Practical Manual Of Minimally Invasive Gynecologic And Robotic Surgery

This third edition has been extensively updated to provide the gynecologic surgeon with a state-of-the-art and practical resource that can be used to review or learn about commonly performed surgical procedures in minimally invasive gynecology. To meet the needs of both novice and experienced surgeons, the text is engineered to cover the clinical decision-making, key instrumentation, and technical cascade for each surgical procedure. Wherever possible, discussion is focused on methods to optimize outcome and reduce risk. The content in this latest edition has been substantially bolstered by the addition of chapters covering vaginal hysterectomy, tissue retrieval in laparoscopic surgery, single port laparoscopy, robotic hysterectomy, robotic myomectomy, robotic sacralcolpopexy, radical robotic hysterectomy, and hemostatic agents for laparoscopic surgery.

Laparoscopy is one of the standard techniques used by all gynecologic surgeons. This clearly written and beautifully illustrated practical manual describes in detail the technical aspects of both diagnostic and operative laparoscopy and the most useful therapeutic procedures. The exquisitely rendered color drawings demonstrate surgical technique far more effectively than competing photographic atlases. The editors have brought together an internationally renowned group of authors to contribute their knowledge and expertise in the field of laparoscopy. The new edition is a thorough revision and covers all newly emerging techniques and operative equipment.

This new edition brings surgeons fully up to date with the latest developments and technologies in laparoscopic and hysteroscopic gynaecological surgery. Beginning with the history, instruments and training of endoscopy, each chapter focuses on a different condition, presenting surgical procedures in a step by step process, as well as possible complications. The second edition includes new chapters on ovarian tumours, ectopic pregnancy and tubal surgery, as well as an up to date reference list. Written by an extensive author and editor team from Europe, the USA and Canada, this practical manual features nearly 750 full colour images and illustrations, and includes four interactive DVD ROMs demonstrating surgical procedures described in the book. Key points New edition presenting latest developments in laparoscopic and hysteroscopic gynaecological surgery Includes new chapters on ovarian tumours, ectopic pregnancy and tubal surgery Extensive author and editor team from Europe, USA and Canada Includes nearly 750 colour images and illustrations and four interactive DVD ROMs Previous edition published in 2006

Minimally Invasive Gynecologic Surgery provides a complete, practical and timely review of the minimally invasive surgical techniques used to treat gynaecologic diseases and conditions. Recent advances in technology and instrumentation, particularly the use of robot-assisted surgery, mean that minimally invasive approaches have become increasingly established as alternatives to traditional open surgeries. This book describes the full range of minimally invasive procedures in current gynaecologic practice, with discussion of the indications and contraindications and a summary of available evidence. The book opens with a section describing instrumentation, electrosurgery, how to avoid and manage complications and single port surgery. Subsequent sections cover procedures for benign and malignant conditions and relevant robotically assisted surgeries. Highly structured chapters provide practical guidance to key steps of each procedure, alternative management options; contraindications and available evidence Stellar contributors from leading centers in the USA, Brazil, Chile, Canada, France, Italy and Belgium ensure coverage reflects global best practice

Gynaecological practice has changed fundamentally in the last three decades and a large proportion of major pelvic operations has been replaced by minimally invasive approaches. This book will cover minimally invasive approaches in all aspects of gynaecology including general gynaecology, oncology, urogynaecology and reproductive medicine. The chapters are written at a level appropriate for trainees/residents and general gynaecology specialists but enough details and additional resources will be provided for those who require further information. Specific aim of the book is to provide direct to the point surgical pearls which can be adapted to the daily practice instantly by the target audience. The book includes chapters on relevant surgical anatomy, principles of MIS, management of camera systems, video/image editing, initiating a successful MIS practice, improving efficiency of current MIS program, how to develop successful teaching techniques in academic setting, avoiding & managing MIS related surgical complications and preoperative/postoperative care before covering MIS for individual conditions including intensive care managements. Chapters are written by world renown authorities. ACOG guideline recently published a statement recommending vaginal hysterectomy and endoscopic hysterectomy should be considered as a first step of surgical choice. Current practice has been shifting from open cases to laparoscopic/ robotic assisted cases while vaginal cases stays steady. This shift has created an urge among gynaecologists to learn, improve or adapt laparoscopic/ robotic techniques in their practice.

Minimally invasive surgery has emerged as the standard treatment for many gynecologic diseases and conditions. In the past decade, numerous studies have demonstrated the superiority of laparoscopic approaches over standard open procedures in terms of improved quality of life for patients. Innovations in minimally invasive surgical technology—such as multichannel ports, articulating instruments, and flexible high-definition endoscopes—have made it possible for laparoscopic surgeons to perform increasingly complicated gynecologic surgeries through smaller incisions. As such, since the first edition of the atlas published in 2014, technologies and techniques once considered novel have become standard. This second edition, with five new chapters and content updated throughout to reflect the latest evolutions in the field, serves as a guide in robotic, conventional, and single-port laparoscopic surgery, presenting invaluable, up-to-date information about instrumentation, surgical technique, port systems, and the current research and development in robotics. Chapters address unique challenges associated with each technique, such as lack of haptic feedback or articulation and instrument crowding, and describe the advanced laparoscopic skills required to safely and efficiently perform procedures, such as how to move and control a flexible camera or use the robot. Specific topics include conventional laparoscopic myomectomy, adnexal surgery, total and supracervical hysterectomy, and excision of endometriosis excision, as well as related techniques in gynecologic oncology, urogynecology and pelvic reconstructive surgery, tubal surgery and ectopic pregnancy, isthmocele repair, and trachelectomy for early cervical cancer. For single-port laparoscopic techniques, chapters are presented on adnexal surgery, hysterectomy, and gynecologic oncology, while the section on robotic surgery offers guidance on instrumentation, platforms, and basic principles; robotic-assisted laparoscopic myomectomy, total hysterectomy for benign disease, endometriosis management, and total hysterectomy for cancer; as well as techniques for robotic adnexal surgery, urogynecology/pelvic reconstructive surgery, tubal surgery, and complication management, concluding with a review of new and emerging technologies. For students, residents, fellows, operating room personnel, and practicing gynecologic surgeons, the editors share experience amassed while developing novel surgical instrumentation and collaborating on presentations for numerous worldwide events. Internationally renowned experts contribute as well to this practical, illustrated resource on current minimally invasive techniques in gynecologic surgery.

In the last 25 years, minimally invasive surgery techniques have had a great impact on all gynecologic surgery areas, becoming the technique of choice in most leading health centers around the world. Nowadays, due to such developments, the employment of minimally invasive techniques is a feature for every gynecological surgery service, being part of their daily routine. To the same extent, it is a requirement for every gynecological surgeon to be aware and up to date regarding these techniques and their uses. The book describes and discusses minimally invasive techniques in gynecological surgery by means of an evidence-based analysis, providing clinical correlations for a practical purpose. Techniques covered include vaginal radical trachelectomy, laparoscopic radical hysterectomy, robotic surgery in gynecological cancer, hysteroscopic myomectomy, LESS surgery, deep endometriosis surgery, and laparoscopic supra cervical hysterectomy. Some of the most renowned international references in minimally invasive surgery are included in this title, making Minimally Invasive Gynecology: an Evidence Based Approach fundamental reading for all gynecologists and gynecological surgeons.