TeLinde's Operative Gynecology

Cover......Page 1
Half Title Page......Page 3
Title Page......Page 5
Copyright......Page 6
Dedication......Page 7
CONTENTS......Page 9
CONTRIBUTORS......Page 13
FOREWORD......Page 17
PREFACE......Page 19
SECTION I: GENERAL TOPICS AFFECTING GYNECOLOGIC SURGERY PRACTICE......Page 21
BARRIERS TO SURGICAL PROGRESS......Page 22
BEGINNINGS OF GYNECOLOGIC SURGERY IN 19TH-CENTURY AMERICA......Page 23
WOMEN AS PATIENTS IN THE 19TH CENTURY......Page 25
THE RELATION BETWEEN SURGERY AND GYNECOLOGY......Page 28
GYNECOLOGY IN THE 20TH CENTURY AND DR. TE LINDE’S BOOK......Page 29
THE BEGINNING OF THE ERA OF LAPAROSCOPY......Page 32
OPERATIVE GYNECOLOGY, FIRST EDITION, 1946......Page 33
Bibliography......Page 34
THEORY AND PRACTICE OF ETHICS IN MEDICINE......Page 35
THE PATIENT’S AUTONOMY AND INFORMED CONSENT......Page 36
ETHICAL ISSUES IN SURGICAL TRAINING......Page 37
EXAMINATION UNDER ANESTHESIA......Page 38
MEDICAL LEGAL ASPECTS OF GYNECOLOGIC CARE......Page 39
PRIVACY AND THE HEALTH PORTABILITY AND ACCOUNTABILITY ACT......Page 40
ETHICAL ISSUES IN RESEARCH ON HUMAN SUBJECTS......Page 41
ADVANCED PLANNING AND END-OF-LIFE DECISION MAKING......Page 42
ETHICAL CHALLENGES SPECIFIC TO GYNECOLOGIC CARE......Page 43
Bibliography......Page 45
ANKH......Page 46
COMMUNICATION......Page 48
PSYCHOLOGICAL PREPARATION FOR SURGERY......Page 49
COMMON EMOTIONAL RESPONSES TO SURGERY......Page 50
PSYCHODYNAMICS SPECIFIC TO DIAGNOSIS AND SURGERY......Page 51
PSYCHOSEXUAL REHABILITATION......Page 53
SPECIAL CASES......Page 57
FUTURE TRENDS......Page 59
Bibliography......Page 60
DEFINITIONS......Page 62
OFFICE SETTING......Page 63
HOSPITAL SETTING......Page 64
MEDICATION ERRORS......Page 65
MANAGED CARE AND SOCIALIZED MEDICINE......Page 66
COMMUNICATION......Page 67
INFORMED CONSENT......Page 68
LITIGATION PROCESS......Page 77
Bibliography......Page 80
CHANGES IN EDUCATION......Page 82
ELECTRONIC HEALTH RECORD......Page 84
QUALITY INITIATIVES......Page 85
PAY FOR PERFORMANCE......Page 86
HOSPITALISTS......Page 89
RATING SCIENTIFIC EVIDENCE......Page 90
Bibliography......Page 91
WHERE HAVE WE BEEN AND WHERE ARE WE NOW?......Page 93
WHAT ARE WE TO DO?......Page 95
RESIDENTS AND SURGICAL EDUCATION......Page 96
PROPOSAL AND CONCLUSION......Page 98
Bibliography......Page 99
SECTION II: PRINCIPLES OF ANATOMY AND PERIOPERATIVE CONSIDERATIONS......Page 101
VULVA AND ERECTILE STRUCTURES......Page 102
THE PELVIC FLOOR......Page 106
THE PELVIC VISCERA......Page 108
PELVIC CONNECTIVE TISSUE AND CLEAVAGE PLANES......Page 114
RETROPERITONEAL SPACES AND LATERAL PELVIC WALL......Page 120
THE ABDOMINAL WALL......Page 126
Bibliography......Page 131
