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Gynaecological surgery has made tremendous strides in the last 30 years, due to advances in medical imaging, operative laparoscopy, and new types of prosthesis. Reconstructive plastic surgery of pelvic organ prolapse and of urinary incontinence have benefited from these developments. The laparoscopic sacropopexy and laparoscopic lateral suspension with meshes are two excellent examples. In order to successfully perform these operations, detailed knowledge of the anatomy of the pelvic floor as “seen from above”, i.e., from the abdominal view, is an invaluable asset. Achieving perfect knowledge of the anatomical details is now possible, thanks to laparoscopy. With the aid of laparoscopy, following subperitoneal dissections, reconstructive surgery of the pelvic floor can be made substantially more precise, more exact, and also more anatomical. This atlas will allow gynaecologic surgeons to deepen and improve their anatomical expertise, with the aid of laparoscopy. It also describes in detail the most common laparoscopic operative techniques. The book represents a new and unique approach to anatomy studied in the living, and supplements the main content with a wealth of straightforward and clearly explained photographs.
This book offers a concise and easy-to-understand overview of facts and concepts in pelvic anatomy. Laparoscopy provides good vision in a limited field, which means that surgeons have to rely on their anatomical knowledge of what structures lie in the vicinity and which structures need to be preserved. Focusing on surgical anatomy, the book helps laparoscopic surgeons better understand the female pelvic structures so improve their surgical skills.
This book provides outstanding anatomical views as seen through the scope during procedures. In clear, crisp detail, Dr. Wind delivers this crucial information, illustrating surgically important structures and providing a variety of views that enhance the surgeon's understanding from a laparoscopic viewpoint.
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.
It is in the surgical aspect of their specialty that the gynecologists' work may be most frequently judged by their peers or by the litigious society that currently exists. Great and commendable progress has been made over the past 30 years in the basic scientific, endocrinologic and obstetric aspects of the specialty, but this has occurred with a commen surate de-emphasis of surgical procedures and surgical training, a decline in devotion to technical detail and perfection, and a tendency to take surgery for granted. Obstetric and gynecologic residency programs provide increasing numbers of specialists with average competence in the performance of the common, rather standardized gynecologic operations. In general, technical skill in the extirpative operations can be acquired far more readily than proficiency in the art of reconstructive surgery. At present, for a number of reasons, gynecologic surgical training is most deficient in regard to the surgical correction of severe forms of obstetrically damaged genital tract supports. The operations for pro lapse defy standardization and require great technical individualization; this must be based on the surgeon's judgment developed through expe rience, a thorough understanding of normal pelvic anatomy, and recog nition of the deficiency responsible for the prolapse in individual cases.
Since a clear understanding of the pelvic floor region is crucial for both male and female pelvic surgery and for fundamental mechanisms of urogenital and/or ano-rectal dysfunction and treatment, the authors present a morphological concept that is in accordance with actual clinical concepts. The reinterpreted anatomical concept is compared to classical morphological ideas and what is most important to functional considerations.
A unique combination medical reference and full-color surgical atlas on female pelvic medicine and reconstructive surgery An essential clinical companion and an outstanding practical review, Female Pelvic Medicine & Reconstructive Surgery is the most comprehensive single-volume resource available on urogynecology. It delivers a solid introduction to this growing subspecialty and thoroughly covers its underlying principles with an emphasis on diagnostic techniques and management strategies. Authored by a team of international experts, the book is enhanced by hundreds of original full-color photographs and illustrations that provide step-by-step guidance on key surgical procedures. Female Pelvic Medicine & Reconstructive Surgery is logically divided into four sections: Fundamental Topics--Includes essentials such as epidemiology, anatomy of the pelvic floor, mechanisms of disease, and evaluation of the patient with pelvic floor dysfunction Disease States--Covers lower urinary tract dysfunction, functional anorectal disorders, pelvic organ prolapse, and other pelvic floor disorders Clinical Management--Details pessaries, physical therapy, behavioral therapy, the use of graft materials in reconstructive surgery, peri-operative and post-operative medical evaluation and care, and incorporating new treatments into clinical practice Surgical Atlas--Reviews surgical instrumentation and illustrates surgery for stress urinary incontinence, pelvic organ prolapse, fistula repair, anal incontinence, and covers the management of surgical complications
This volume focuses on aspects of urology which are often forgotten in contemporary practice, but are nevertheless the subject of incremental advances and form the basis of much of the non-oncological practice. It covers numerous topics including laparoscopy.