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Medicine - Gynecology | Manual of Pelvic Surgery

Manual of Pelvic Surgery

Webb, Maurice J.

Softcover reprint of the original 1st ed. 1994, XV, 195 pp. 115 figs.

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Surgery in the pelvis freely crosses the boundaries between the disciplines of general and gynecology surgery, colorectal surgery, orthopedic surgery, vasular surgery and neurosurgery. Touching on this wide range of disciplines, this book, written by members of the Division of Gynecologic Surgery at the Mayo Clinic, is a practical guide to the performance of pelvic surgery. It documents the various surgical techniques, described in a step-by-step manner and supplemented by informatic illustrations. The book moreover includes detailed descriptions of preoperative management and assessment, intraoperative management, postoperative care, and intraoperative and postoperative complications, including protocols for their management. Finally, reconstructive, plastic, and other special surgical techniques are also covered. Despite its breadth, the book is most of all a source of practical assistance to the surgeon, providing explicit details on how to handle specific problems. It describes the state of the art of techniques in use and refined at the Mayo Clinic.

Content Level » Professional/practitioner

Keywords » Chirurgie des Beckenraumes - Complications - Komplikationen - Mayo Clinic - Operationsdurchführung - Operationstechnik - Operative Management - Operative Techniques - Pelvic Surgery