IMPORTANCE OF PREOPERATIVE CARE......Page 133
HISTORY AND PHYSICIAL EXAMINATION......Page 134
LABORATORY ASSESSMENT......Page 144
PREOPERATIVE EVALUATION: OVERVIEW......Page 145
PREOPERATIVE MANAGEMENT AND PREPARATION......Page 147
BEST SURGICAL PRACTICES......Page 151
Bibliography......Page 152
POSTOPERATIVE VASCULAR COMPLICATIONS......Page 153
POSTOPERATIVE PULMONARY COMPLICATIONS......Page 162
POSTOPERATIVE GASTROINTESTINAL TRACT MANAGEMENT......Page 167
ROUTINE ORDERS......Page 176
BEST SURGICAL PRACTICES......Page 178
Bibliography......Page 179
OSMOTIC FORCES (OSMOLALITY AND OSMOTIC PRESSURE)......Page 182
ONCOTIC FORCES (ONCOTIC PRESSURE AND COLLOID OSMOTIC PRESSURE)......Page 183
REGULATION OF WATER AND ELECTROLYTE DISTRIBUTION BETWEEN INTRACELLULAR AND EXTRACELLULAR COMPARTMENTS......Page 184
REGULATION OF WATER AND SODIUM EXCHANGES WITH THE EXTERNAL ENVIRONMENT......Page 185
CLINICAL ASSESSMENT OF DISORDERS OF WATER AND ELECTROLYTE METABOLISM......Page 187
DATABASE FOR ASSESSMENT OF EFFECTIVE INTRAVASCULAR VOLUME......Page 188
CLINICAL ASSESSMENT OF DISORDERS OF EXTRACELLULAR FLUID COMPOSITION......Page 191
MANAGEMENT OF WATER AND ELECTROLYTE BALANCE......Page 195
POTASSIUM METABOLISM......Page 199
ACID–BASE METABOLISM......Page 205
MANAGEMENT......Page 206
BEST SURGICAL PRACTICES......Page 208
Bibliography......Page 209
INCIDENCE......Page 210
RISK FACTORS FOR INFECTION......Page 211
CATEGORIES OF INFECTION......Page 212
EVALUATION OF THE PATIENT WITH SUSPECTED INFECTION......Page 215
TREATMENT......Page 216
PREVENTION OF INFECTION......Page 217
BEST SURGICAL PRACTICE......Page 220
Bibliography......Page 221
CLASSIFICATION AND ETIOPATHOGENESIS......Page 223
CLINICAL FINDINGS AND THEIR PHYSIOLOGIC BASIS......Page 230
MANAGEMENT OF SHOCK......Page 233
Bibliography......Page 243
WOUND HEALING......Page 246
SUTURE MATERIAL......Page 249
SURGICAL INSTRUMENTATION......Page 255
CONCLUSION......Page 261
Bibliography......Page 262
SECTION III: PRINCIPLES OF GYNECOLOGIC SURGICAL TECHNIQUES AND MANAGEMENT OF ENDOSCOPY......Page 265
ANATOMY OF THE ANTERIOR ABDOMINAL WALL......Page 266
PHYSIOLOGY OF WOUND HEALING......Page 271
SUTURES......Page 272
PREVENTION OF WOUND COMPLICATIONS......Page 273
ABDOMINAL INCISIONS......Page 274
INCISIONS FOR EXTRAPERITONEAL APPROACHES......Page 286
COMPLETE WOUND DEHISCENCE AND EVISCERATION......Page 290
INCISIONAL HERNIA......Page 291
PERINEOTOMY INCISIONS......Page 296
BEST SURGICAL PRACTICES......Page 297
Bibliography......Page 298
DEFINITIONS......Page 300
BASIC ELECTRICAL DEFINITIONS......Page 301
FUNDAMENTALS OF ELECTROSURGERY......Page 302
ELECTROSURGICAL GENERATORS......Page 303
BIOPHYSICAL BEHAVIOR OF ELECTROSURGERY......Page 305
