Te Linde’s Operative Gynecology

 

Description:

With expert guidance on all aspects of gynecologic surgery, Te Linde’s Operative Gynecology, Thirteenth Edition, edited by Drs. Linda Van Le and Victoria L. Handa, remains your go-to-resource from preoperative to postoperative care. Comprehensive, step-by-step instructions on how to perform all contemporary gynecologic procedures, updated diagnostic and management approaches, a greatly expanded illustration program, and new procedural videos, edited by Dr. Danielle Patterson, make this classic text an ideal reference for trainees as well as experienced practitioners. 

 

Table of Contents:

 

Section I: Preparing for Surgery

Chapter 1: Surgical Anatomy of the Female Pelvis

THE ABDOMINAL WALL

Skin and Subcutaneous Tissue

Musculoaponeurotic Layer

Neurovascular Supply of the Abdominal Wall

Other Lumbar Plexus Branches

VULVA AND ERECTILE STRUCTURES

Subcutaneous Tissues of the Vulva

Superficial Compartment

Pudendal Nerve and Vessels

Terminal Branches of Pudendal Nerve

Autonomic Innervation to Erectile Structures

Lymphatic Drainage

Medial Thigh Compartment

THE PELVIC FLOOR

Perineal Membrane

Perineal Body

Posterior Triangle: Ischioanal Fossa

Anal Sphincters

Levator Ani Muscles

PELVIC VISCERA

Genital Structures

Lower Urinary Tract

Sigmoid Colon and Rectum

PELVIC CONNECTIVE TISSUE

Uterine Ligaments

Vaginal Connective Tissue Attachments

Urethral Support

EXTRAPERITONEAL SURGICAL SPACES

Anterior and Posterior Cul-De-Sacs

Retropubic/Prevesical Space

Vesicovaginal and Vesicocervical Space

Rectovaginal Space

Region of the Sacrospinous Ligament and Greater Sciatic Foramen

RETROPERITONEAL SPACES AND LATERAL PELVIC WALL

Retroperitoneal Structures Above the Pelvic Brim

Presacral Space

Pelvic Retroperitoneal Space

Lymphatics

BIBLIOGRAPHY

Chapter 2: Preoperative Care of the Gynecologic Patient

ASSESSING PREOPERATIVE SURGICAL RISK

Patient Characteristics

Risk Scores

Procedure-Specific Risk Factors

PREOPERATIVE TESTING

Cardiac Testing

Chest X-ray

Complete Blood Count

Coagulation Testing (PT, aPTT, Platelet Count, INR)

