Strategies in Gynecologic Surgery

1. Front Matter

   Pages i-xii

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2. Preoperative Assessment

   • Leslie A. Walton

   Pages 1-11

3. Informed Consent to Gynecologic Surgery

   • Benjamin Gilbert, Ben A. Rich

   Pages 13-28

4. Surgical Incisions and Their Anatomic Basis

   • Wayne A. Christopherson

   Pages 29-44

5. Mechanical and Chemical Preparation of the Abdomen and Vagina

   • Leslie A. Walton, Vicki V. Baker

   Pages 45-52

6. Mechanisms of Wound Healing, Suture Material, and Wound Closure

   • Luis Sanz, Samuel Smith

   Pages 53-76

7. Avoiding Urinary Tract Injuries

   • Herbert J. Buchsbaum

   Pages 77-85

8. The Gastrointestinal Tract

   • Herbert J. Buchsbaum, Julius Mazer

   Pages 87-104

9. Prophylactic Antibiotics for Abdominal and Vaginal Hysterectomy

   • David L. Hemsell

   Pages 105-113

10. Control of Surgical Bleeding

    • David Gal

    Pages 115-125

11. Monitoring High-Risk and Criticially III Patients

    • Daniel J. Polacek

    Pages 127-144

12. Postoperative Venous Thromboembolic Disease: Natural History, Risk Factors, and Prophylaxis

    • Daniel L. Clarke-Pearson

    Pages 145-160

13. Reconstructive Techniques

    • Leslie A. Walton

    Pages 161-170

14. The Pediatric Patient

    • PonJola Coney

    Pages 171-179

15. Surgery in the Aged

    • Daniel J. Polacek, Herbert J. Buchsbaum

    Pages 181-194

16. The Role of Surgical Drains

    • Hans-B. Krebs, B. Frederick Helmkamp

    Pages 195-205

17. Postoperative Bladder Drainage

    • Ellen Brock, J. Andrew Fantl

    Pages 207-212

18. Major Posthysterectomy Infections: Diagnosis and Management

    • David L. Hemsell

    Pages 213-221

19. Back Matter

    Pages 223-231

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This volume is directed toward physicians who perform gynecologic sur­ gery. The problems addressed are those encountered specifically in the performance of surgical procedures on the female genitalia. This book is not intended to be an atlas of surgery, but rather to supplement the many atlases available to the interested reader. There is an increasing body of physiologic and clinical data that is di­ rectly related to gynecologic surgery. The editors have selected subjects for this volume that directly impact on the outcome of the operative proce­ dure. Authors were chosen who have documented interest and expertise. Many decisions made before the performance of the gynecologic opera­ tion can influence the outcome of the procedure, such as choice of abdomi­ nal incision, preparation of the operative field, and use of prophylactic anticoagulants and antibiotics. During the operation, additional choices that are open to the surgeon can affect the outcome: choice of suture material, technique of bladder drainage, and the use of drains. Attention to details of surgery, avoidance of genitourinary or gastrointestinal injury, and attention to potential problems in specific age groups can result in better outcome for the patient. The reader will also find chapters devoted to the legal implications of operative consent, the control of surgical bleed­ ing, and intra- and postoperative monitoring. It is our hope that the material in this book will help the gynecologic surgeon in his practice to improve the care of the female patient undergo­ ing operative procedures on the genitalia.

• infection
• monitoring
• surgery

• Department of Obstetrics and Gynecology, University of Pittsburgh—Magee Womens Hospital, Pittsburgh, USA

  Herbert J. Buchsbaum

• Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, USA

  Leslie A. Walton

Policies and ethics