INCISIONS......Page 307
OPEN CIRCUITRY......Page 308
ELECTROSURGERY DURING PREGNANCY......Page 309
APPLIED PHYSICS IN LAPAROSCOPY......Page 310
CAPACITANCE IN MONOPOLAR ELECTROSURGERY......Page 311
NUANCES OF ELECTROSURGERY TECHNIQUES......Page 312
BIPOLAR HYSTEROSCOPIC SURGERY......Page 313
BIPOLAR ENDOMETRIAL ABLATION......Page 314
COMPLICATIONS DURING ELECTROSURGERY......Page 315
BEST SURGICAL PRACTICES......Page 316
Bibliography......Page 317
LASER PHYSICS......Page 318
MEDICAL LASERS AND TISSUE INTERACTION......Page 320
DELIVERY SYSTEMS......Page 322
LASER SURGERY OF THE LOWER REPRODUCTIVE TRACT......Page 323
INTRAABDOMINAL LASER SURGERY......Page 329
GYNECOLOGIC LASER LAPAROSCOPY......Page 330
LASER SAFETY......Page 335
Bibliography......Page 336
INDICATIONS FOR LAPAROSCOPY......Page 339
EQUIPMENT......Page 340
ENTERING THE ABDOMINAL CAVITY......Page 345
SECONDARY TROCAR PLACEMENT......Page 346
DIAGNOSTIC LAPAROSCOPY......Page 347
OPERATIVE LAPAROSCOPIC PROCEDURES......Page 348
LAPAROSCOPIC MYOMECTOMY......Page 350
LAPAROSCOPY USING LOCAL ANESTHESIA OR CONSCIOUS SEDATION......Page 351
COMPLICATIONS......Page 352
BEST SURGICAL PRACTICES......Page 354
Bibliography......Page 355
INSTRUMENTATION......Page 356
ACCESSORY INSTRUMENTS......Page 360
DISTENDING MEDIA......Page 362
LIQUID MEDIA......Page 364
DIAGNOSTIC HYSTEROSCOPY TECHNIQUES......Page 369
OPERATIVE HYSTEROSCOPY TECHNIQUES......Page 371
LASERS AND ELECTROSURGICAL DEVICES......Page 372
SPECIFIC PROCEDURES IN HYSTEROSCOPIC SURGERY......Page 373
COMPLICATIONS......Page 385
BEST SURGICAL PRACTICES......Page 388
Bibliography......Page 389
FUNDAMENTAL CONCEPTS OF NORMAL COAGULATION......Page 391
CONGENITAL CAUSES OF INAPPROPRIATE CLOTTING......Page 395
PREOPERATIVE COAGULATION ASSESSMENT FOR SURGICAL PATIENTS......Page 396
COMPONENT THERAPY FOR REPLACEMENT DURING SURGERY......Page 398
RISKS OF BLOOD TRANSFUSION......Page 399
AUTOLOGOUS BLOOD TRANSFUSION......Page 401
BASIC SURGICAL PRINCIPLES TO AVOID EXCESSIVE BLEEDING IN PELVIC SURGERY......Page 402
INTRAOPERATIVE MEASURES TO CONTROL PELVIC HEMORRHAGE......Page 404
POSTOPERATIVE BLEEDING......Page 409
Bibliography......Page 413
SECTION IV: SURGERY FOR FERTILITY......Page 417
ASSISTED REPRODUCTIVE TECHNOLOGY AND THE EXPECTATIONS OF PREGNANCY......Page 418
ASSISTED REPRODUCTIVE TECHNOLOGY AND TUBAL INFERTILITY......Page 419
ASSISTED REPRODUCTIVE TECHNOLOGY AND THE INDICATION FOR HYSTERECTOMY......Page 420
BEST SURGICAL PRACTICES......Page 421
Bibliography......Page 422
INVESTIGATION......Page 423
SELECTION OF TREATMENT......Page 430
MICROSURGERY......Page 433
SURGICAL TECHNIQUE......Page 436
BEST SURGICAL PRACTICES......Page 454