Electrocardiogram

Electrolytes and Creatinine

Liver Function Tests

Pregnancy Test

Pulmonary Function Tests

Type and Screen or Cross

Repeating Recent Testing

PREOPERATIVE CONSIDERATIONS FOR COVID-19

MANAGING RISK FACTORS: PERIOPERATIVE STRATEGIES TO PREVENT SPECIFIC ADVERSE EVENTS

Major Adverse Cardiac Event

Infection

Venous Thromboprophylaxis

Bowel Preparation

Hemorrhage and Transfusion

Chronic Pain Patients

Management of Perioperative Anticoagulation

Management of Patients on Chronic Antiplatelet Therapy

MANAGEMENT OF CHRONIC MEDICATIONS IN THE PERIOPERATIVE PERIOD

Herbal and Dietary Supplements

ENHANCED RECOVERY AFTER SURGERY PROTOCOLS

USE OF TELEMEDICINE IN PREOPERATIVE CARE

BIBLIOGRAPHY

Section II: Basic Principles of Gynecologic Surgery

Chapter 3: Anesthesia Primer for the Gynecologist

BASIC ANESTHESIA CONCEPTS

Anesthesia Care Team

Standard Anesthesia Monitoring

The Continuum of Consciousness

PREOPERATIVE ASSESSMENT AND OPTIMIZATION

Risk Assessment

Airway Evaluation

Perioperative Fasting Guidelines

Anesthesia for High-Risk Patients

CONDUCT OF ANESTHESIA

Advanced Monitoring

General Anesthesia

Regional Anesthesia

FLUID MANAGEMENT AND BLOOD COMPONENT THERAPY

Perioperative Fluid Administration

Managing Blood Loss

SPECIAL CONSIDERATIONS FOR LAPAROSCOPIC OR ROBOTIC PROCEDURES

Positioning

Changes Related to CO2 Insufflation

Optimizing Ventilation for Laparoscopic and Robotic Surgery

Perioperative Complications

ENHANCED RECOVERY METHODS

BIBLIOGRAPHY

Chapter 4: Radiology Primer for the Gynecologist

ESSENTIALS OF IMAGING

Ultrasound

Computer Tomography

Magnetic Resonance Imaging

Positron Emission Tomography

Radiographs

GENERAL IMAGING IN GYNECOLOGY

IMAGING FOR DEVELOPMENTAL DISORDERS

IMAGING FOR ACUTE PELVIC PAIN AND ABNORMAL UTERINE BLEEDING

Cyst Rupture and Hemorrhagic Cysts

Ovarian Torsion and Tubal Torsion

Pelvic Inflammatory Disease and Tuboovarian Abscess

Endometrial Polyps

Endometriosis and Adenomyosis

IMAGING FINDINGS FOR COMMON BENIGN NEOPLASTIC DISEASE PROCESSES

Fibroids

Dermoid Cysts

IMAGING FINDINGS OF COMMON CYSTIC LESIONS OF LOWER GENITOURINARY TRACT

Urethral Diverticulum

Vulvar and Vaginal Cysts

IMAGING FINDINGS FOR GYNECOLOGIC CANCERS

Cervical Cancer

Endometrial and Uterine Cancers

Vaginal and Vulvar Cancer

Ovarian Cancer

O-RADS US AND O-RADS MRI CLASSIFICATION SYSTEM FOR ADNEXAL MASSES

Risk Stratification Based on Ultrasound

Risk Stratification Based on MRI

IMAGING FOR COMPLICATIONS OF PELVIC SURGERY

BIBLIOGRAPHY

Chapter 5: Patient Positioning for Pelvic Surgery

INCIDENCE OF NERVE INJURY

Lower Limb

Upper Limb

BASIC NEURAL ANATOMY AND RELATIONSHIP TO INJURY

Seddon’s Classification of Nerve Injury

Risk Factors

LOWER LIMB

Lumbosacral Plexus Anatomy

Proper Positioning to Prevent Nerve Injury

Clinical Implications and Management

UPPER LIMB

Brachial Plexus Anatomy

Proper Positioning to Prevent Nerve Image

Clinical Implications and Management

BIBLIOGRAPHY

Chapter 6: Surgical Techniques, Instruments, and Suture

SURGICAL INSTRUMENTS

Scalpels

Scissors

Tissue Forceps

Needle Drivers

Tissue Clamps

Other Clamps and Instruments

Cervical Dilators

Suction Devices

Stapling Devices

Mechanical Hemostatic Devices

Harmonic Scalpel

Handheld Retractors

Fixed Retractors

SUTURE

Natural Absorbable Sutures

Natural Permanent Sutures

Synthetic Sutures

Synthetic Permanent Sutures

Metal Sutures

Surgical Needles

Surgical Knots

SURGICAL TECHNIQUES

Dissection Techniques

Elevate and Incise

Push and Spread

Rubbing/Wiping

Hydrodissection

EXPLORATION OF PELVIC RETROPERITONEUM

Dissection of the Pelvic Brim and Pararectal Space

Ligation of the Internal Iliac (Hypogastric Artery Ligation) and Uterine Arteries

Dissection of the Presacral Space

Dissection of the Space of Retzius or Retropubic Space

Dissection of the Paravesical Space

Retained Surgical Instruments

BIBLIOGRAPHY

Chapter 7: Principles of Electrical and Laser Energy Applied to Gynecologic Surgery

HISTORY AND THE DEVELOPMENT OF ELECTROSURGERY

BASIC PRINCIPLES OF ELECTROSURGERY

ELECTROSURGICAL UNITS (GENERATORS)

Electrosurgical Unit Output

Dispersive Electrodes (“Return Pads”)

