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Atlas of Pelvic Anatomy and Gynecologic Surgery - E-Book

Atlas of Pelvic Anatomy and Gynecologic Surgery - E-Book

Michael S. Baggish | Mickey M. Karram

(2011)

Additional Information

Book Details

Abstract

Atlas of Pelvic Anatomy and Gynecologic Surgery richly illustrates pelvic anatomy and surgical geography through full-color artwork, and step-by-step descriptions. Drs. Michael S. Baggish and Mickey Karram guide you through detailed anatomy and the full spectrum of surgical procedures, including new chapters on robotics, major complications of laparoscopic surgery, cosmetic gynecologic surgery, minimally invasive non-hysteroscopic endometrial ablation to keep you current in your field.

  • Follow each procedure step by step through superb full-color illustrations with concise descriptions and detailed legends.
  • See actual surgical procedures and realistic depictions of surgical geography thanks to color photographs of surgeries and pelvic cadaver anatomy.
  • Master the full spectrum of surgical procedures with comprehensive coverage of conventional and endoscopic surgeries.
  • Keep up with the shift to minimally invasive procedures through a new section on Laparoscopy, which includes chapters on robotic gynecologic surgery and major complications associated with laparoscopic surgery.
  • Watch detailed anatomy videos on the included DVD and deepen your understanding of pelvic anatomy.
  • Expand your techniques to keep pace with new trends with new chapters on sutures, suturing techniques, knot tying; energy devices; and positioning and nerve injury.
  • See anatomical dissection and surgical photographs in full color for a more detailed and realistic view.
  • Find information more quickly and easily through a more a logical organized structure.