Bibliography......Page 455
PREVALENCE......Page 458
HISTOGENESIS......Page 459
PATHOPHYSIOLOGY......Page 461
DIAGNOSIS......Page 465
CLASSIFICATIONS......Page 468
THERAPIES......Page 469
ENDOMETRIOSIS AND ASSISTED REPRODUCTIVE TECHNOLOGIES......Page 488
ADENOMYOSIS......Page 490
BEST SURGICAL PRACTICES......Page 492
Bibliography......Page 493
SECTION V: SURGERY FOR BENIGN GYNECOLOGIC CONDITIONS......Page 499
VULVAR DERMATOSES......Page 500
VULVAR INTRAEPITHELIAL NEOPLASIA......Page 502
TECHNIQUE OF CONSERVATIVE (SIMPLE) VULVECTOMY......Page 506
VULVAR RECONSTRUCTION......Page 507
VUVLAR PRURITUS......Page 508
VULVAR PAIN AND VULVODYNIA......Page 509
VULVAR INFECTIONS......Page 511
CROHN DISEASE......Page 515
CYSTS OF THE VULVA......Page 516
SOLID TUMORS OF THE VULVA......Page 520
Bibliography......Page 525
THE VAGINA......Page 528
THE URETHRA......Page 549
BEST SURGICAL PRACTICES......Page 555
Bibliography......Page 556
CLASSIFICATION OF UTEROVAGINAL ANOMALIES......Page 559
EMBRYOLOGY......Page 561
CONGENITAL ABSENCE OF THE MÜLLERIAN DUCTS......Page 564
METHODS OF CREATING A VAGINA......Page 568
DISORDERS OF VERTICAL FUSION......Page 577
DISORDERS OF LATERAL FUSION......Page 585
UNUSUAL CONFIGURATIONS OF VERTICAL-LATERAL FUSION DEFECTS......Page 600
Bibliography......Page 601
NORMAL MENSTRUAL PHYSIOLOGY......Page 605
ENDOCRINOLOGY......Page 606
ABNORMALITIES OF THE MENSTRUAL CYCLE......Page 608
DYSFUNCTIONAL UTERINE BLEEDING......Page 609
PERIMENOPAUSAL AND POSTMENOPAUSAL BLEEDING......Page 615
DILATATION OF THE CERVIX......Page 618
CURETTAGE OF THE UTERUS......Page 620
Bibliography......Page 625
DEFINITIONS......Page 629
ANESTHESIA......Page 631
SURGICAL APPROACH......Page 632
METHOD OF TUBAL OCCLUSION......Page 633
IMMEDIATE COMPLICATIONS......Page 641
DELAYED COMPLICATIONS......Page 642
VASECTOMY AS A SURGICAL ALTERNATIVE......Page 645
BEST SURGICAL PRACTICES......Page 646
Bibliography......Page 647
EMBRYOLOGY......Page 649
ANATOMY......Page 650
ADNEXAL MASS......Page 652
ULTRASOUND......Page 653
LAPAROSCOPIC MANAGEMENT OF AN OVARIAN MASS......Page 654
RESIDUAL OVARY......Page 656
ADNEXAL TORSION......Page 657
RECONSTRUCTION OF THE OVARY......Page 658
RESECTION OF BENIGN CYSTS......Page 659
OVARIAN SURGERY FOR POLYCYSTIC OVARIAN DISEASE......Page 662
PARADOXICAL OOPHORECTOMY......Page 663
OVARIAN TRANSPOSITION BEFORE RADIOTHERAPY......Page 664
BEST SURGICAL PRACTICES......Page 665
Bibliography......Page 666
HISTORY......Page 668
CONTRIBUTIONS OF TISSUE DAMAGE TO PAIN......Page 669
PSYCHOLOGIC FACTORS......Page 672
DIAGNOSTIC STRATEGIES......Page 673
MANAGEMENT......Page 674
THE EVOLUTION OF A CHRONIC PAIN SYNDROME......Page 677
Bibliography......Page 678