ELECTROSURGICAL CIRCUITS, WAVEFORMS, AND TISSUE EFFECTS

Monopolar vs Bipolar Circuits

Continuous vs Interrupted Waveforms

Tissue Effects

SAFETY CONCERNS WITH MONOPOLAR CIRCUITS

Open Activation

Direct Coupling

Insulation Failure

Capacitive Coupling

Active Electrode Monitoring

ARGON BEAM COAGULATOR

BIPOLAR INSTRUMENTS

First Generation

Second Generation

ELECTROSURGICAL APPLICATIONS IN OPERATIVE HYSTEROSCOPY

Monopolar

Bipolar

ULTRASONIC TECHNOLOGY

LASER TECHNOLOGY

Historical Perspective and Background

Principles of Laser Technology

Types and Applications of Lasers

Laser Safety

SPECIAL SURGICAL SITUATIONS

Pregnancy

Body Piercing and Prosthetic Implants

Implantable Devices

HAZARDS OF ELECTROSURGERY IN THE OPERATING ROOM

Fire Hazards

Surgical Plume

BIBLIOGRAPHY

Chapter 8: Incisions for Gynecologic Surgery

PHYSIOLOGY OF WOUND HEALING

Hemostasis

Inflammation

Proliferation

Remodeling

ABDOMINAL INCISIONS

Transverse Incisions

Vertical Incisions

INCISIONS FOR OBESE PATIENTS

Midline Incision for the Obese Patient

Panniculectomy and Abdominoplasty

PERINEOTOMY INCISIONS

Schuchardt Incision

CLOSURE OF VERTICAL INCISIONS

Use of Drains

Delayed Primary and Secondary Closure

Negative Pressure Wound Therapy

NECROTIZING SOFT TISSUE INFECTIONS

WOUND DEHISCENCE AND EVISCERATION

INCISIONAL HERNIA

BIBLIOGRAPHY

Chapter 9: Principles of Laparoscopy

PREPARATION FOR LAPAROSCOPY

Patient Selection and Contraindications

Operating Room Setup

LAPAROSCOPIC EQUIPMENT

Basic Equipment

Other Laparoscopic Tools

PERITONEAL ENTRY

Umbilical Entry

Palmer Point Entry

Alternative Entry Sites

INITIAL LAPAROSCOPIC ENTRY

Veress Needle Technique

Hasson Open Technique

Optical Direct Entry Technique

Preoperative Ultrasound Slide-by Test

Accessory Trocar Placement

Risks Associated With Entry

DIAGNOSTIC LAPAROSCOPY

OPERATIVE PELVIC SPACES

Retropubic Space

Paravesical Space

Pararectal Space

Vesicovaginal Space

Rectovaginal Space

Presacral/Retrorectal Space

TISSUE EXTRACTION

CLOSURE

COMPLICATIONS

Vascular

Urinary Tract

Gastrointestinal

Nerve Injury

SPECIAL POPULATIONS

Pediatric Patients

Obese Patients

Pregnant Patients

Geriatric Patients

BIBLIOGRAPHY

Chapter 10: Principles of Robotic Surgery

EQUIPMENT

Surgeon Console

Patient-Side Cart

EndoWrist Instruments

Vision System

POSITIONING, PORT PLACEMENT AND DOCKING

INTEGRATED HIGH-FIDELITY SIMULATOR

TISSUE EXTRACTION AND CLOSURE

ROLE OF ROBOTICS IN GYNECOLOGY

Suture-Dependent Procedures

Procedures Requiring Fine Dissection

Large Patients and Pathology

CONCLUSION

BIBLIOGRAPHY

Section III: Postoperative Care

Chapter 11: Postoperative Care of the Gynecologic Patient

IMMEDIATE POSTOPERATIVE CARE

Pain Control

Diet

Fluids and Electrolytes

Foley Management

INTERMEDIATE POSTOPERATIVE CARE

Postoperative Delirium

Cardiac Complications

Pulmonary Complications

Gastrointestinal Complications

Renal Complications and Electrolyte Imbalances

Postoperative Transfusion

Wound Care

Venous Thromboembolism

BIBLIOGRAPHY

Chapter 12: Postoperative Infections in Gynecologic Surgery

RISK FACTORS FOR SSI

Patient-Level Risk Factors

Procedure-Level Risk Factors

EVALUATION OF SURGICAL SITE INFECTION

Fever Evaluation

Physical Examination

Laboratory Testing

Imaging

POSTOPERATIVE INFECTION OUTSIDE THE SURGICAL SITE

Urinary Tract Infection

Pneumonia

Clostridium difficile Colitis

TREATMENT OF SURGICAL SITE INFECTION

Superficial/Incisional Infection

Deep Incisional Surgical Site Infections

Organ Space Infections

Necrotizing Infections

Vaginal Cuff Infection

TREATMENT OF VULVAR INFECTIONS

ANTIBIOTIC HYPERSENSITIVITY

BIBLIOGRAPHY

Chapter 13: Critical Care of the Gynecologic Patient

SHOCK

Management of Shock

Hemodynamic Monitoring

Acid-Base Review

Use of Vasopressors and Inotropes

INTRAVENOUS VOLUME RESUSCITATION

Fluid Status

Fluid Choice

Workup of Oliguria

Electrolyte Replacement

ACUTE RESPIRATORY DISTRESS SYNDROME

Pathophysiology

Management

PATIENT CASE STUDIES

Patient 1 With Sepsis and ARDS

Patient 2 With Postoperative Hemorrhage

BIBLIOGRAPHY

Section IV: Contemporary Gynecologic Surgical Procedures

Chapter 14: Dilation and Curettage

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE EVALUATION

History

Physical Examination

Other Preparation for D & C

Role of Imaging

Local Anesthesia

Regional and General Anesthesia

D & C PROCEDURE

Positioning

Pelvic Examination

Preparation and Visualization

Cervical Dilation

