Gynecologic and Obstetric Surgery

Gynecologic and Obstetric Surgery

Challenges and Management Options
1. Aufl.

von: Arri Coomarasamy, Mahmood Shafi, G. Willy Davila, K. K. Chan

140,99 €

Verlag: Wiley-Blackwell
Format: PDF
Veröffentl.: 27.01.2016
ISBN/EAN: 9781118298596
Sprache: englisch
Anzahl Seiten: 576

DRM-geschütztes eBook, Sie benötigen z.B. Adobe Digital Editions und eine Adobe ID zum Lesen.


Gynecologic and obstetric surgery is a craft that requires sound knowledge and skills. The specifics of each individual case must be understood to enable the best surgical management approach and to minimize complications. This resource book offers insightful management options to many of the challenges a gynecologic or obstetric surgeon may face before, during and after an operation. Divided into two sections, the book first covers general preoperative, intraoperative and postoperative challenges and, second, specific surgical procedures. It provides advice on both general gynecologic and obstetric operations, as well as subspecialist areas such as reproductive surgery, urogynecology and gynecologic oncology. The chapters are concise, beginning with illustrative case histories followed by background, management options, and any preventative approaches. Designed to guide the surgeon to safe practice throughout all stages, they offer practical and step-by-step help.
Contributors, x Preface, xv List of Abbreviations, xvi Part I: General Preoperative, Intraoperative, and Postoperative Challenges Section 1: Preoperative CareEditors: Phil Moore and Arri Coomarasamy 1 Patient with Poor ASA Score, 3Phil Moore 2 Patient on Medication, 6Arri Coomarasamy 3 Patient with Ischemic Heart Disease, 9Sohail Q. Khan and Jonathan N. Townend 4 Patient with Arrhythmias, 13Sanoj Chacko and Joseph de Bono 5 Patient with a Pacemaker or Implantable Defibrillator, 17Howard Marshall 6 Patient with Complex Congenital Heart Disease (Fontan Circulation), 20Yaso Emmanuel and Sara A. Thorne 7 Hypertensive Patient, 22Aarthi R. Mohan and Catherine Nelson-Piercy 8 Patient with Respiratory Disease, 25Heinke Kunst 9 Patient with Diabetes, 28Arri Coomarasamy and Dukaydah van der Berg 10 Patient with Thyroid Disease, 30Ramy Labib and Shiao-yng Chan 11 Patient with Renal Disease, 33Khalid Hasan 12 Patient with Liver Disease, 35Joanna K. Dowman and Philip N. Newsome 13 Patient with Rheumatologic Diseases, 38Amita A. Mahendru and Justin Chu 14 Patient with Hematologic Disorders, 41Chieh Lin Fu 15 Patient at High Risk of Venous Thrombosis, 44Ian A. Greer 16 Patient on Anticoagulant Therapy, 47Sophie Lee and Will Lester 17 Patient on Steroid Therapy, 50Shaista Nazir and John Ayuk 18 Patient with Epilepsy, 54Danita Jones and Virgilio Salanga 19 Patient with a Psychiatric Condition, 56Idnan Yunas 20 Patient with Organ Transplant, 59Sarah Winfield 21 Patient with Hepatitis B or C, 61Firas Al-Rshoud and Arri Coomarasamy 22 Patient with HIV, 64Firas Al-Rshoud and Arri Coomarasamy 23 Obese Patient, 67Phil Moore 24 Patient with Poor Nutritional Status, 69Phil Moore 25 Pregnant Patient Requiring Non-obstetric Surgery, 71Arri Coomarasamy Section 2: Intraoperative