Bonney's Gynaecological Surgery

Chapter

Sutures

Surgical knots and methods of tying

Tying pedicles

Staples

Electrosurgery

Haemostatic agents

Adhesion prevention

Drainage

References

Further reading

Chapter 4 Opening and closing the abdominal cavity

Operative stance

Draping the patient

Instruments

Subumbilical midline incision

Transverse incisions

Reference

Further reading

Chapter 5 The laparoscopic approach in gynaecology

Positioning of the patient

Access to the abdomen

Equipment

Diagnostic laparoscopy

Problems and complications associated with laparoscopy

Laparoscopic surgery for endometriosis

Laparoscopic surgery in gynaecological oncology

Complications

Postoperative recovery

References

Further reading

Chapter 6 Postoperative care and complications

Postoperative care

Complications of surgery

References

Further reading

Part 2 Anatomical: For the general gynaecologist and gynaecologist in training

Chapter 7 Operations on the vulva

Vulval biopsy

Treatment of Bartholin’s cysts and abscesses

Simple vulvectomy

Further reading

Chapter 8 Operations on the vagina

Vaginal cysts

Procedures for enlargement of the vaginal introitus

Congenital abnormalities of the vagina

Vaginectomy: partial and complete

Reference

Further reading

Chapter 9 Operations on the cervix

Dilatation of the cervix

Removal of endocervical polyps and extruded fibroid polyps

Ablative procedures

Excisional techniques

Trachelorrhaphy

Cervical incompetence

Excision of cervical stump

References

Further reading

Chapter 10 Operations on the uterine cavity

Rapid access clinics

Sampling of the endometrium

Outpatient hysteroscopy

Endometrial ablation

Hysteroscopic myomectomy

Reference

Further reading

Chapter 11 Operations on the uterus

Total abdominal hysterectomy

Hysterectomy for a double uterus

Subtotal hysterectomy

Vaginal hysterectomy

Laparoscopic-assisted vaginal hysterectomy

Total laparoscopic hysterectomy

Complications of hysterectomy

References

Further reading

Chapter 12 Uterine fibroids

Classification

Symptoms

Imaging

Management

Surgical management

Hysterectomy for uterine fibroids

References

Further reading

Chapter 13 Operations on the fallopian tubes

Extrauterine gestation

Operations on the fallopian tubes for female sterilization

Resection of the fallopian tube

Operations for correction of infertility

Reference

Further reading

Chapter 14 Operations on the ovaries

Diagnosis of an ovarian mass

Management

Surgery

Ovarian cystectomy

Salpingo-oophorectomy

Removal of a retroperitoneal cyst

References

Further reading

Chapter 15 Caesarean section

Lower-segment caesarean section

Classical caesarean section

Management of massive postpartum haemorrhage

References

Further reading

Part 3 Urogynaecology

Chapter 16 Operations for pelvic organ prolapse

General considerations

Anaesthesia

Instruments

Anterior colporrhaphy

Posterior colporrhaphy

Transanal rectocele repair

Perineorrhaphy

Posterior colporrhaphy with enterocoele repair

Central compartment procedures

Vaginal hysterectomy combined with anterior and/or posterior colporrhaphy

Surgical management of vaginal vault prolapse after hysterectomy

Sacrospinous ligament fixation

Uterosacral ligament suspension

Abdominal sacrocolpopexy

Laparoscopic sacrocolpopexy

Uterine sparing prolapse surgery

Transvaginal insertion of mesh

Obliterative techniques

Complete colpocleisis

Le Fort’s colpocleisis

References

Further reading

Cochrane reviews

National Institute for Health and Care Excellence guidance

Chapter 17 Operations for urinary incontinence

Classification of procedures

The role of urodynamic assessment before surgery for stress urinary incontinence

The place of cystoscopy during surgery for stress urinary incontinence

The use of bladder drainage following surgery for stress urinary incontinence

Urethral and bladder neck supporting procedures

Retropubic suburethral slings: synthetic mid-urethral slings

Trans-obturator foramen suburethral slings

Retropubic suburethral slings: traditional sling operations

Urethral sphincter augmentation

Artificial urinary sphincter

Operations for detrusor overactivity

Whether, when and which operation?

References

Chapter 18 Operations for urogenital fistulae

Bonney’s principles of fistula repair

Classification

Presentation and evaluation

Immediate management

Timing of repair

Route of repair

Preoperative preparation

Anaesthesia

Instruments

Suture materials

Interposition grafts

Skin grafts

Vaginal procedures

Other vaginal procedures

Abdominal procedures

Ureterovaginal fistula repair

Urinary diversion

Postoperative management

References

Part 4 Oncology

Chapter 19 Surgery for carcinoma of the vulva

Lymph node assessment

Excision of the vulval tumour

The operation

Excision of the vulval tumour

References

Further reading

Chapter 20 Vaginal cancer surgery

Treatment

Wide excision

Partial or total vaginectomy

Exenteration

Reference

Further reading

Chapter 21 Cervical cancer

Radical hysterectomy and pelvic node dissection

Laparoscopic radical hysterectomy with aortic and pelvic lymphadenectomy

Radical vaginal hysterectomy

Radical trachelectomy

References

Further reading

Chapter 22 Uterine cancer

Surgical approach

Role of ovarian conservation

Peritoneal washings

Risk of nodal metastases and assessment of nodes

Role of lymphadenectomy and sentinel lymph node sampling

Radical surgery in advanced disease

References

Further reading

Chapter 23 Ovarian cancer

General comments

A systematic approach to achieving complete surgical staging in patients with clinical stage I or II disease

A systematic approach to achieve optimal cytoreductive status in patients with advanced epithelial cancer of the ovary

Reference

Further reading

Chapter 24 Exenterative surgery

Selection of patients for exenterative surgery

Palliative exenteration

Patient assessment

Contraindications to exenteration

Types of exenteration

Preoperative preparation

The operation

Postoperative care

Results of exenteration

References

Further reading

Part 5 Operations on other organs

Chapter 25 Vascular surgery: applications in gynaecology and gynaecological oncology

Aortic injury

Iliac artery injury

Vena caval injury

Presacral bleeding

Pelvic packing

Summary

Further reading

Chapter 26 Management of injuries to the urinary tract

Anatomical relationship

Predisposing factors

Preventing injuries

Damage recognized at the time of operation

Injuries to the ureter in the pelvis

Ureteric injuries above the pelvic brim

Management of the delayed diagnosis of urinary tract damage

Radiotherapy damage

Operations for the formation of a urinary conduit

References

Further reading

Chapter 27 Operations on the intestinal tract for the gynaecologist

Appendicectomy

Instruments

Patient preparation

Anaesthesia

The operation

Management of operative injuries of the intestine

The formation of a stoma

A permanent colostomy

The formation of a loop ileostomy

Side-to-side anastomosis procedure

Reference

Further reading

Chapter 28 Reconstructive procedures

General comments

Vulval reconstruction for localized benign disease, premalignant and early malignant disease

Full- and split-thickness skin grafts (general considerations)

Myocutaneous grafts

References

Index

EULA

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