Management of a Stenotic Cervix

Curettage

Endometrial Biopsy

ROLE OF HYSTEROSCOPY

IMMEDIATE COMPLICATIONS

Hemorrhage

Uterine Perforation

Cervical Injury

DELAYED COMPLICATIONS

Hemorrhage

Infection

Intrauterine Adhesions

MANAGEMENT OF ANTICOAGULATED PATIENTS

BIBLIOGRAPHY

Chapter 15: Hysteroscopy

INSTRUMENTATION

Telescopes

Camera

Light Generators

Diagnostic and Operative Sheaths

The Flexible Hysteroscope

DISTENSION MEDIA AND FLUID MANAGEMENT

Liquid Media

Gaseous Media

PREOPERATIVE CONSIDERATIONS

OFFICE HYSTEROSCOPY

DIAGNOSTIC HYSTEROSCOPY

OPERATIVE HYSTEROSCOPY

Electrosurgical Devices and Lasers

SPECIFIC PROCEDURES IN HYSTEROSCOPIC SURGERY

Hysteroscopic Myomectomy

Uterine Polyps

Septate Uterus

Intrauterine Adhesions

Cannulation of the Fallopian Tube

Sterilization

Endometrial Ablation

Miscellaneous Procedures

COMPLICATIONS

Uterine Perforation

Management of Fluid Overload

Intraoperative and Postoperative Bleeding

Poor Visibility in the Operative Field

Gas Embolus

Infection

Equipment Failure

POSTOPERATIVE CONSIDERATIONS

BIBLIOGRAPHY

Chapter 16: Surgical Management of Abortion and Its Complications

FIRST TRIMESTER MISCARRIAGE

Epidemiology of First Trimester Miscarriage

Diagnosis of First Trimester Miscarriage

Management of First Trimester Miscarriage

FIRST TRIMESTER INDUCED ABORTION

Epidemiology

Legal Framework for Induced Abortion

Counseling Prior to Induced Abortion

Preoperative Evaluation

Prophylactic Medications for Vacuum Aspiration

Surgical Uterine Vacuum Aspiration

Medication Abortion

SURGICAL MANAGEMENT OF SECOND TRIMESTER PREGNANCY LOSS AND INDUCED ABORTION

Epidemiology

Counseling and Management Options

Pre-procedure Medications and Preparation

Dilation and Evacuation Procedure

COMPLICATIONS OF SURGICAL ABORTION

Immediate Complications

Delayed Complications

Late Complications

ABORTION IN HIGHLY RESTRICTED SETTINGS

BIBLIOGRAPHY

Chapter 17: Surgery for Benign Vulvar Conditions

VULVAR BIOPSY

Punch Biopsy

Shave Biopsy

Excisional Biopsy

Biopsy Complications

Postoperative Management

SURGERY FOR BARTHOLIN GLAND ABSCESS AND CYST

Incision and Drainage Using Word Catheter

Marsupialization

Excision

ABLATIVE PROCEDURES

Cryotherapy

Carbon Dioxide Laser

SURGERY FOR VESTIBULE DISORDERS

Vestibulectomy

VULVAR NECROTIZING SOFT TISSUE INFECTIONS

Debridement

LABIAPLASTY

Edge Resection

Wedge Resection

Postoperative Management

PERINEOPLASTY

Revision Perineoplasty

BIBLIOGRAPHY

Chapter 18: Tubal Sterilization

PREOPERATIVE EVALUATION

TUBAL STERILIZATION PROCEDURES PERFORMED BY MINILAPAROTOMY

Postpartum Tubal Sterilizations

Interval Tubal Sterilization

Complications Associated With Sterilization Performed by Minilaparotomy

TUBAL STERILIZATION PROCEDURES PERFORMED LAPAROSCOPICALLY

Bipolar Coagulation

Unipolar Coagulation

Nonthermal Methods of Tubal Occlusion

Complications Associated With Laparoscopic Sterilization

HYSTEROSCOPIC TUBAL OCCLUSION

BILATERAL SALPINGECTOMY

Salpingectomy at Cesarean Section

Postpartum Bilateral Salpingectomy

Interval Bilateral Salpingectomy

Surgical Complications From Bilateral Salpingectomy

STERILIZATION EFFICACY

STERILIZATION SAFETY

LONG-TERM AND DELAYED COMPLICATIONS FROM TUBAL STERILIZATION

MENSTRUAL CHANGES AFTER STERILIZATION

REGRET

BIBLIOGRAPHY

Chapter 19: Surgery of the Ovary and Fallopian Tube

TREATMENT OF BENIGN OVARIAN MASSES

Ovarian Cystectomy

Oophorectomy

ADNEXAL SURGERY FOR FERTILITY

Surgery for Tubal Obstruction

Tubal Reanastomosis

Ovarian Transposition

Ovarian Diathermy

BIBLIOGRAPHY

Chapter 20: Surgical Management of Ectopic Pregnancy

EPIDEMIOLOGY

Risk Factors

DIAGNOSIS

Presentation

Ultrasonography

Serum hCG Testing

Diagnostic Aspiration

Diagnostic Laparoscopy

TUBAL PREGNANCY

CESAREAN SCAR PREGNANCY

INTERSTITIAL PREGNANCY

OVARIAN PREGNANCY

CERVICAL PREGNANCY

ABDOMINAL PREGNANCY

RUDIMENTARY HORN PREGNANCY

HETEROTOPIC PREGNANCY

POSTOPERATIVE CARE

BIBLIOGRAPHY

Chapter 21: Myomectomy

CLASSIFICATION OF LEIOMYOMAS AND GENERAL PRINCIPLES OF MANAGEMENT

PREOPERATIVE INVESTIGATION

ALTERNATIVES TO SURGICAL EXCISION

INDICATIONS FOR SURGICAL MYOMECTOMY

PREOPERATIVE OPTIMIZATION

GENERAL PRINCIPLES TO DECREASE BLOOD LOSS AT MYOMECTOMY

HYSTEROSCOPIC APPROACH TO MYOMECTOMY

Preparation

General Principles of Hysteroscopic Myomectomy

Instrumentation

Operative Approach With Electrosurgical Devices

Operative Hysteroscopy With Vaporization

Hysteroscopic Tissue Retrieval Systems (Morcellators)