CareEditors: Arri Coomarasamy and Mahmood I. Shafi 26 Transverse Incision on the Abdomen Inadequate for Surgery, 77Arri Coomarasamy 27 Previous Multiple Abdominal Scars, 79Mohammed Khairy and Arri Coomarasamy 28 Patient with Previous Mesh Incisional Hernia Repair Requiring a Laparotomy, 83Christopher Smart and Chris Keh 29 Patient with Previous Mesh Incisional Hernia Repair Requiring a Laparoscopy, 86Emanuele Lo Menzo, Samuel Szomstein, and Raul J. Rosenthal 30 Unexpected Pathology: Ovarian Cyst, 89Mohan Kumar 31 Unexpected Pathology: Abnormal Appearance of the Uterus, 92Arri Coomarasamy 32 Unexpected Pathology: Severe Pelvic Adhesions, 94Stephen E. Zimberg and Michael L. Sprague 33 Unexpected Pathology: Abnormal Appearance of Bowel, 97Olivia Will and Justin Davies 34 Unexpected Pathology: Retroperitoneal Mass, 100Mohamed Mehasseb 35 Bladder Injury, 103Arri Coomarasamy and Richard Popert 36 Ureteric Injury, 106Arri Coomarasamy and Richard Popert 37 Small and Large Bowel Injury, 111Howard Joy 38 Inferior Epigastric Vessel Injury, 116Manas Chakrabarti and Sudha Sundar 39 Bleeding from Retracted Pedicular (Pelvic Sidewall) Vessels, 119Michael L. Sprague and Stephen E. Zimberg 40 Massive Hemorrhage, 121Karen Louise Moores, William Parry-Smith, and Martyn Underwood 41 Broken Needle, 125Joanne Kathleen Ritchie, Anuradha Radotra, and Martyn Underwood 42 Lost Swab, Needle or Instrument, 127Joanne Kathleen Ritchie, Martyn Underwood, and William Parry-Smith Section 3: Postoperative CareEditors: Arri Coomarasamy and Janesh Gupta 43 Postoperative Care, 131Janesh Gupta, Robbert Soeters, and Aaron Ndhluni 44 Excessive Nausea and Vomiting after Surgery, 133Phil Moore 45 Excessive Abdominal Pain after Surgery, 136Manjeet Shehmar 46 Bowel Damage: Postoperative Presentation, 139Ketan Gajjar and Mahmood I. Shafi 47 Wound Infection, 142Pallavi Latthe and James Gray 48 Wound Dehiscence, 147T. Justin Clark 49 Late Wound Failure: Incisional Hernia, 150Saloney Nazeer 50 Necrotizing Fasciitis, 153Tariq Ahmad 51 Management of Surgical Drains, 156Ahmed M. El-Sharkawy and Sherif Awad 52 Shocked Patient, 159Manjeet Shehmar 53 Breathless Patient: Postoperative Pulmonary Complications, 162Heinke Kunst 54 Confused Postoperative Patient, 165Idnan Yunas 55 Patient with Poor Urine Output, 167Amelia Davison and Jackie A. Ross 56 Electrolyte Imbalance, 170Manjeet Shehmar and Arri Coomarasamy 57 Swollen Leg, 174Edwin Stephen, Indrani Sen, and Tim Lees 58 Cardiorespiratory Arrest, 177Jennie Kerr PART II: Operations and Challenges Section 4: General and Minimal Access GynecologyEditors: T. Justin Clark, Kiong K. Chan, and Arri Coomarasamy 59 Difficulty in Dilating the Cervix: Cervical Stenosis and Cervical Closure, 183Arri Coomarasamy 60 Uterine Perforation, 186Arri Coomarasamy 61 Surgical Uterine Evacuation: Excessive Bleeding, 189Rajesh Varma 62 Surgical Uterine Evacuation in a Woman with Multiple Fibroids, 191Rajesh Varma 63 Use of Excessive Distension Media at Hysteroscopy, 194Arri Coomarasamy 64 Hysteroscopy: Endometrial Resection and Ablation in the Abnormal Uterine Cavity, 197Alessandro Conforti and Adam Magos 65 Laparoscopy in a