Hysterectomy is the most commonly performed major gynaecological operation. This book describes in detail how to perform the procedure laparoscopically, including laparoscopic removal of the ovaries. Particular attention is paid to instrumentation and equipment and to the avoidance of complications. It should enable gynaecologists to keep pace with the trend towards less invasive surgery.
In recent years advances in laparoscopic technologies have led to renewed interest in the vaginal approach to hysterectomy, which has many proven benefits for patients. This volume, dedicated to explaining and promoting the vaginal route of hysterectomy, is written and edited by an international team of experts and provides a much-needed source of up-to-date information and instruction. Importantly, the authors caution that laparoscopic technology can provide a valuable source of assistance for the gynaecological surgeon in certain circumstances, though only in a percentage of cases. This book, beautifully illustrated with line drawings and full-colour photographs, contains step-by-step surgical techniques, enabling the surgeon to gain confidence and experience so that gradually more challenging operations can be managed successfully via the vaginal route. Acknowledged authorities from around the world take the reader through the indications and contra-indications for the vaginal approach, explain crucial preoperative assessment procedures, and offer an evidence-based elucidation of the 'why', 'when' and 'how' of vaginal hysterectomy. Specific topics considered here include: the nulliparous patient, uterine fiboids, debulking, the use of gonadtrophin-releasing hormone agonists, oophorectomy and prophylactic oophorectomy, adnexectomy for adnexal pathology, genital prolapse, the place of sacrospinous colpopexy, urethral sphincter incompetence, hormone replacement therapy, and the psychological and sexual outcomes of hysterectomy. In addition, the authors set forth the arguments for and against vaginal hysterectomy, abdominal hysterectomy, laparoscopic assistance, and transcervical resection of the endometrium. Combined with a full review of the potential complications, morbidity and mortality associated with the vaginal approach, this book provides the reader with a well-balanced, thorough and considered appraisal of vaginal hysterectomy. As the incidence of hysterectomy worldwide continues to rise, Vaginal Hysterectomy will be an indespensable reference for practising gynaecologists, surgeons, consultants and postgraduates.
Combining detailed descriptions of pelvic anatomy with easy-to-follow instructions for gynecologic procedures, Atlas of Pelvic Anatomy and Gynecologic Surgery, 5th Edition, is a comprehensive, up-to-date atlas that reflects current practices in this fast-changing field. Pelvic anatomy and surgical operations are depicted through full-color anatomic drawings, correlative surgical artwork with step-by-step photographs, and computer-assisted hybrid photo illustrations. Complete coverage of both conventional and endoscopic surgeries helps you master the full spectrum of surgical procedures. Covers all frequently performed gynecologic operations including laparotomy, laparoscopic, robotic, hysteroscopic, vaginal, vulvar, and cystoscopic procedures. Includes expanded sections on gender reassignment surgery and vulvar and cervical surgery, as well as a new chapter devoted to laparoscopic techniques. Contains a revised anatomic section with updated figures, plus high-quality artwork and clinical photographs throughout—now entirely in full color. Features numerous videos of surgeries and cadaver dissection. Ideal for practicing obstetricians-gynecologists, obstetrics-gynecology residents, general surgeons, subspecialists, nurses, and medical students with an interest in gynecology.
This book initiates the descriptions of the practical performance of different hysterectomies with conventional and robotically assisted laparoscopy, laparotomy and vaginal surgery. Laparoscopic hysterectomy has been out as an additional technique for hysterectomies for the last couple of decades. As the necessary light, augmentation and advanced skill has only been introduced into this already 200 year old surgical procedure within the last few decades by laparoscopy, the editors aim to look at the laparoscopic procedures followed by the traditional techniques of hysterectomy with laparotomy and vaginal surgery.