ETIOLOGY......Page 680
DIAGNOSIS......Page 682
TREATMENT......Page 684
MANAGEMENT OF SEX PARTNERS......Page 687
SURGICAL MANAGEMENT......Page 688
POSTERIOR COLPOTOMY......Page 689
RUPTURED PELVIC ABSCESS......Page 691
SURGERY FOR CHRONIC PELVIC INFLAMMATORY DISEASE......Page 694
PELVIC TUBERCULOSIS......Page 696
Bibliography......Page 704
DEFINITIONS......Page 707
ETIOLOGY, PATHOLOGY, AND GROWTH CHARACTERISTICS OF UTERINE LEIOMYOMATA......Page 708
CLINICAL FEATURES OF UTERINE LEIOMYOMATA......Page 715
CHOICE OF TREATMENT FOR UTERINE LEIOMYOMATA......Page 723
BEST SURGICAL PRACTICES......Page 741
Bibliography......Page 742
HISTORY......Page 747
INDICATIONS FOR HYSTERECTOMY......Page 748
CHOICE OF APPROACH: ABDOMINAL, VAGINAL, OR LAPAROSCOPIC......Page 749
PREOPERATIVE COUNSELING......Page 751
TOTAL ABDOMINAL HYSTERECTOMY: SURGICAL TECHNIQUE......Page 752
SUBTOTAL ABDOMINAL HYSTERECTOMY......Page 759
POSTOPERATIVE CARE......Page 760
BEST SURGICAL PRACTICES......Page 761
Bibliography......Page 762
PREOPERATIVE PREPARATION......Page 764
OPERATIVE TECHNIQUE......Page 765
VAGINAL OOPHORECTOMY......Page 775
CLOSURE AND SUPPORT OF THE VAGINAL CUFF......Page 779
Bibliography......Page 782
INDICATIONS......Page 783
SURGICAL TECHNIQUE......Page 790
Bibliography......Page 793
SECTION VI: SURGERY FOR OBSTETRICS......Page 795
SPONTANEOUS ABORTION......Page 796
FETAL DEATH......Page 798
CERVICAL INCOMPETENCE......Page 799
ILLEGAL ABORTION......Page 802
LEGAL ABORTION......Page 803
BEST SURGICAL PRACTICES......Page 815
Bibliography......Page 816
EPIDEMIOLOGY OF ECTOPIC PREGNANCY......Page 818
ETIOLOGY OF ECTOPIC PREGNANCY......Page 819
SITES OF ECTOPIC PREGNANCY......Page 820
DIAGNOSIS......Page 821
TREATMENT FOR ECTOPIC PREGNANCY......Page 827
INTERSTITIAL PREGNANCY......Page 836
OVARIAN ECTOPIC PREGNANCY......Page 837
ABDOMINAL ECTOPIC PREGNANCY......Page 838
CERVICAL ECTOPIC PREGNANCY......Page 839
HETEROTOPIC PREGNANCY......Page 840
BEST SURGICAL PRACTICES......Page 841
Bibliography......Page 842
PHYSIOLOGIC CHANGES......Page 845
POSTPARTUM HEMORRHAGE......Page 846
PERIPARTUM HYSTERECTOMY......Page 850
EPISIOTOMY......Page 854
CERVICAL CERCLAGE......Page 857
BEST SURGICAL PRACTICES......Page 858
Bibliography......Page 859
DIAGNOSIS......Page 862
PATHOLOGY......Page 863
THERAPY......Page 866
CYTOTOXIC CHEMOTHERAPY DURING PREGNANCY......Page 869
Bibliography......Page 870
SECTION VII: SURGERY FOR CORRECTIONS OF DEFECTS IN PELVIC SUPPORT AND PELVIC FISTULAS......Page 873
BASIC CONCEPTS......Page 874
ANATOMIC CONSIDERATIONS......Page 875
ETIOLOGY AND PREVENTION......Page 882
CLINICAL EVALUATION......Page 884
CHOICE OF TREATMENT......Page 889
Bibliography......Page 892