Pediatric Patient, 199Suketu M. Mansuria, Cara R. King, and Arri Coomarasamy 66 Safe Laparoscopic Entry in a Thin Patient, 202Janesh Gupta and Justin Chu 67 Laparoscopy: Unable to Gain Entry, 205Mohamed Mehasseb 68 Surgical Emphysema, 208Arri Coomarasamy 69 Venous Air Embolism, 210Anneke Chu and Jennie Kerr 70 Laparoscopy: Problems with Monopolar Diathermy, 213Thomas G. Lang and Resad Pasic 71 Laparoscopy: Problems with Bipolar Diathermy, 216Thomas G. Lang and Resad Pasic 72 Laparoscopy: Bladder Injury, 218Peter L. Rosenblatt 73 Laparoscopy: Ureteric Injury, 221Peter L. Rosenblatt 74 Bowel Injury During Laparoscopy: Intraoperative Presentation, 224Alan Lam 75 Bowel Injury After Laparoscopy: Late Presentation, 227Alan Lam 76 Blood Vessel Injury at Laparoscopy, 230Elizabeth Ball 77 Laparoscopy for Large Ovarian Cyst, 233T. Justin Clark 78 Laparoscopy for an Ovarian Cyst in Pregnancy, 235T. Justin Clark 79 Laparoscopic Removal of Rectovaginal Endometriosis, 238Alan Lam 80 Laparoscopic Myomectomy, 242Ertan Saridogan 81 Total Laparoscopic Hysterectomy, 245Alan Farthing 82 Laparoscopic Hysterectomy for a Large Fibroid Uterus, 247Alan Lam 83 Laparoscopy: Difficulty in Tissue Retrieval, 250Su-Yen Khong and Alan Lam 84 Surgery for Cornual or Interstitial Pregnancy, 253Ayesha Mahmud and Yousri Afifi 85 Surgery for Cervical Ectopic Pregnancy, 256Bassel H. Al Wattar and Yousri Afifi 86 Surgery for Cesarean Scar Pregnancy, 259T. Justin Clark 87 Surgery for Adnexal Torsion, 262Mohamed Otify and Jackie A. Ross 88 Laparoscopic Appendectomy, 264Edward Rawstorne, Christopher Smart, and Chris Keh 89 Laparoscopic Surgery: When to Convert to Laparotomy?, 267Mohamed Mehasseb 90 Laparoscopy: Port-site Herniation, 269Ayesha Mahmud and Yousri Afifi Section 5: Reproductive SurgeryEditors: Arri Coomarasamy and Mahmood I. Shafi91 Uterine Septum, 275Basim Abu-Rafea and Khaldoun Sharif 92 Surgery for Intrauterine Adhesions, 278Mohan Kumar 93 Myomectomy: Breach of the Endometrial Cavity, 280Masoud Afnan and Arri Coomarasamy 94 Myomectomy: Multiple Large Fibroids, 282Justin Chu and Arri Coomarasamy 95 Myomectomy: Massive Intraoperative Hemorrhage, 284Neelam Potdar and Arri Coomarasamy 96 Vaginal Myomectomy, 287Adam Magos 97 Surgery for Proximal Tubal Blockage, 289Spyros Papaioannou 98 Surgery for Distal Tubal Disease, 292Lynne Robinson, Hemant N. Vakharia, and Yousri Afifi 99 Reversal of Sterilization, 295Hemant N. Vakharia, Lynne Robinson, and Yousri Afifi 100 Surgery for Congenital Abnormalities of the Genital Tract, 299Naomi S. Crouch 101 Surgical Sperm Retrieval, 304David Muthuveloe and Y. Zaki Almallah Section 6: Urogynecologic SurgeryEditors: Pallavi Latthe and G. Willy Davila 102 Sling Procedures: Bladder Injury, 309Fidan Israfil-Bayli and Philip Toozs-Hobson 103 Sling Procedures: Urethral Injury, 311Gamal M. Ghoniem 104 Sling Procedures: Retropubic Hematoma, 314Fidan Israfil-Bayli and Philip Toozs-Hobson 105 Sling Procedures: Bowel Injury, 316Fidan Israfil-Bayli and Philip Toozs-Hobson 106 Sling Procedures: Voiding Dysfunction after Stress Urinary Incontinence Surgery, 318Margarita M. Aponte and Victor W. Nitti 107 Sling Procedures: