GENERAL PRINCIPLES

Definition

Physical Examination

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

SECTION VI: OTHER PROCEDURES

Chapter 6.1 Low-Resource Operative Obstetrics

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 6.2 Vaginal Fistula Repair

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 6.3 Disseminated Intravascular Coagulation in Pregnancy

INTRODUCTION

DIC IN OB/GYN

PHYSIOLOGIC CHANGES IN PREGNANCY RELATED TO CLOTTING

NORMAL CLOTTING

“PRACTICAL” CLOTTING CASCADE

DISSEMINATED INTRAVASCULAR COAGULATION

Background

Treatment and Priorities

SUMMARY

KEY REFERENCES

Chapter 6.4 Massive Transfusion

GENERAL PRINCIPLES

Definition

Physical Examination

Differential Diagnosis

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Chapter 6.5 Delivery Management in Morbid Obesity

GENERAL PRINCIPLES

Definition (1)

Physical Examination

Nonoperative Management

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach to Skin Incision

POSTOPERATIVE CARE

KEY REFERENCES

Chapter 6.6 Management and Delivery of Conjoined Twins

GENERAL PRINCIPLES

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

Antenatal Management/Preparations

KEY REFERENCES

Chapter 6.7 Endovascular Aortic Balloon Occlusion in Obstetrics

GENERAL PRINCIPLES

Definition

Physical Examination

IMAGING AND OTHER DIAGNOSTICS

PREOPERATIVE PLANNING

SURGICAL MANAGEMENT

Positioning

Approach

POSTOPERATIVE CARE

OUTCOMES

COMPLICATIONS

KEY REFERENCES

Index

 

An aparitie	7 April 2022
Autor	Michael Belfort, Alireza Abdollah Shamshirsaz , Steven Clark, Karin Fox (
Dimensiuni	213 x 276 mm
Editura	LWW
Format	Hardcover
ISBN	9781975136734
Limba	Engleza
Nr pag	424
Versiune digitala	DA