This second edition brings clinicians fully up to date with the latest advances and research in vaginal hysterectomy. Beginning with an introduction to the technique, its history, preoperative patient assessment, and methodology, the following chapters discuss different aspects of the procedure, using different techniques for different disorders. The final sections discuss the advantages and disadvantages of vaginal hysterectomy, comparing it with alternative techniques such as abdominal hysterectomy, transcervical resection of the endometrium, and laparoscopic hysterectomy. The new edition has been fully revised and updated and includes nearly 300 highly illustrated photographs and diagrams. Key points New edition presenting recent advances and research in vaginal hysterectomy Compares vaginal hysterectomy with alternative procedures Includes nearly 300 photographs, illustrations and tables Previous edition published in 2001
This book is a practical guide to the latest laparoscopic hysterectomy techniques for practising gynaecologists. Divided into four sections, the book begins with detail on preparing the operating theatre covering patient selection, theatre set up, patient positioning, instrumentation, and anaesthetic considerations. The next chapters discuss preparation for surgery, followed by step by step procedural instruction. The final section explains postoperative care. Authored by recognised experts in the field, this concise reference is enhanced by clinical photographs and figures. The accompanying DVD ROM features 16 videos covering all aspects of laparoscopic hysterectomy, also highlighting key points from the text. Key points Practical guide to laparoscopic hysterectomy procedures Provides step by step guidance from pre-surgical preparation, to operative techniques and postoperative care Includes DVD ROM demonstrating all aspects of laparoscopic hysterectomy Features clinical photographs and figures to enhance learning
The Operation Primer provides excellent photographic step-by-step guidance to the surgical procedure. It has been produced to describe the operation in the simplest manner possible without over-simplifying. At the core of the Operation Primer is the section on Nodal Points, where the key surgical steps are described in detail. This surgical guide book provides essential reference material for surgeons wishing to update their knowledge in this specific area. The Operation Primer Laparoscopic Hysterectomy is specially intended for those gynecologists who wish to familiarize themselves with minimally invasive hysterectomy techniques. This Operation Primer is an excellent teaching tool, accurately describing a standardized technique not only for novices but also for experienced laparoscopic surgeons. It provides a detailed overview of presurgical considerations and preparation, key surgical steps and highlights possible pitfalls of laparoscopic hysterectomy. This Operation Primer on total laparoscopic hysterectomy (TLH) and laparoscopic supracervical hysterectomy (LASH or LSH) follows the step-by-step concept and provides a detailed manual for gynecologists who want to apply laparoscopic techniques for hysterectomy.
Laparoscopic (keyhole) hysterectomy is now the preferred method for removing organs and surrounding tissues of the reproductive system. It is less invasive than a vaginal or abdominal hysterectomy because the incisions that are made are much smaller, meaning smaller wounds and faster recovery time (NHS Choices). This atlas is a concise guide to the technique of total laparoscopic hysterectomy. Beginning with an introduction to the procedure and instruments used, the following chapters provide step by step guidance on the process, from how to begin to the prevention and management of complications that may occur. A complete chapter is dedicated to the role of anaesthesia. Key points Step by step guide to total laparoscopic hysterectomy Explains entire procedure, from beginning to management of complications Complete chapter dedicated to role of anaesthesia Includes more than 300 full colour illustrations
Hysterectomy is a very common type of surgery and can be a life-saving operation for some women with certain types of cancer or torrential uterine haemorrhage. It can also improve the quality of life for women who experience menometrorrhagia, uterine leiomyomata, endometriosis or uterine prolapse. However, before embarking on hysterectomy, it is important to be aware of and understand all the options available, medical or conservative surgical, as well as their risks and benefits. The most determinant factors for choosing one or another approach are uterine size, organ mobility, parity and previous pathology, in integration with best research evidence, clinical expertise and patient values and expectations. This book is intended for all specialties involved in health care for women.
The new edition of this step by step manual provides gynaecologists with the latest advances in non-descent hysterectomy. Beginning with indications and contraindications for the procedure, pre- and perioperative assessment, and anaesthetic considerations, the following chapters discuss different surgical techniques. The third edition has been fully revised and includes new procedures such as the suture-less technique using a vessel sealing system, the BiClamp, and aqua-dissection. The practical text is enhanced by surgical photographs, detailed diagrams and tables to assist understanding. Key points Third edition of step by step guide to non-descent hysterectomy Fully revised with latest advances and new procedures included Highly illustrated with surgical photographs, diagrams and tables Previous edition (9788184488531) published in 2010