Tape Erosion into the Bladder, 321Samuel J.S. Grimsley and Y. Zaki Almallah 108 Sling Procedures: Sexual Dysfunction, 323Swati Jha and Ranee Thakar 109 Sling Procedures: Persistent Urine Leakage, 325Luis Manuel Espaillat-Rijo and G. Willy Davila 110 Difficult Vaginal Hysterectomy, 329G. Willy Davila 111 Vaginal Hysterectomy: Difficulty in Entering the Posterior Pouch, 332Alfredo Jijon and G. Willy Davila 112 Salpingo-oophorectomy at the Time of Vaginal Hysterectomy, 335Alfredo Jijon and G. Willy Davila 113 Bladder Injury During Anterior Vaginal Repair or Vaginal Hysterectomy, 338Pallavi Latthe, Suneetha Rachaneni, and Mohammed Belal 114 Difficult Sacrocolpopexy, 341Orfhlaith E. O’Sullivan and Barry A. O’Reilly 115 Difficult Sacrospinous Fixation, 345Smita Rajshekhar and Rohna Kearney 116 Recurrent Pelvic Organ Prolapse, 348Monika Vij and Robert Freeman 117 Colpocleisis, 351Kalaivani Ramalingam and Ash Monga 118 Uterine Suspension Procedures: Laparoscopic Hysteropexy, 353Natalia Price and Simon Jackson 119 Mesh Tape Exposure Following Tension-free Vaginal Tape, 356Helen Bolton and Mark Slack 120 Vaginal Vault Evisceration, 360Swati Jha 121 Complications in Laparoscopic Pelvic Floor Surgery, 362Nir Haya and Christopher Maher 122 Robotic Urogynecology Procedures, 367Orfhlaith E. O’Sullivan and Barry A. O’Reilly 123 Complications in Robotic Pelvic Floor Surgery, 370Amie Kawasaki 124 Neovagina, 372Lynsey Hayward and G. Willy Davila 125 Vaginal Stricture After Pelvic Organ Prolapse Surgery, 375Ted M. Roth, G. Rodney Meeks and G. Willy Davila 126 Urethral Diverticula and Other Periurethral Masses, 378Bhavin Patel and Kathleen C. Kobashi 127 Vesicovaginal Fistulae, 382Karolynn T. Echols,Tamara V. Toidze, and Edward Stanford 128 Urethrovaginal Fistulae, 386Sohier Elneil 129 Rectovaginal Fistulae, 389Claire Burton and Simon Radley 130 Secondary Anal Sphincter Repair, 392Steven D. Wexner and Emanuela Silva Section 7: Gynecologic OncologyEditors: Kavita Singh, Mahmood I. Shafi, and Kiong K. Chan131 Large Loop Excision of the Transformation Zone, 399Mahmood I. Shafi 132 Knife Cone Biopsy, 401Najum Qureshi 133 Staging Procedures: Examination Under Anesthesia, Cystoscopy, Sigmoidoscopy, and Biopsy Techniques, 403Mahmood I. Shafi 134 Radicality of Surgery for Cervical Cancer, 406Mahmood I. Shafi 135 Pelvic and Para-aortic Lymphadenectomy in Gynecologic Cancers, 408Kavita Singh and Rami Fares 136 Trachelectomy for Treatment of Cervical Cancer, 412Kavita Singh and Janos Balega 137 Laparoscopic Radical Surgery for Cervical Cancer, 414Mohamed Mehasseb 138 Groin and Retroperitoneal Lymphocele, 416David M. Luesley 139 Laparotomy for a Pelvic Mass of Uncertain Nature, 418Mahmood I. Shafi 140 Gynecologic Cancer Extending to the Bowel, 420Kiong K. Chan 141 Omental Procedures: Supracolic Omentectomy, Infracolic Omentectomy, and Omental Biopsy, 423Kiong K. Chan 142 Diaphragmatic Surgery in Advanced Ovarian Cancer, 425Ariella Jakobson-Setton and Kavita Singh 143 Fine-needle Aspiration Biopsy of Superficial Groin Lymph Node, 428Moji Balogun 144 Vulval Surgery: Wide Local Excision and Vulvectomy, 431Mahmood I. Shafi 145 Sentinel