DEFINITIONS......Page 894
EVALUATION OF THE PATIENT WITH A CYSTOCELE......Page 895
SURGICAL TECHNIQUE......Page 896
Bibliography......Page 901
ANATOMIC CONCEPTS AND PHYSICAL FINDINGS......Page 902
OPEN RETROPUBIC TECHNIQUE......Page 903
VAGINAL RETROPUBIC TECHNIQUE......Page 908
BEST SURGICAL PRACTICES......Page 910
Bibliography......Page 911
ANATOMY IN RELATION TO PELVIC REPARATIVE SURGERY......Page 912
PATIENT SELECTION AND SURGICAL PREPARATION......Page 914
ADJUNCTIVE TESTING......Page 916
SURGERY FOR POSTERIOR COMPARTMENT DEFECTS......Page 917
COMPLICATIONS......Page 925
ALTERNATIVE METHODS FOR REPAIR OF POSTERIOR COMPARTMENT DEFECTS......Page 928
Bibliography......Page 929
DEFINITIONS......Page 931
VAGINAL PROCEDURES TO SUSPEND THE VAGINAL APEX......Page 932
ABDOMINAL PROCEDURES TO SUSPEND THE VAGINA......Page 942
LAPAROSCOPIC APPROACH TO VAGINAL SUSPENSION......Page 946
ROLE OF HYSTERECTOMY IN PROLAPSE REPAIRS......Page 947
OBLITERATIVE PROCEDURES......Page 948
BEST SURGICAL PRACTICES......Page 952
Bibliography......Page 953
PESSARY USAGE: PHYSICIAN PERSPECTIVE......Page 956
CLINICAL EVALUATION......Page 957
TYPES OF PESSARIES......Page 958
COMPLICATIONS......Page 960
Bibliography......Page 961
EVALUATION BEFORE SURGERY......Page 962
SURGICAL TECHNIQUES FOR THE TREATMENT OF STRESS INCONTINENCE......Page 963
ARTIFICIAL URINARY SPHINCTER......Page 977
BEST SURGICAL PRACTICES......Page 978
Bibliography......Page 979
FUNCTIONAL ANATOMY OF THE URETER......Page 980
GENERAL PRINCIPLES OF PREVENTION AND MANAGEMENT......Page 982
SPECIFIC HIGH-RISK PROCEDURES FOR URETERAL INJURIES......Page 983
DIAGNOSING URETERAL INJURY......Page 986
MANAGEMENT OF URETERAL INJURY......Page 987
BEST SURGICAL PRACTICES......Page 990
Bibliography......Page 991
HISTORICAL SURVEY......Page 993
ETIOLOGY/EPIDEMIOLOGY......Page 994
CYSTOTOMY AND REPAIR......Page 995
CLINICAL PRESENTATION OF A FISTULA......Page 996
EVALUATION OF A VESICOVAGINAL FISTULA......Page 997
APPROACH FOR VESICOVAGINAL FISTULA REPAIR......Page 1000
CONCLUSION......Page 1011
Bibliography......Page 1012
DEFINITIONS......Page 1014
ANAL CONTINENCE MECHANISM......Page 1015
CAUSES OF ANAL INCONTINENCE......Page 1019
EVALUATION OF ANAL INCONTINENCE......Page 1022
SURGICAL THERAPY FOR ANAL INCONTINENCE......Page 1027
RECTOVAGINAL FISTULAE......Page 1035
Bibliography......Page 1045
SECTION VIII: RELATED SURGERY......Page 1049
DEFINITIONS......Page 1050
EMBRYOLOGY......Page 1051
LIFE CYCLE CHANGES......Page 1053
PATHOLOGY......Page 1055
COMMON BREAST SYMPTOMS......Page 1057
DIAGNOSIS......Page 1062
BREAST CANCER......Page 1077
TREATMENT......Page 1092
BREAST CANCER AND PREGNANCY......Page 1097