Postoperative Recommendations

Complications After Hysteroscopic Myomectomy

LAPAROSCOPIC MYOMECTOMY

ROBOT-ASSISTED LAPAROSCOPIC MYOMECTOMY

MYOMECTOMY BY LAPAROTOMY

VAGINAL MYOMECTOMY

BIBLIOGRAPHY

Chapter 22: Vaginal Hysterectomy

INDICATIONS

HISTORICAL PERSPECTIVE

PREFERRED ROUTE FOR HYSTERECTOMY

Factors That Influence the Route of Hysterectomy

PREOPERATIVE PREPARATION

INTRAOPERATIVE CONSIDERATIONS FOR VAGINAL SURGERY

Basic Surgical Principles

Technique for Vaginal Hysterectomy

SPECIAL CONSIDERATIONS

Difficult Anterior Colpotomy

Cervical Elongation

Enlarged Uterus

ADNEXECTOMY AT THE TIME OF VAGINAL HYSTERECTOMY

Technique for Salpingo-oophorectomy at Vaginal Hysterectomy

COMPLICATIONS OF VAGINAL HYSTERECTOMY

POSTOPERATIVE CARE

HYSTERECTOMY SIMULATION

ACKNOWLEDGMENTS

BIBLIOGRAPHY

Chapter 23: Abdominal Hysterectomy

HISTORY OF TOTAL ABDOMINAL HYSTERECTOMY

INCIDENCE AND TRENDS

INDICATIONS FOR HYSTERECTOMY

Opportunistic Salpingectomy

SURGICAL APPROACH

PREOPERATIVE EVALUATION AND MANAGEMENT

Uterine Size

Medical Management of Preoperative Anemia

TECHNIQUE OF ABDOMINAL HYSTERECTOMY

SPECIAL SITUATIONS

Supracervical (Subtotal) vs Complete (Total) Hysterectomy

Appendectomy

Culdoplasty

Abdominoplasty

THE CHALLENGING HYSTERECTOMY

Obliteration of the Cul-de-Sac

Cervical and Lower Uterine Segment Fibroid

POSTOPERATIVE CARE

REDUCTION OF PERIOPERATIVE RISK

Ureteral Stents

Universal Cystoscopy

Intraoperative Techniques to Reduce Blood Loss

Prevention of Adhesion

RISKS ASSOCIATED WITH ABDOMINAL HYSTERECTOMY

Transfusion

Postoperative Infection

Cuff Dehiscence

Urinary Tract Injury

Gastrointestinal Injury

Complications Related to Adhesion

Postoperative Neuropathy

Regret Childbearing/Reproductive Options

Sexual Function

Incontinence

Prolapse

Menopause

Effect on Metabolic Disorders and Cardiovascular Disease

Mortality

Readmission

Learners and Hysterectomy

BIBLIOGRAPHY

Chapter 24: Minimally Invasive Hysterectomy-Laparoscopic and Robotic-Assisted Hysterectomy

