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Atlas of Pelvic Surgery Wheeless

Atlas of Pelvic Surgery Wheeless

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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
Subclavian Port-A-Cath 383
Peritoneal Port-A-Cath 386
Application of Vaginal Cylinders for
Intracavitary Radiation Therapy 388
Application of Uterine Afterloading Applicators for Intracavitary Radiation Therapy 390
Pelvic High-Dose Afterloader 392
Abdominal Injection of Chromic
Phosphate (32p) 394
Supracolic Total Omentectomy 396
Omental Pedicle Flap 398
Tube Gastrostomy 400
Total Vaginectomy 402
Radical Vulvectomy With Bilateral Inguinal Lymph Node Dissection 405
Reconstruction of the Vulva With Gracilis Myocutaneous Flaps 412
Transverse Rectus Abdominis Myocutaneous Flap and Vertical Rectus Abdominis Myocutaneous Flap 418
Radical Wertheim Hysterectomy With Bilateral Pelvic Lymph Node Dissection and With Extension of the Vagina 423
Anterior Exenteration 432
Posterior Exenteration 438
Total Pelvic Exenteration 447
Colonic “J” Pouch Rectal Reservoir 458
Kock Pouch Continent Urostomy 463
Omental “J” Flap Neovagina 470
Ileocolic Continent Urostomy (Miami Pouch) 475
Construction of Neoanus Gracilis Dynamic Anal Myoplasty 480
Skin-Stretching System Versus Skin Grafting 482
Gastric Pelvic Flap for Augmentation of Continent Urostomy or Neovagina 485
Control of Hemorrhage in Gynecologic
Surgery 491
Repair of the Punctured Vena Cava 492
Ligation of a Lacerated Internal Iliac Vein and Suturing of a Lacerated Common Iliac Artery 494
Hemorrhage Control in Sacrospinous Ligament Suspension of the Vagina 496
Presacrai Space Hemorrhage Control 498
What Not to Do in Cases of Pelvic Hemorrhage 500
Packing for Hemorrhage Control 502
Control of Hemorrhage Associated With Abdominal Pregnancy 504
Index 507