RISK MANAGEMENT AND PROFESSIONAL LIABILITY......Page 1099
CONCLUSION......Page 1100
Bibliography......Page 1101
ANATOMY AND FUNCTION OF THE APPENDIX......Page 1104
ACUTE APPENDICITIS......Page 1105
APPENDICITIS IN PREGNANCY......Page 1112
INCIDENTAL APPENDECTOMY IN GYNECOLOGIC AND OBSTETRIC SURGERY......Page 1113
Bibliography......Page 1115
DEFINITIONS......Page 1117
GASTROINTESTINAL DISORDERS THAT MIMIC GYNECOLOGIC PROBLEMS......Page 1118
PREOPERATIVE CONSIDERATIONS......Page 1120
INTRAOPERATIVE CONSIDERATIONS......Page 1122
POSTOPERATIVE CONSIDERATIONS......Page 1125
OPERATIVE TECHNIQUES......Page 1130
SURGERY ON THE SMALL INTESTINE......Page 1131
SURGERY ON THE LARGE INTESTINE......Page 1136
GASTRIC PROCEDURE......Page 1147
BEST SURGICAL PRACTICES......Page 1148
Bibliography......Page 1149
PREOPERATIVE DIAGNOSTIC EVALUATION......Page 1151
INTRAOPERATIVE MANAGEMENT OF NONGYNECOLOGIC PELVIC DISORDERS......Page 1165
BEST SURGICAL PRACTICES......Page 1167
Bibliography......Page 1168
SECTION IX: GYNECOLOGIC ONCOLOGY......Page 1169
EPIDEMIOLOGY......Page 1171
CLINICAL PRESENTATION......Page 1172
ROUTES OF SPREAD......Page 1173
PROGNOSTIC FACTORS......Page 1174
TREATMENT OF INVASIVE SQUAMOUS CELL CARCINOMA OF THE VULVA......Page 1175
LOCALLY ADVANCED DISEASE......Page 1183
RECURRENT SQUAMOUS CELL CARCINOMA OF THE VULVA......Page 1190
POSTOPERATIVE ADJUVANT THERAPY......Page 1203
MORTALITY AND MORBIDITY OF RADICAL VULVAR SURGERY......Page 1204
VULVAR MELANOMA......Page 1207
BARTHOLIN GLAND CARCINOMA......Page 1210
BASAL CELL CARCINOMA......Page 1211
SARCOMA OF THE VULVA......Page 1212
PAGET DISEASE OF THE VULVA......Page 1213
VERRUCOUS CARCINOMA OF THE VULVA......Page 1214
MERKEL CELL CARCINOMA OF THE VULVA......Page 1216
SUPERNUMERARY MAMMARY ADENOCARCINOMA......Page 1217
BEST SURGICAL PRACTICES......Page 1218
Bibliography......Page 1219
TERMINOLOGY......Page 1228
EPIDEMIOLOGY......Page 1230
HUMAN PAPILLOMAVIRUSES......Page 1231
SCREENING FOR CERVICAL NEOPLASIA......Page 1234
EVALUATION OF ABNORMAL CYTOLOGY......Page 1236
MANAGEMENT OF CERVICAL INTRAEPITHELIAL NEOPLASIA......Page 1238
Bibliography......Page 1245
STAGING OF CERVICAL CANCER......Page 1247
HISTOPATHOLOGY......Page 1248
CLINICAL PRESENTATION......Page 1252
PROGNOSTIC FACTORS......Page 1253
PRETREATMENT EVALUATION......Page 1255
SURGICAL TREATMENT OF EARLY-STAGE CERVICAL CANCER......Page 1256
RADICAL HYSTERECTOMY......Page 1258
PERTINENT PELVIC ANATOMY......Page 1263
CONCEPT OF RADICAL ABDOMINAL HYSTERECTOMY AND BILATERAL PELVIC LYMPHADENECTOMY......Page 1267
RADICAL ABDOMINAL HYSTERECTOMY SURGICAL TECHNIQUE......Page 1269
FERTILITY-SPARING RADICAL ABDOMINAL TRACHELECTOMY......Page 1278