Node Biopsy in Gynecologic Cancer, 433Kavita Singh 146 Groin Lymphadenectomy, 435Ketan Gajjar 147 Plastic Surgical Techniques in Vulval or Perineal Procedures, 438Mahmood I. Shafi 148 Vaginectomy, 441Janos Balega and Kavita Singh 149 Urinary Diversion, 443John Parkin 150 Pelvic Exenteration, 446Kavita Singh 151 Gynecologic Cancer and Concurrent Pregnancy, 449Nirmala Rai Talapadi and Sudha Sundar Section 8: Obstetric SurgeryEditors: Pallavi Latthe, Kiong K. Chan, and Arri Coomarasamy 152 Ovarian Cyst Identified at Cesarean Section, 455Kiong K. Chan and Ioannis Gallos 153 Laparoscopy in Pregnancy, 457Kevin J.E. Stepp and Anjana Nair 154 Cervical Cerclage, 459Ayesha Mahmud and Yousri Afifi 155 Cesarean Section in a Woman with Fibroids, 463Andrew Prentice 156 Cesarean Section at the Limits of Viability, 465Catherine Aiken and Jeremy Brockelsby 157 Difficult Delivery of the Fetal Head During Cesarean Section, 468Parveen Abedin 158 Surgical Management of Massive Obstetric Hemorrhage from the Uterus, Cervix, or Vagina, 470Phil Steer 159 Surgical Management of Placenta Praevia, 475Vibha Giri and Mohan Kumar 160 Surgical Management of Placenta Accreta, 479Vibha Giri and Mohan Kumar 161 Surgical Management Options for Shoulder Dystocia: Zavanelli Maneuver, Abdominal Rescue, Symphysiotomy, and Cleidotomy, 482Syeda Batool Mazhar and Asia Nazir 162 Uterine Inversion, 485Phil Steer 163 Episiotomy and Second-degree Tear, 488Khaled M.K. Ismail and Sara S. Webb 164 Obstetric Anal Sphincter Tear, 490Natalie P. Nunes, Helen Stevenson, and Matthew Parsons 165 Pregnancy and Female Genital Mutilation, 493Naomi Low-Beer and Gubby Ayida 166 Destructive Operations on a Dead Fetus, 496Hany Abdel-Aleem 167 Development of a Basic Obstetric Theater Facility in a Low-resource Setting, 499Zahida Qureshi and Alfred MurageSection 9: MiscellaneousEditors: Mahmood I. Shafi and Arri Coomarasamy168 Enhanced Recovery, 505Manjeet Shehmar169 Major Surgery in a Jehovah’s Witness Patient, 507Martyn Underwood and William Parry-Smith170 Termination of Pregnancy at Advanced Gestation, 509Rohan Chodankar and Janesh Gupta 171 Cervical Fibroids: Techniques for Myomectomy and Hysterectomy, 511Deborah R. Karp 172 Hysterectomy for Broad Ligament Fibroids, 514Kiong K. Chan 173 Hysterectomy for a Double Uterus, 516Kiong K. Chan 174 Cervical Stump Excision, 518Kiong K. Chan 175 Surgery for Ovarian Remnant, 520Kiong K. Chan and Arri Coomarasamy 176 Surgery for Missing Intrauterine Contraceptive Device, 522Toh Lick Tan 177 Management of Imperforate Hymen, Transverse and other Vaginal Septa, 525Jane MacDougall 178 Benign Lesions in the Groin and Vulva, 528Jennifer Byrom 179 Cystic Structure in the Upper Vagina, 531Ted M. Roth and G. Rodney Meeks180 Adnexal Masses in Infants and Children, 533Rachel J. Miller and Kris Ann P. Schultz 181 Nerve Injuries Associated with Gynecologic and Obstetric Surgery, 536Djavid Alleemudder 182 Consent Challenges, 540William Parry-Smith and Martyn Underwood 183 Dealing with Complaints, 542Mahmood I. Shafi 184 Dealing with Litigation, 544Rebekah Ley and Mahmood I. Shafi Index, 547

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