HISTORY OF MINIMALLY INVASIVE SURGERY

Total Laparoscopic Hysterectomy

Laparoscopic Supracervical Hysterectomy

Robotic-Assisted Laparoscopic Hysterectomy

ADVANTAGES OF MINIMALLY INVASIVE APPROACH

Total Laparoscopic Hysterectomy

Laparoscopic Supracervical Hysterectomy

Robotic-Assisted Laparoscopic Hysterectomy

OPERATIVE PREPARATION

Patient Selection and Preparation

Patient Positioning

Robotic Equipment Setup

Port Placement for Conventional Laparoscopy

Port Placement for Robotic-Assisted Laparoscopy

Uterine Manipulation

OPERATIVE TECHNIQUE

The Adnexa

The Uterine Corpus and Vessels

Colpotomy

Uterine Extraction

Morcellation

Cuff Closure

COMPLICATIONS

Cuff Dehiscence

Wound Complications

Urologic Injury

CONCLUSION

BIBLIOGRAPHY

Section V: Gynecologic Oncology

Chapter 25: Surgery for Preinvasive Disease of the Cervix

ABLATIVE PROCEDURES

Cryotherapy

Thermal Ablation

Carbon Dioxide Laser Therapy

EXCISIONAL PROCEDURES

Cold Knife Conization

Loop Electrosurgical Excision Procedure

Postoperative Management

COMPARISON OF METHODS

COMPLICATIONS

DYSPLASIA IN PREGNANCY

INFORMATION FOR PATIENTS

BIBLIOGRAPHY

Chapter 26: Surgery for Preinvasive and Invasive Disease of the Vulva and Vagina

SURGERY FOR PREINVASIVE DISEASE OF THE VAGINA

Vaginal Biopsy

CO2 Laser Vaporization

Vaginectomy

SURGERY FOR VAGINAL CANCER

SURGERY FOR PREINVASIVE DISEASE OF THE VULVA

Diagnostic Vulvar Biopsy

CO2 Laser Vaporization

Simple Vulvectomy

SURGERY FOR VULVAR CANCER

Radical Vulvectomy

Urethral Resection

Management of Vulvar Cancer With Perianal Involvement

Inguinofemoral Lymphadenectomy

Inguinofemoral Sentinel Lymph Node Mapping

ULTRARADICAL SURGERY FOR VULVAR CANCER

SURGERY FOR LESS COMMON VULVAR MALIGNANCIES

Paget Disease of the Vulva

Malignant Melanoma of the Vulva

Bartholin Gland Carcinoma

Basal Cell Carcinoma

Sarcomas

Verrucous Carcinoma

RECONSTRUCTION

Skin Grafts

Flaps for Reconstruction

BIBLIOGRAPHY

Chapter 27: Surgery for Uterine Cancer

STAGING

PROGNOSTIC FEATURES

ENDOMETRIAL HYPERPLASIA

SURGERY FOR ENDOMETRIAL CANCER

Perioperative Assessment and Preparation

Hysterectomy

Lymphadenectomy

Minimally Invasive Hysterectomy

Minimally Invasive Lymphadenectomy

Sentinel Lymph Node Mapping

SPECIAL CLINICAL SCENARIOS

Surgery for the Morbidly Obese Patient

Management of Advanced Disease

Surgery for Young Patients

SURGERY FOR TYPE II ENDOMETRIAL CANCERS

SURGERY FOR UTERINE SARCOMAS

LYNCH SYNDROME

UNDIAGNOSED ENDOMETRIAL CANCERS

BIBLIOGRAPHY

Chapter 28: Surgery for Cervical Cancer

CLINICAL PRESENTATION

Impact of Nodal Disease on Survival

PRETREATMENT EVALUATION AND STAGING

SURGICAL MANAGEMENT OF EARLY CANCER

Cervical Conization With or Without Lymph Node Assessment

Simple Hysterectomy With Lymph Node Assessment

Fertility-Sparing Radical Abdominal Trachelectomy and Conization

RADICAL HYSTERECTOMY

Positioning

Abdominal Exploration

Development of Paravesical and Pararectal Space

Dissection of Hypogastric Artery, Uterine Artery, Bladder, and Ureter

Dissection of Cardinal Ligament

Vaginal Closure

Ovarian Transposition

Lymphadenectomy

POSTOPERATIVE COMPLICATIONS

Urologic Complications

Venous Thrombosis and Pulmonary Embolus

Neuropathy

Rectal Dysfunction

Infection

PELVIC EXENTERATION

Positioning and Preparation

Surgical Approach

SUMMARY

BIBLIOGRAPHY

Chapter 29: Surgery for Ovarian Cancer

OVARIAN CANCER

Risk Factors for Developing Cancer

PRESENTATION

Patterns of Spread

PREOPERATIVE EVALUATION

SURGERY FOR EARLY OVARIAN CANCER

FERTILITY-SPARING SURGERY

SURGERY FOR ADVANCED CANCER

Primary Debulking Surgery

Exploration

Pafolacianine

Resection of Pelvic Tumor and Radical Oophorectomy

Lymphadenectomy

Small Bowel and Ileocecal Resection

Appendectomy and Cancer Debulking

Resection of Rectosigmoid Colon

Resection of the Urinary Tract

Omentectomy

Resection of Diaphragm Tumor

Splenectomy

Liver Resection and Biopsy

Placement of Intraperitoneal Port

MINIMALLY INVASIVE SURGERY IN OVARIAN CANCER

Laparoscopic Scoring and Assessment

NEOADJUVANT CHEMOTHERAPY AND INTERVAL CYTOREDUCTIVE SURGERY

HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY

SURGERY FOR RECURRENT DISEASE

PALLIATIVE SURGERY FOR RECURRENT DISEASE

Management of Bowel Obstruction

Gastrostomy Tube Placement

SURGERY FOR OTHER OVARIAN NEOPLASMS

Germ-Cell Tumors

Sex Cord-Stromal Cell Tumors

LOW MALIGNANT POTENTIAL TUMORS

OVARIAN CANCER DIAGNOSED IN PREGNANCY

BIBLIOGRAPHY

Section VI: Surgery for Pelvic Floor Disorders

Chapter 30: Transvaginal Apical Suspensions for Uterovaginal Prolapse

UTERINE PRESERVATION (HYSTEROPEXY) VS HYSTERECTOMY

TRANSVAGINAL APICAL SUSPENSION PROCEDURES

McCall Culdoplasty

Uterosacral Ligament Suspension

Uterosacral Hysteropexy

Manchester Procedure

Sacrospinous Ligament Fixation

Sacrospinous Hysteropexy

Anterior Vaginal Mesh Colpopexy or Hysteropexy

COMPARATIVE OUTCOMES

Uterosacral Ligament Suspension vs Sacrospinous Ligament Fixation

McCall Culdoplasty vs Uterosacral Ligament Suspension or Sacrospinous Ligament Fixation