LAPAROSCOPICALLY ASSISTED RADICAL VAGINAL HYSTERECTOMY (SCHAUTA)......Page 1283
LAPAROSCOPICALLY-ASSISTED RADICAL VAGINAL TRACHELECTOMY (DARGENT PROCEDURE)......Page 1288
LAPAROSCOPIC RADICAL HYSTERECTOMY WITH PELVIC AND AORTIC LYMPHADENECTOMY......Page 1294
LAPAROSCOPIC SURGICAL STAGING......Page 1295
POSTOPERATIVE COMPLICATIONS......Page 1296
ADJUVANT THERAPY IN CONJUNCTION WITH RADICAL SURGERY......Page 1301
FOLLOW-UP AFTER RADICAL SURGERY FOR CERVICAL CANCER......Page 1303
RADIATION THERAPY......Page 1304
SUMMARY......Page 1305
Bibliography......Page 1306
EPIDEMIOLOGY......Page 1311
RISK FACTORS......Page 1312
EVALUATION OF THE SYMPTOMATIC PATIENT......Page 1314
ENDOMETRIAL HYPERPLASIA......Page 1315
SURGICAL STAGING AND TREATMENT......Page 1316
RADIATION THERAPY......Page 1320
INCIDENTAL DIAGNOSIS OF ENDOMETRIAL CANCER AT HYSTERECTOMY......Page 1321
BEST SURGICAL PRACTICES......Page 1322
Bibliography......Page 1323
INCIDENCE AND RISK FACTORS......Page 1327
EARLY DETECTION......Page 1329
ASSESSMENT OF RISK OF MALIGNANCY IN OVARIAN TUMORS......Page 1332
PREOPERATIVE EVALUATION......Page 1333
PATTERNS OF SPREAD......Page 1334
PRIMARY SURGERY......Page 1335
SECONDARY SURGERY......Page 1350
MANAGEMENT OF INTESTINAL OBSTRUCTION......Page 1352
BEST SURGICAL PRACTICES......Page 1353
Bibliography......Page 1354
INDICATIONS AND CONTRAINDICATIONS......Page 1360
EXENTERATION TECHNIQUE......Page 1363
VAGINAL RECONSTRUCTION......Page 1370
BEST SURGICAL PRACTICES......Page 1371
Bibliography......Page 1372
VAGINAL RECONSTRUCTION......Page 1373
VULVAR RECONSTRUCTION......Page 1381
OPERATIONS TO PRESERVE URINARY CONTINENCE......Page 1383
TECHNIQUES TO RESTORE RECTAL FUNCTION......Page 1391
BEST SURGICAL PRACTICES......Page 1392
Bibliography......Page 1393
CHAPTER 3......Page 1395
CHAPTER 5......Page 1396
CHAPTER 7......Page 1397
CHAPTER 8......Page 1398
CHAPTER 10......Page 1399
CHAPTER 12......Page 1400
CHAPTER 13......Page 1401
CHAPTER 16......Page 1402
CHAPTER 18......Page 1403
CHAPTER 21......Page 1404
CHAPTER 23......Page 1405
CHAPTER 25......Page 1406
CHAPTER 27......Page 1407
CHAPTER 31......Page 1408
CHAPTER 32B......Page 1409
CHAPTER 35A......Page 1410
CHAPTER 36C......Page 1411
CHAPTER 36F......Page 1412
CHAPTER 38......Page 1413
CHAPTER 42......Page 1414
CHAPTER 43......Page 1415
CHAPTER 44......Page 1416
CHAPTER 46......Page 1417
CHAPTER 48......Page 1418
CHAPTER 50......Page 1419
CHAPTER 51......Page 1420
CHAPTER 6......Page 1421
CHAPTER 12......Page 1422
CHAPTER 16......Page 1424
CHAPTER 25......Page 1425
CHAPTER 32A......Page 1426
CHAPTER 36E......Page 1427
CHAPTER 41......Page 1428
CHAPTER 48......Page 1429
CHAPTER 51......Page 1430
INDEX......Page 1431