Table of Contents

Section Title Page Action Price
Front cover cover
Atlas of Pelvic Anatomy and Gynecologic Surgery i
Copyright page ii
Dedication iii
Contributors v
Preface vii
Acknowledgments ix
Table of Contents xi
Video Table of Contents xiv
Unit 1 Principals of Pelvic Anatomy and Gynecologic Surgery 1
A Pelvic Anatomy 3
1 Introduction to Pelvic Anatomy 1 5
2 Introduction to Pelvic Anatomy 2 61
Autonomic Nervous System 61
Pelvic Plexus 66
Sigmoid Colon 66
Bladder and Pelvic Supports 66
B Basic Foundations for Gynecologic Surgery 79
3 Instrumentation 81
Forceps 81
Clamps 81
Scissors 81
Knives 81
Retractors 81
Needle Holders 89
Dilators 89
Curettes 89
Suction Curettes 89
4 Suture Material, Suturing Techniques, and Knot Tying 95
Suture Types 95
Suture Selection 95
Suture Techniques 101
Knot Tying 101
Surgeon’s Knot 101
Instrument Tie 101
Finishing a Continuous Stitch 101
5 Energy Devices 117
Electrosurgery—Laser—Harmonic Scalpel 117
Electrosurgery 117
Laser Surgery 120
Ultrasonic Surgery 125
6 Positioning and Nerve Injury 129
Positioning the Patient 129
Peripheral Nerve Injury 131
Compartment Syndrome 141
Unit 2 Abdominal Surgery 145
A Anterior Abdominal Wall 147
7 Anatomy of the Lower Abdominal Wall 149
Vessels 156
8 Abdominal Incisions 161
Transverse Incisions 161
Maylard Incision 161
Pfannenstiel Incision 165
Cherney Incision 165
Kustner Incision 165
Midline Incision 173
B Uterus 177
9 Intra-abdominal Pelvic Anatomy 179
Uterine Support 179
Pelvic Anatomy 184
10 Dilatation and Curettage 207
Suction Curettage 212
11 Abdominal Hysterectomy 215
Total Abdominal Hysterectomy With Bilateral Salpingo-oophorectomy 215
Subtotal Hysterectomy 237
Simple Abdominal Hysterectomy 239
12 Radical Hysterectomy 241
Supplemental Anatomy for Radical Hysterectomy and Pelvic Lymphadenectomy 241
Radical Hysterectomy and Pelvic Lymphadenectomy 246
13 Endometrial Carcinoma With Lymph Node Sampling 259
14 Myomectomy 263
15 Surgical Treatment of Unusual Myoma Conditions 275
16 Unification of Bicornuate Uterus 279
C Abdominal Surgery During Pregnancy 287
17 Abdominal Cerclage of the Cervix Uteri 289
18 Cesarean Section 295
19 Cesarean Section Hysterectomy 303
20 Hypogastric Artery Ligation 307
21 Trophoblastic Disease 311
D Adnexa 323
22 Ovarian Cystectomy and Cystotomy 325
23 Surgery for Pyosalpinx, Tubo-ovarian Abscess, and Pelvic Abscess 331
24 Adhesiolysis 339
25 Surgical Management of Pelvic Endometriosis 347
26 Surgical Management of Ectopic Pregnancy 355
Linear Salpingostomy for Tubal Ectopic Pregnancy 355
Cornual Excision and Salpingectomy for Cornual Ectopic Pregnancy 361
Salpingectomy for Isthmic Ectopic Pregnancy 366
27 Surgical Management of Ovarian Residual and Remnant 371
28 Ovarian Tumor Debulking 375
29 Tuboplasty 381
Fimbrioplasty (Hydrosalpinx) 381
Midtubal Anastomosis 384
Cornual Anastomosis 385
30 Tubal Sterilization 387
Modified Irving Procedure 390
Pomeroy Operation 390
Fimbriectomy 390
Simple Bilateral Partial Salpingectomy 394
Uchida Operation 394
Silastic Band Operation 394
E Retropubic Space 399
31 Anatomy of Retropubic Space 401
32 Operative Setup and Entry Into the Retropubic Space 419
33 Retropubic Urethropexy for Stress Incontinence 423
Modified Burch Colposuspension 423
Marshall-Marchetti-Krantz Procedure 423
34 Retropubic Paravaginal Repair 427
35 Retropubic Vesicourethrolysis 431
F Retroperitoneum and Presacral Space 437
36 Anatomy of the Retroperitoneum and the Presacral Space 439
37 Identifying and Avoiding Ureteral Injury 455
Exposing the Ureter 455
Anatomic Relationships of Right and Left Ureters 463
38 Presacral Neurectomy 471
39 Uterosacral Nerve Transection 479
40 Lymph Node Sampling 485
G Abdominal Operations for Enterocele and Vault Prolapse 493
41 Abdominal Enterocele Repair 495
42 High Uterosacral Ligament Suspension With Fascial Reconstruction: 501
43 Abdominal Sacral Colpopexy 505
Unit 3 Cervical, Vaginal, Vulvar, and Perineal Surgery 519
A Cervical Surgery 521
44 Anatomy of the Cervix 523
45 Cervical Biopsy, Endocervical Curettage, and Cervical Biopsy During Pregnancy 529