Vaginal Hysteropexy Comparative Trials

CHOICE OF REPAIR

BIBLIOGRAPHY

Chapter 31: Sacrocolpopexy

INTRODUCTION: LOSS OF APICAL SUPPORT

PREOPERATIVE CONSIDERATIONS

COEXISTING URINARY INCONTINENCE

SURGICAL TECHNIQUE

SACROCOLPOPEXY BY OPEN TECHNIQUE/LAPAROTOMY

Dissection of the Vagina

Dissection of the Presacral Space

Mesh Attachment

MINIMALLY INVASIVE APPROACHES

Technique Steps for Laparoscopic Sacrocolpopexy

Technique Steps for Robotic Sacrocolpopexy

Concomitant Procedures

SURGICAL VARIATIONS

Sacrohysteropexy

Sacrocolpoperineopexy

POSTOPERATIVE CONSIDERATIONS

Outcomes

Complications

BIBLIOGRAPHY

Chapter 32: Colporrhaphy and Enterocele Repair

ANTERIOR AND POSTERIOR VAGINAL WALL PROLAPSE

SYMPTOMS ASSOCIATED WITH VAGINAL WALL PROLAPSE

ANATOMY AND FUNCTION

Delancey’s Levels of Support

Support of the Anterior Compartment

Support of the Posterior Compartment

EVALUATION

History

Physical Examination

Ancillary Testing

INITIAL MANAGEMENT

SURGICAL MANAGEMENT

General Considerations

Procedures for Repair of Anterior Vaginal Wall Prolapse

Graft Use in the Anterior Compartment

Procedures for Repair of Posterior Vaginal Wall Prolapse

ENTEROCELE REPAIR

Vaginal Enterocele Repairs

Abdominal Enterocele Repairs

POSTOPERATIVE CARE

OUTCOMES

BIBLIOGRAPHY

Chapter 33: Midurethral Slings and Surgery for Stress Urinary Incontinence

PATHOPHYSIOLOGY

INITIAL EVALUATION

History

Physical Examination

Additional Evaluation of SUI

NONSURGICAL TREATMENT OF SUI

SURGICAL TREATMENT OF SUI

Retropubic Midurethral Sling Procedures

Transobturator Midurethral Sling

Complications From Midurethral Slings

Burch Retropubic Urethropexy

Pubovaginal Sling

Urethral Bulking Agents

SURGICAL TREATMENT OF MIXED URINARY INCONTINENCE

OCCULT SUI

BIBLIOGRAPHY

Chapter 34: Colpocleisis

SPECIAL CONSIDERATIONS FOR OBLITERATIVE PROCEDURES

PREOPERATIVE EVALUATION

Preoperative Assessment of Older Patients With Pelvic Organ Prolapse

Endometrial/Cervical Surveillance Prior to Le Fort Colpocleisis

Evaluation for Hydroureter in Patients With Severe Prolapse

Preoperative Evaluation for Occult Stress Incontinence

CONSIDERATION FOR CONCOMITANT HYSTERECTOMY

LE FORT COLPOCLEISIS

COLPECTOMY/COLPOCLEISIS

CONCOMITANT LEVATOR MYORRHAPHY AND PERINEORRHAPHY

PERIOPERATIVE AND POSTOPERATIVE CONSIDERATIONS

Complications

Intraoperative Cystoscopy

Success/Failure Rates

Regret/Sexual Function

BIBLIOGRAPHY

Chapter 35: Vesicovaginal and Rectovaginal Fistula

ETIOLOGY AND EPIDEMIOLOGY

Obstetric Lower Reproductive Tract Fistulas

Nonobstetric Lower Reproductive Tract Fistulas

CLINICAL PRESENTATION

Vesicovaginal Fistula

Rectovaginal Fistula

DIAGNOSIS AND EVALUATION

Vesicovaginal Fistula

Rectovaginal Fistula

NONSURGICAL AND CONSERVATIVE SURGICAL MANAGEMENT OF LOWER REPRODUCTIVE TRACT FISTULA

Conservative Treatment of Vesicovaginal Fistula

Conservative Treatment of Rectovaginal Fistula

SURGICAL MANAGEMENT OF LOWER REPRODUCTIVE TRACT FISTULA

Perioperative Considerations

General Principles of Fistula Repair (TABLE 35.3)

Surgical Approach to Repair of Vesicovaginal Fistula

Surgical Repair of Rectovaginal Fistula

Tissue Interposition

BIBLIOGRAPHY

Chapter 36: Repair of Episiotomy and Complex Perineal Lacerations

EPISIOTOMY

Incidence

Indications

Mediolateral and Midline Episiotomy

Technique: Mediolateral Episiotomy

Primary Episiotomy Repair

COMPLICATIONS OF EPISIOTOMY

Extension

Hematoma

Infection and Dehiscence

OBSTETRIC ANAL SPHINCTER INJURIES

Incidence and Risk Factors

Technique of Primary Repair

Postpartum Management of OASIS

Complications of OASIS

Delayed Repair of OASIS

BIBLIOGRAPHY

Section VII: Complications of Pelvic Surgery

Chapter 37: Management of Intraoperative Complications to the Urinary Tract

FUNCTIONAL ANATOMY OF THE URETER, BLADDER, AND URETHRA

Ureter

Bladder

Urethra

INJURY TO THE URETER IN GYNECOLOGIC SURGERY

Hysterectomy

Adnexal Surgery

Retropubic Surgery

Surgery for Vaginal Prolapse

Radical Pelvic Surgery

DIAGNOSING URETERAL INJURY

Diagnosis of Intraoperative Ureteral Injury

Postoperative Diagnosis of Ureteral Injury

TECHNIQUES FOR URETERAL REPAIR

Acute Ureteral Injury

Ureteroneocystostomy

Psoas Hitch

Boari Flap

Ureteral-Ileal Interposition

INJURY TO THE BLADDER DURING GYNECOLOGIC SURGERY

Hysterectomy

Retropubic Colposuspension

Surgery for Prolapse Repair

Sling Surgery

Postoperative Diagnosis of Bladder Injury

INJURY TO THE URETHRA DURING GYNECOLOGIC SURGERY

BIBLIOGRAPHY

Chapter 38: Management of Operative Complications to the Gastrointestinal Tract

ANATOMY

Stomach

Small Intestine

Large Intestine

ENTEROLYSIS

MANAGEMENT OF INADVERTENT BOWEL INJURY

Repair Bowel Enterotomy

Monopolar and Bipolar Bowel Injury

MANAGEMENT OF BOWEL COMPLICATIONS

Nonmalignant Small Bowel Obstruction

Malignant Bowel Obstruction

Fistula

Radiation Injury

Bowel Perforation

Acute Appendicitis

Ogilvie Syndrome (Colonic Pseudo-obstruction)

PREOPERATIVE PREPARATION

Consent

Stoma Planning

Nutrition

Bowel Preparation

Patient With Bowel Obstruction

PROCEDURES

Appendectomy

Bowel Resection

Rectosigmoid Colectomy

Colorectal Anastomosis With a Circular Stapler

Hand-Sewn Anastomosis

Anastomosis With a Linear Stapler (Side to Side)

