Laparoscopic Hysterectomy And Oophorectomy

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.

The newly revised Second Edition of Small Animal Laparoscopy and Thoracoscopy is a rigorous update of the first book to provide comprehensive and current information about minimally invasive surgery in dogs and cats. With a focus on techniques in rigid endoscopy, the book also includes guidance on additional surgeries outside the abdomen and chest. New chapters describe newly developed surgical techniques, while existing chapters have been thoroughly updated. The authors include detailed stepwise instructions for each procedure, including clinical photographs. Pre-operative considerations, patient positioning, portal placement, and postoperative care are also discussed, with key points of consideration outlined for each surgery. Purchasers of the book will also receive access to a companion website featuring video clips of the fundamental skills and surgical techniques described in the resource. The book also offers: An introduction to laparoscopic suturing and knot tying with accompanying video tutorials A thorough introduction to the equipment used in laparoscopic and thoracoscopic veterinary surgeries, including imaging equipment, surgical instrumentation, energy devices, and stapling equipment Clear explanations of foundational techniques in laparoscopy, including laparoscopic anesthesia, access techniques, contraindications, complications, and conversion Robust descriptions of fundamental techniques in thoracoscopy, including patient positioning, port placement, contraindications, complications, and conversion Discussions of a wide variety of laparoscopic and thoracoscopic surgical procedures Small Animal Laparoscopy and Thoracoscopy is an essential reference for veterinary surgeons, veterinary internal medicine specialists and residents, and small animal general practitioners seeking a one-stop reference for minimally invasive surgery in dogs and cats.

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

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 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.

Endometriosis is one of the most common diseases of women. This book provides a practical, clinical and thorough examination of both the medical and surgical treatment of this disease. A world renowned group of contributors address basic issues, management approaches and selected special topics, emphasizing the latest advanced operative techniques. Topics include: - minimally invasive and advanced laparoscopic surgical technique in the treatment of endometriosis - treatment of endometriosis of the ovaries, cul-de-sac, gastrointestinal and urinary tracts, and extragenital sites - management of recurrent endometriosis - treatment of infertility and pelvic pain associated with endometriosis - guidelines for medical management and combined medical-surgical management.

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.