Atlas of Pelvic Surgery Wheeless

Contents

Preface vii

1 Vulva and Introitus 1

Biopsy of the Vulva 2

 

Excision of Urethral Caruncle 4

 

Bartholin’s Gland Cyst Marsupialization 6

 

Excision of Vulvar Skin, With Split-Thickness Skin Graft 8

 

Bartholin’s Gland Excision 10

 

Vaginal Outlet Stenosis Repair 14

 

Closure of Wide Local Excision of the Vulva 16

 

Wide Local Excision of the Vulva,

 

With Primary Closure or Z-plasty Flap 19

 

Alcohol Injection of the Vulva 24

 

Cortisone Injection of the Vulva 26

 

Simple Vulvectomy 28

 

Excision of the Vulva by the Loop Electrical Excision Procedure (LEEP) 32

 

Excision of Vestibular Adenitis 34

 

Release of Labial Fusion 36

 

Hymenectomy 38

 

2 Vagina and Urethra 41

Anterior Repair and Kelly Plication 42

 

Posterior Repair 46

 

Sacrospinous Ligament Suspension

 

of the Vagina 51

 

Vaginal Repair of Enterocele 56

 

Vaginal Evisceration 62

 

Excision of Transverse Vaginal Septum 66

 

Correction of Double-Barreled Vagina 68

 

Incision and Drainage of Pelvic Abscess via the Vaginal Route 70

 

Sacral Colpopexy 73

 

Le Fort Operation 78

 

Vesicovaginal Fistula Repair 83

 

Transposition of Island Skin Flap

 

for Repair of Vesicovaginal Fistula 88

 

Mclndoe Vaginoplasty for Neovagina 91

 

Rectovaginal Fistula Repair 99

 

Reconstruction of the Urethra 103

Suburethral Diverticulectomy via the

 

Double-Breasted Closure Technique 108

 

Urethrovaginal Fistula Repair via the

 

Double-Breasted Closure Technique 111

 

Goebell-Stoeckel Fascia Lata Sling Operation for Urinary incontinence 115

 

Transection of Goebell-Stoeckel Fascia Strap 124

 

Rectovaginal Fistula Repair via

 

Musset-Poitout-Noble Perineotomy 127

 

Sigmoid Neovagina 132

 

3 Bladder and Ureter 135

Insertion of Suprapubic Catheter 136

 

Retropubic Urethropexy:

 

Marshall-Marchetti-Krantz and Burch Operations 139

 

Ureteroureterostomy 144

 

Ureteroneocystostomy and Ureteroneocystostomy With Bladder Flap 146

 

Transperitoneal Ureteroureterostomy

 

(End-to-Side Anastomosis) 155

 

Intestinal Loop Urinary Diversion 161

 

Percutaneous Nephropyelostomy 166

 

Ureteroileoneocystostomy 168

 

“Clam” Gastrocystoplasty 171

 

4 Cervix 177

 

Biopsy of the Cervix 178

 

Directed Biopsy of the Cervix at Colposcopy 180

 

Endocervical Curettage at Colposcopy 182

 

Conization of the Cervix by the Loop

 

Electrical Excision Procedure (LEEP) 185

 

Abdominal Excision of the Cervical Stump 189 Correction of an Incompetent Cervix by the Shirodkar Technique 194

Correction of an Incompetent Cervix Wedge Resection of the Ovary 306

 

by the McDonald Operation 196 Torsion of the Ovary 308

 

Correction of an Incompetent Cervix Ovarian Cystectomy 310

 

by the Lash Operation 198 Fallopian Tube Sterilization 314

5 Uterus 201

 

Dilatation and Curettage 202

 

Suction Curettage for Abortion 205

 

Management of Major Uterine Perforations From Suction Curet or Radium Tandem 208 Cesarean Section 212

 

Myomectomy 216

 

Jones Operation for Correction of

 

Double Uterus 219

 

Hysteroscopic Septal Resection by Loop Electrical Excision Procedure (LEEP) for Correction of a Double Uterus 222

 

Manchester Operation 225

 

Total Vaginal Hysterectomy 231

 

Total Abdominal Hysterectomy With and Without Bilateral Salpingo-oophorectomy 241

 

Laparoscopy-Assisted Vaginal

 

Hysterectomy 249

6 Fallopian Tubes and Ovaries 257

Laparoscopy Technique 259

 

Diagnostic Uses of Laparoscopy 266

 

Demonstration of Tubal Patency via Laparoscopy 268

 

Laparoscopic Resection of Unruptured Ectopic Pregnancy 270

 

Ovarian Biopsy via Laparoscopy 272

 

Electrocoagulation of Endometriosis via Laparoscopy 274

 

Lysis of Adhesions via Laparoscopy 276

 

Control of Hemorrhage During Laparoscopy 278

 

Sterilization by Electrocoagulation and Division via Laparoscopy 280

 

Silastic Band Sterilization via Laparoscopy 282 Hulka Clip Sterilization via Laparoscopy 284 Sterilization by the Pomeroy Operation 286

 

Sterilization by the Modified Irving Technique 288

 

Sterilization by the Minilaparotomy

 

Technique 290

 

Salpingectomy 292

 

Salpingo-oophorectomy 294

 

Fimbrioplasty 296

 

Tuboplasty—Microresection and

 

Anastomosis of the Fallopian Tube 302

7 Colon 317

Appendectomy Using the Linear Dissecting Stapler 318

 

Transverse Loop Colostomy 320

 

End Sigmoid Colostomy With Hartmann’s Pouch 322

 

Closure of a Loop Colostomy 326

 

Anterior Resection of the Colon With Low Anastomosis Using the Gambee Suture Technique 330

 

Low Anastomosis of Colon to Rectum Using the End-to-End Surgical Stapler Technique 333

 

Anterior Resection of the Colon With Low Anastomosis via the Strasbourg-Baker Technique 340

 

8 Small Bowel 343

 

Small Bowel Surgery 344

 

Small Bowel Resection With End-to-End Anastomosis Using the Gambee Technique 346

 

Small Bowel Bypass With Ileoileal Anastomosis and Mucous Fistula 353

 

Small Bowel Bypass With Ileotransverse

 

Colostomy and Mucous Fistula 356

 

Terminal Ileectomy With Right Colectomy and Ileotransverse Colostomy 358

 

9 Abdominal Wall 361

 

Pfannenstiel Incision 362

 

Maylard Incision 364

 

Panniculectomy 366

 

Incisional Hernia Repair 368

 

Abdominal Wound Dehiscence and Evisceration 370

 

Massive Closure of the Abdominal Wall With a One-Knot Loop Suture 374

 

Hemorrhage Control Following Laceration of Inferior Upper Epigastric Vessels 376

 

10 Malignant Disease:

 

Special Procedures 379

Staging of Gynecologic Oncology Patients With Exploratory Laparotomy 380