Ileostomy

Colostomy

Loop Ostomy Closure

End Colostomy Takedown

POSTOPERATIVE CARE AND COMPLICATIONS

Wound Management

Small Bowel Anastomosis

Colorectal Anastomosis

Intestinal Stomas

Ostomy Closure

BIBLIOGRAPHY

Chapter 39: Management of Surgical Hemorrhage

SURGICAL PREPARATION

SURGICAL MANAGEMENT OF HEMORRHAGE

Management of Venous Bleeding

Management of Arterial Bleeding

Vascular Ligation Procedures

Large Vessel Repair

Packing for Control of Hemorrhage

ADJUNCTS TO CONTROL OF HEMORRHAGE

Use of Clips

Electrosurgery

Hemostatic Agents

Vascular Clamp Placement

BLOOD REPLACEMENT

Autologous Blood Transfusion

Blood Product Replacement

Nonsurgical Interventions for Hemorrhage

Use of Antifibrinolytic and Other Agents

MANAGEMENT OF HEMORRHAGE IN MINIMALLY INVASIVE SURGERY

POSTOPERATIVE MANAGEMENT

CONCLUSION

BIBLIOGRAPHY

Section VIII: Surgical Management of Selected Gynecologic Conditions

Chapter 40: Surgical Management of Pelvic Pain and Endometriosis

HISTORY OF SURGERY AND PELVIC PAIN

Pelvic Adhesive Disease

Endometriosis

SURGERY FOR PELVIC PAIN

SURGERY FOR ENDOMETRIOSIS

Resection of Implants

Resection of Cul-De-Sac Lesions

Management of Ovarian Endometriomas

Resection of Rectal Endometriosis

Extirpative Resection of Endometriosis

Resection of Bladder Endometriomas

Resection of Appendiceal Endometriosis

Presacral Neurectomy

Abdominal Wall Endometriosis

Extrapelvic Endometriosis

RESECTION OF OVARIAN REMNANTS

UTERINE SUSPENSION

UTERINE AND ADNEXAL SUSPENSION TO PREVENT ADHESIONS

BIBLIOGRAPHY

Chapter 41: Surgical Management of Pelvic Inflammatory Disease

ETIOLOGY AND MICROBIAL EPIDEMIOLOGY

RISK FACTORS FOR PID

CLINICAL PRESENTATION

SEQUELAE OF INFECTION

ANTIBIOTIC TREATMENT

PERCUTANEOUS DRAINAGE

SURGICAL TREATMENT

Preoperative Planning

Intraoperative Management

DELAYED SURGICAL MANAGEMENT

WOUND MANAGEMENT

POSTOPERATIVE CARE

BIBLIOGRAPHY

Chapter 42: Surgical Management of Reproductive Tract Anomalies

SURGICAL MANAGEMENT OF REPRODUCTIVE OUTFLOW TRACT ANOMALIES

Class I Anomalies

Class II Anomalies

Class III Anomalies

SURGERY FOR NONOBSTRUCTIVE ANOMALIES

Class I Anomalies

Class II Anomalies

Class III Anomalies

Class IV Anomalies

Class V Anomalies

Class VI Anomalies

MANAGEMENT OF OTHER OUTFLOW TRACT ANOMALIES

OTHER ASSOCIATED DISORDERS

SUMMARY

BIBLIOGRAPHY

Chapter 43: Pediatric and Adolescent Gynecologic Surgery

PERIOPERATIVE CARE

EXAMINATION UNDER ANESTHESIA AND VAGINOSCOPY

MANAGEMENT OF HYMENAL VARIANTS

MANAGEMENT OF GENITAL INJURIES

LAPAROSCOPY IN THE PEDIATRIC AND ADOLESCENT PATIENT

ADNEXAL SURGERY

Preoperative Risk Stratification of Ovarian Masses

Ovarian Cystectomy

Paratubal Cysts

Adnexal Torsion

Oophoropexy

BIBLIOGRAPHY

Chapter 44: Surgery for Obstetric Hemorrhage

GENERAL PRINCIPLES OF MANAGEMENT OF OBSTETRICAL HEMORRHAGE

Early and Comprehensive Assessment

Timely Intervention

Adequate Resuscitation

Communication

Positioning, Incision, and Exposure

GENERAL MEASURES TO CONTROL OBSTETRICAL HEMORRHAGE

Aortic Compression

Use of Tourniquet

Pelvic Packing

SURGICAL INTERVENTION FOR OBSTETRICAL

Uterine Atony

Hypogastric Artery Ligation

SURGICAL MANAGEMENT OF HEMORRHAGE DUE TO OTHER CAUSES

Uterine Rupture

Uterine Laceration or Extension of Uterine Incision

Management of a Broad Ligament and Retroperitoneal Hematoma

PERIPARTUM HYSTERECTOMY

Hysterectomy for Uterine Atony

Hysterectomy for Placenta Accreta Spectrum

POSTOPERATIVE CARE

CONCLUSION

BIBLIOGRAPHY

Index

 

An aparitie	10 Jun 2023
Autor	VICTORIA LYNN HANDA, Linda Van Le MD
Dimensiuni	213 x 276 mm
Editura	LWW
Format	Hardcover
ISBN	9781975200091
Limba	Engleza
Nr pag	864
Versiune digitala	DA