Cover Page

Gynecologic and Obstetric Surgery

Challenges and Management Options

Edited by

Arri Coomarasamy, MBChB, MD, FRCOG

Professor of Gynecology and Reproductive Medicine, College of Medical and Dental Sciences, University of Birmingham; Consultant Gynecologist and Subspecialist in Reproductive Medicine and Surgery, Birmingham Women's NHS Foundation Trust, Birmingham, UK

Mahmood I. Shafi, MB BCh, MD, DA, FRCOG

Consultant Gynecologic Surgeon and Oncologist, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, UK

G. Willy Davila, MD, FACOG

Center Director, Women's Health Institute (Florida); Chairman, Department of Gynecology and Head of Section of Urogynecology and Reconstructive Pelvic Surgery, Cleveland Clinic Florida, Weston/Fort Lauderdale, Florida, USA

Kiong K. Chan, MBBS, FRCS, FRCOG

Emeritus Consultant Gynecologic Oncologist, Pan-Birmingham Gynecologic Cancer Center, City Hospital, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK

Section Editors

T. Justin Clark, MBChB, MD (Hons), MRCOG

Birmingham Women's NHS Foundation Trust; University of Birmingham, Birmingham, UK

Janesh Gupta, MSc, MD, FRCOG

University of Birmingham; Birmingham Women's NHS Foundation Trust, Birmingham, UK

Pallavi Latthe, MD, MRCOG

Birmingham Women's NHS Foundation Trust; University of Birmingham, Birmingham, UK

Phil Moore, MD, FRCA, FFPMRCA

Birmingham Women's NHS Foundation Trust, Birmingham, UK

Kavita Singh, MBBS, MD, FRCOG

City Hospital, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK

Editorial Coordinator

Helen Marie Williams, BSc (Hons)

Research Associate, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK

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The Editors donate the royalties of this book to Ammalife (UK Registered Charity 1120236: www.ammalife.org) for the advancement of non-physician clinicians (clinical officers) in Africa.




This book is dedicated to my inspirational teachers in Valalai, Idaikkadu, Paththamani, Paruthithurai, Chennai and Forest Gate, for opening the doors of curiosity, knowledge and discernment.

Arri Coomarasamy

I would like to dedicate this book to my family: Naseem, Imran, Omar and Mohsin Shafi.

Mahmood I. Shafi

My contributions to this book are dedicated to the many clinical fellows, residents, researchers and observers who have given me the impetus to continue to acquire and, more importantly, share knowledge. Otherwise, life would be rather boring.

G. Willy Davila