Cervical Biopsy 529
Endocervical Curettage 534
Cervical Biopsy During Pregnancy 534
46 Conization of the Cervix 539
Cold-Knife Conization 539
Laser Conization 543
Conization During Pregnancy 545
Loop Electrical Excision Conization 545
Loop Electrical Excision by Selective Double-Excision (“Top Hat”) Technique 545
Combination Conization 545
47 Cervical Polypectomy 553
48 Relief of Cervical Stenosis 559
49 Cervical Cerclage 563
50 Cervical Stump Excision (Trachelectomy) 569
B Vaginal Surgery 575
51 Anatomy of the Vagina 577
Lower Third 577
Middle Third 577
Upper Third 577
52 Anatomy of the Support of the Anterior and Posterior Vaginal Walls 599
53 Vaginal Hysterectomy 605
Simple Vaginal Hysterectomy 605
Surgical Technique 605
Vaginal Salpingo-oophorectomy 614
Evaluating the Posterior Cul-de-sac 614
Difficult Vaginal Hysterectomy 623
Complete Uterine Procidentia 623
Obliteration of the Vesicouterine Fold 631
Adhesions of the Posterior Cul-de-sac 631
Removal of the Large Uterus 631
54 Vaginal Repair of Cystocele, Rectocele, and Enterocele 639
Anterior Vaginal Wall Prolapse 639
Midline Cystocele Repair 648
Vaginal Paravaginal Repair 657
Posterior Vaginal Wall Defects 669
Vaginal Enterocele Repair 669
Rectocele Repair 669
55 Vaginal Repair of Vaginal Vault Prolapse 695
Sacrospinous Ligament Suspension 695
Iliococcygeus Fascia Suspension 705
High Uterosacral Ligament Suspension 705
56 Obliterative Procedure for the Correction of Pelvic Organ Prolapse 723
Obliterative Procedure 723
LeFort Partial Colpocleisis 723
Colpectomy and Colpocleisis 723
57 Trocar-Based Synthetic Mesh Kits Used to Correct Pelvic Organ Prolapse 733
Placement of Posterior Mesh System 743
58 Synthetic Midurethral Slings for the Correction of Stress Incontinence 747
Retropubic Synthetic Midurethral Slings 747
Transobturator Synthetic Midurethral Slings 759
Synthetic Single-Incision Midurethral Slings 766
Techniques Used to Cut or Remove Sling Material 774
59 Pubovaginal Slings for the Correction of Stress Incontinence 781
Operative Details 786
60 Benign Lesions of the Vaginal Wall 795
Biopsies 795
Cysts 795
Ulcers 805
Solid Masses 805
61 Congenital Vaginal Abnormalities 811
Imperforate Hymen 811
Vaginal Agenesis 814
Transverse Vaginal Septum 823
Longitudinal Vaginal Septum 826
Obstructed Hemivagina 826
Bladder Exstrophy 826
62 Iatrogenic Vaginal Constriction 829
Introduction 829
Incisions 829
Z-Plasty 829
Free Skin Grafts 837
Xenografts 837
Perineal Flaps 837
Abdominal Flaps 837
63 Vaginectomy 847
Excision 847
Carbon Dioxide Laser 851
C Vulvar and Perineal Surgery 855
64 Vulvar and Perineal Anatomy 857
65 Vulvar Biopsy 877
66 Bartholin Duct Cyst and Abscess 881
67 Surgery for Vulvar Vestibulitis Syndrome (Vulvodynia) 885
Simple Vestibulectomy 885
Vestibulectomy With Radical Bartholin Gland Excision 885
68 Wide Excision With or Without Skin Graft 895
69 Laser Excision and Vaporization 905
Laser Excision by Thin Section 905
Laser Vaporization 905
70 Anatomy of the Groin and Femoral Triangle 913
71 Vulvectomy 921
Simple Vulvectomy 921
Radical Vulvectomy 928
72 Radical Vulvectomy With Tunnel Groin Dissection 941
73 Vulvar Hematoma 949
74 Correction of Clitoral Phimosis 953
75 Hymenotomy (Hymenectomy) 957
76 Plastic Repair of the Perineum (Perineorrhaphy) 959
77 Benign Lesions of the Groin and the Canal of Nuck 965
Hidradenitis and Other Groin Lesions 965
Lesions of the Canal of Nuck 965
78 Surgery for Other Benign Lesions of the Vulva 973
Inclusion Cyst 973
Hidradenoma 975
Labial Fusion 976
Draining Vulvar Lesions 977
Vulvar Hemangiomas and Varicosities 977
Lymphangioma 983
Condyloma Acuminata 983
79 Therapeutic Injection 989
Alcohol Injection 989
Dexamethasone Injection 989
80 Episiotomy 993
Mediolateral Episiotomy 993
Midline Episiotomy 998
Repair of Third-Degree Laceration 998
Repair of Fourth-Degree Laceration 998
Unit 4 Other Related Gynecologic Surgery 1005
A Surgical Procedures Performed on the Lower Urinary Tract 1007
81 Anatomy of the Urethra 1009
82 Surgical Repair of Urethral Prolapse 1017
83 Repair of Urethrovaginal Fistula 1021
