Sinopsis
In gynecology, as in other surgical fields, an excellent knowledge of human anatomy is necessary. Surgical progress makes this even more pertinent; laparoscopy requires, more than ever, a thorough knowledge of all the relationships between anatomic structures. If one injures the ureter, uterine artery or large vessels, or if intraperitoneal bleeding occurs, it is necessary to be able to react quickly and to convert to open surgery. Experienced surgeons possess the required skills, but younger practitioners with less extensive anatomic knowledge could experience serious difficulties. Laparoscopy reveals the undeniable aspect of anatomy as a tool of work. Without perfect knowledge of the different structures encountered during dissection, and particularly those which one would prefer not to encounter because of the dangers they evoke, laparoscopy can become hazardous due to the surgeon’s lack of awareness.We are not about to cover all the anatomic data concerning the pelvis; this information can be found in any anatomic textbook and, in any case, it is well known. What is required is the ability to identify, without hesitation, all the structures grasped or isolated during dissection.We will simply call back to mind some anatomic notions to ensure a safe pelvic approach during laparoscopy, and present some anatomic points which highlight potential dangers and require particular attention during surgery. In this chapter, we describe the different steps of gynecological laparoscopy and some recent surgical techniques such as TOT (transobturator tape) for treatment of stress urinary incontinence and the anatomic basis of pelvic or perineal pain. For each stage of surgery, we explain the dangerous elements which should inspire only one instinct in the surgeon: vigilance. In practice, we describe certain strategic notions which should be perfectly understood before beginning laparoscopy, whatever the pathology: pelvic wall anatomy, pelvic cellular tissue and ureteral and broad ligament relationships.
Content
- Anatomy in relation to gynecological endoscopy
- Instrumentation and operational instructions
- Laparoscopic management of peritoneal endometriosis
- Laparoscopic management of ovarian endometriosis
- Douglasectomy, torus excision, uterine suspension
- Laparoscopic excision of rectovaginal and retrocervical endometriotic lesions
- Ureteral endometriosis: a frequent complication of rectovaginal and retrocervical endometriosis
- Bladder endometriosis
- Laparoscopic hysterectomy including for advanced endometriosis with rectosigmoid disease
- Fertiloscopy
- Transvaginal laparoscopy
- CO2 laser laparoscopic surgery: fimbrioplasty, salpingoneostomy and adhesiolysis
- Ectopic pregnancy following assisted conception treatment and specific sites of ectopic pregnancy
- Medical treatment: the place of methotrexate
- The laparoscopic management of ectopic pregancy
- Laparoscopic microsurgical tubal anastomosis
- Laparoscopic management of ovarian cysts
- Laparoscopic management of adnexal torsion
- Laparoscopic repair of wide and deep uterine scar dehiscence following cesarean section
- Laparoscopic myomectomy
- Laparoscopic myomectomy and myolysis: to whom should it be proposed?
- LASH: laparoscopic subtotal hysterectomy – a series of 1400 cases
- Laparoscopic hysterectomy in benign diseases: a series of 1233 cases
- Laparoscopic approach for prolapse
- Laparoscopic sacrocolpexy for severe uterine prolapse and severe vaginal vault prolapse
- Borderline tumors of the ovary or epithelial ovarian tumors of borderline malignancy
- Laparoscopic reimplantation of cryopreserved ovarian tissue
- Ovarian tissue cryopreservation and existing alternatives
- Technical aspects of ovarian tissue cryopreservation
- Laparoscopic ovarian transposition before radiotherapy
- Laparoscopic preservation of female fertility
- The place of endoscopy in malignancy
- Indications for lymphadenectomy in stage I/IIa endometrial cancer
- Place of laparoscopic surgery in the management of cervical cancer: the Dargent techniques
- Fetal endoscopy
- Laparoscopic abdominal cerclage
- Improving ergonomics in laparoscopic gynecological surgery
- Robotically assisted gynecological surgery
- Complications of laparoscopic surgery in gynecology
- Instrumentation for hysteroscopy
- Hysterosonography and hysteroscopy in the diagnosis of specific disorders
- Office hysteroscopy
- Müllerian duct anomalies
- Hysteroscopic lysis of intrauterine adhesions
- Hysteroscopic myomectomy
- Endometrial resection
- Global endometrial ablation
- Tubal sterilization
- Complications of hysteroscopic surgery in gynecology
,+A+-+Stroustrup,+Bjarne.jpg)
.jpg){kind=spacer}
0 komentar:
Posting Komentar