Related subjects » Gynecology - Surgery

Table of contents 

1 Preoperative Care.- I. Preoperative Assessment.- II. Preoperative Routine Tests.- III. General Preadmission Preparation.- 2 Intraoperative Management.- I. Intraoperative Preparation.- II. Intraoperative Monitoring.- III. Incisions.- IV. Suture Material.- V. Wound Closure.- VI. Instrumentation.- 3 Postoperative Care.- I. Aim.- II. Postoperative Monitoring of Vital Signs.- III. Respiratory Therapy.- IV. Fluid and Electrolyte Balance.- V. Mobilization, Deep-Vein Thrombosis Prophylaxis, and Drain Management.- VI. Pain Relief.- VII. Catheter Management.- VIII. Gastrointestinal Tube Management.- IX. Bowel Management.- X. Parenteral and Enteral Nutrition.- XI. Diabetes Mellitus.- XII. Special Needs of Elderly Patients.- 4 Intraoperative Complications.- I. Introduction.- II. Prevention of Intraoperative Complications.- III. Hemorrhage.- IV. Urologic Trauma.- V. Gastrointestinal Trauma.- VI. Vaginal Surgical Injuries.- VII. Nerve Injury.- VIII. Splenic Trauma.- IX. Diaphragmatic Trauma.- 5 Postoperative Complications.- I. Acute Emergencies: Circulatory Complications.- II. Acute Emergencies: Respiratory Disorders.- III. Acute Emergencies: Renal Failure.- IV. Acute Emergencies: Septic Shock.- V. Acute Emergencies: Psychiatric and Central Nervous System Disorders.- VI. Acute Emergencies: Anaphylaxis.- VII. Specific Complications: Deep Venous Thrombosis.- VIII. Specific Complications: Pulmonary Embolus.- IX. Specific Complications: Postoperative Bleeding.- X. Specific Complications: Diffuse Intravascular Coagulation.- XI. Specific Complications: Hypovolemic Shock.- XII. Specific Complications: Ileus and Bowel Obstruction.- XIII. Specific Complications: Wound Infection.- XIV. Specific Complications: Wound Deshiscence.- XV. Specific Complications: Necrotizing Fasciitis.- XVI. Specific Complications: Intra-Abdominal or Pelvic Hematoma.- XVII. Specific Complications: Pelvic or Abdominal Abscess.- XVIII. Specific Complications: Peritonitis.- XIX. Specific Complications: Pseudomembranous Colitis.- XX. Specific Complications: Lymphocyst.- XXI. Specific Complications: Anastomotic Leak from Intestinal Tract.- XXII. Specific Complications: Urinary Fistula.- XXIII. Specific Complications: Ureteral Obstruction.- XXIV. Specific Complications: Urinary Infection.- XXV. Specific Complications: Neurologic Injuries.- XXVI. Specific Complications: Cautery of Chemical Burns.- 6 Principles of Surgical Nutrition.- I. Nutritional Assessment.- II. Preoperative Nutrition Support.- III. Nutrition Requirements.- IV. Routes of Administration.- V. Risks and Complications.- VI. Selected Diets.- VII. Specific Nutritional Problems.- 7 Surgery of the Uterus.- I. Dilatation and Curettage.- II. Suction Curettage.- III. Total Abdominal Hysterectomy.- IV. Modified Radical Hysterectomy.- V. Radical Hysterectomy.- VI. Myomectomy.- VII. Hysteroscopy.- VIII. Vaginal Hysterectomy.- IX. Congenital Anomalies.- X. Endometrial Biopsy.- XI. Cesarean Hysterectomy.- 8 Surgery of the Cervix.- I. Laser Vaporization and Cyrosurgery.- II. Cone Biopsy.- III. Trachelectomy/Excision of Cervical Stump.- IV. Radical Excision of Cervical Stump for Cancer.- V. Cerclage.- VI. Excision of Cervical Polyp.- VII. Cervical Stenosis/Atresia/Pyometra/ Hematometra.- 9 Surgery of the Fallopian Tubes.- I. Introduction.- II. Reconstructive Surgical Techniques.- III. Extirpative Surgical Techniques.- 10 Surgery of the Ovaries.- I. Ovarian Cystectomy.- II. Oophorectomy.- III. Transposition of Ovaries.- IV. Ovarian Cancer Debulking.- V. Second-Look Laparotomy.- 11 Surgery of the Vagina.- I. Cystocele Repair.- II. Enterocele Repair.- III. Rectocele Repair.- IV. Vaginal Stenosis and Introital Stenosis.- V. Imperforate Hymen.- VI. Vaginal Agenesis: The Mclndoe Procedure.- VII. Vaginal Septa.- VIII. Vaginal Reconstruction (Postoperatively).- 12 Surgery of the Vulva.- I. Bartholin’s Duct Cyst/Abscess.- II. Vulval Biopsy.- III. Hemivulvectomy.- IV. Simple Vulvectomy.- V. Radical Vulvectomy.- VI. Basset’s Operation: En Bloc Radical Vulvectomy with Bilateral Inguinofemoral Lymphadenectomy.- VII. Skinning Vulvectomy.- VIII. Laser Vaporization.- 13 Surgery of the Anus and Rectum.- Repair of Fourth-degree Perineal Tear and Anal Incontinence.- 14 Surgery of the Urethra.- I. Diverticulum of the Female Urethra.- II. Slough of the Floor of the Urethra.- 15 Urinary Fistulas.- I. Urethrovaginal Fistula.- II. Vesicovaginal Fistula.- III. Ureterovaginal Fistula.- IV. Vesticouterine and Ureterouterine Fistulas.- V. Ectopic Ureter.- VI. Urinary Fistulas in the Irradiated Patient.- 16 Intestinal Fistula.- I. Introduction.- II. Ileovaginal, Ileoperineal, and Ileoabdominal Fistulas.- III. Rectovaginal Fistula.- IV. Sigmoidovaginal/Sigmoidovesical Fistulas.- 17 Pelvic Exenteration.- 18 Radiation Injury to the Intestinal Tract.- I. Introduction.- II. Surgical Treatment.- 19 Urinary Incontinence.- I. Anterior Colporrhaphy.- II. Marshall-Marchetti-Krantz Operation.- III. Paravaginal Defect Repair.- IV. Special Problems of Patients with Recurrent Incontinence.- 20 Endometriosis.- I. Introduction.- II. Conservative Surgery for Endometriosis.- III. Definitive Surgery for Endometriosis.- IV. Ureteral Obstruction in Endometriosis.- V. Intestinal Obstruction in Endometriosis.- VI. Endometriosis of the Cul-de-Sac.- 21 Stomas.- I. Ileal Conduit.- II. Sigmoid Conduit.- III. Transverse Colon Conduit.- IV. Continent Urinary Stoma.- V. Colostomy.- VI. Ileostomy and Jejunostomy.- VII. Gastrostomy.- VIII. Closure of Colostomy or Ileostomy.- 22 Retroperitoneal Surgery.- I. Introduction.- II. Pelvic Lymph Node Dissection.- III. Aortic Lymph Node Dissection.- IV. Para-aortic Lymph Node Sampling.- V. Ovarian Remnant Syndrome.- VI. Presacral Neurectomy.- VII. Presacral Tumors.- 23 Plastic Surgical Procedures.- I. Introduction.- II. Skin Flaps.- III. Myocutaneous Flaps.- IV. Omental Grafts.- V. Skin Flaps, Myocutaneous Flaps, and Omental Grafts: Postoperative Management and Complications.- VI. Skin Grafts.- VII. Abdominoplasty.- 24 Miscellaneous Procedures.- I. Introduction.- II. Appendectomy.- III. Right Hemicolectomy.- IV. Transverse Colectomy.- V. Left Hemicolectomy.- VI. Anterior Resection of Sigmoid/Rectosigmoid.- VII. Splenectomy.- VIII. Nephrectomy.- IX. Cystectomy.- X. Liver Biopsy/Wedge Resection.- XI. Fine Needle Aspiration.- XII. Trucut Needle Biopsy.- XIII. Inguinal Lymph Node Biopsy.- XIV. Inguinofemoral Lymphadenectomy.- XV. Supraclavicular Lymph Node Biopsy.- XVI. Paracentesis Abdominus.- XVII. Thoracentesis.- XVIII. Insertion of Peritoneal Catheter.- XIX. Perineal Hernia.- XX. Ventral Hernia.- XXI. Umbilical Hernia.- Source of Redrawn Figures.

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