84 Repair of Suburethral Diverticulum 1029
85 Martius Fat Pad Transposition and Urethral Reconstruction 1041
Martius Fat Pad Transposition 1041
Urethral Reconstruction 1045
86 Surgical Anatomy of the Bladder and Ureter 1051
87 Suprapubic Catheter Placement 1057
88 Repair of Advertent and Inadvertent Cystotomy 1063
Opening and Closing the Bladder 1063
Repair of Bladder Lacerations 1063
89 Abdominal Repair of Vesicovaginal and Vesicouterine Fistula 1071
Abdominal Repair of Vesicovaginal Fistula 1071
Repair of Vesicouterine Fistula 1079
90 Vaginal Repair of Vesicovaginal Fistula 1085
91 Managing Ureteral Injury During Pelvic Surgery 1091
Ureterotomy and Catheterization 1093
Ureteroureterostomy 1095
Ureteroneocystostomy 1098
Ureteroneocystostomy With Bladder Extension 1102
The Boari-Ocherblad Flap 1102
92 Surgical Management of Detrusor Compliance Abnormalities 1109
Evaluation of Patients 1109
General Introduction to Three Modalities 1109
Surgical Techniques 1112
Sacral Neuromodulation 1112
Botulinum Toxin Bladder Injections 1117
Augmentation Cystoplasty 1120
B Bowel Surgery 1127
93 Intestinal Surgery 1129
Anatomy of the Small and Large Intestine 1129
94 Small Bowel Repair/Resection 1137
95 Closure of a Simple Transmural Injury to the Small Intestine 1141
96 Meckel’s Diverticulum 1147
97 Appendectomy 1151
98 Colon Repair/Colostomy Creation 1155
99 Repair of Rectovaginal Fistulas 1159
100 Surgery for Anal Incontinence 1165
Anatomy of the Rectum and Anal Sphincters 1165
Repair of the Anal Sphincter 1167
101 Transperineal Repair of Rectal Prolapse 1177
Perineal Proctectomy (Altemeier Repair) 1177
C Cosmetic and Gender Reassignment Surgery 1183
102 Surgery for Labial Hypertrophy 1185
103 Vaginoplasty With Perineal Reconstruction (Cosmetic Gynecologic Surgery) 1191
104 Gender Reassignment Surgery 1199
D The Breast 1215
105 The Breast 1217
Anatomy of the Female Breast 1217
Clinical Breast Examination 1222
Fine-Needle Aspiration 1227
Unit 5 Endoscopy and Endoscopic Surgery 1233
A Hysteroscopy 1235
106 Hysteroscopic Instrumentation 1237
107 Indications and Techniques 1245
108 Removal of Uterine Septum 1249
109 Ablation Techniques 1253
110 Minimally Invasive Non-Hysteroscopic Endometrial Ablation 1265
Complications 1265
111 Resection of Submucous Myoma 1271
112 Complications of Hysteroscopy 1277
B Laparoscopy 1281
113 Pelvic Anatomy From the Laparoscopic View 1283
114 The Operating Room Suite and Instrumentation 1289
Electronic Cart 1289
Laparoscopic Instrument Table 1289
Vaginal Instrument Table 1291
115 Trocar Placement 1293
Veress Needle Insertion 1293
Primary Trocar Insertion 1293
Open Laparoscopy and Alternative Techniques 1296
Secondary Trocar Insertion 1296
116 Diagnostic Laparoscopy 1299
Standard Diagnostic Laparoscopy 1299
Microlaparoscopy 1302
117 Laparoscopic-Assisted Vaginal Hysterectomy 1303
118 Laparoscopic Adnexal Surgery 1307
Ovarian Cystectomy 1307
Salpingo-oophorectomy 1309
Ectopic Pregnancy 1309
Tubal Ligation 1314
Tuboplasty 1314
119 Laparoscopic Surgery for Stress Urinary Incontinence (Burch Colposuspension) 1317
120 Laparoscopic Surgery for Pelvic Organ Prolapse 1321
Laparoscopic Sacral Colpopexy 1321
Laparoscopic Uterosacral Ligament Plication and Shortening 1324
Laparoscopic Uterosacral Ligament/Vaginal Vault Suspension and Abdominal Enterocele Repair 1324
121 Robotic Gynecologic Surgery 1327
122 Major Complications Associated With Laparoscopic Surgery 1335
Vascular and Intestinal Injury 1335
Laparoscopic Approach 1335
Operative Procedure 1351
Ureteral Injury 1351
C Cystourethroscopy 1363
123 Cystourethroscopy 1365
Instrumentation 1365
Indications and Techniques 1368
Urethroscopy (Normal and Abnormal Findings) 1368
Cystoscopy (Normal and Abnormal Findings) 1377
Operative Cystoscopy 1389
Bladder Biopsy 1389
Ureteral Catheterization 1389
Injection of Bulk-Enhancing Agents 1389
Suprapubic Telescopy 1395
Index 1397
A 1397
B 1398
C 1398
D 1399
E 1400
F 1400
G 1400
H 1400
I 1401
J 1401
K 1401
L 1402
M 1402
N 1403
O 1403
P 1403
Q 1404
R 1404
S 1405
T 1406
U 1406
V 1407
W 1408
X 1408
Z 1408