Arri Coomarasamy, Mahmood Shafi, G Willy Davila, K K Chan

Gynecologic and Obstetric Surgery

Challenges and Management Options

• Gebundenes Buch

Produktbeschreibung

Gynecologic and obstetric surgery is a craft that requires sound knowledge and skills. The specifics of each individual case must be understood to enable the best surgical management approach and to minimize complications. This resource book offers insightful management options to many of the challenges a gynecologic or obstetric surgeon may face before, during and after an operation. Divided into two sections, the book first covers general preoperative, intraoperative and postoperative challenges and, second, specific surgical procedures. It provides advice on both general gynecologic and obstetric operations, as well as subspecialist areas such as reproductive surgery, urogynecology and gynecologic oncology. The chapters are concise, beginning with illustrative case histories followed by background, management options, and any preventative approaches. Designed to guide the surgeon to safe practice throughout all stages, they offer practical and step-by-step help.

Produktdetails

• Verlag: John Wiley & Sons / Open Stax Textbooks
• Seitenzahl: 576
• Erscheinungstermin: 4. April 2016
• Englisch
• Abmessung: 286mm x 221mm x 35mm
• Gewicht: 1692g
• ISBN-13: 9780470657614
• ISBN-10: 0470657618
• Artikelnr.: 43230567

Autorenporträt

Arri Coomarasamy, MBChB, MD, FRCOG. Professor of Gynaecology, Institute of Metabolism and System Research, University of Birmingham. Consultant Gynaecologist and Sub-specialist in Reproductive Medicine and Surgery, Birmingham Women's Hospital, Birmingham, United Kingdom. Mahmood I. Shafi, MBBCh, MD, DA, FRCOG. Consultant Gynecological Surgeon and Oncologist, Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom. G. Willy Davila, MD, FACOG. Center Director, Women's Health Institute (Florida), Chairman, Department of Gynecology, Head, Section of Urogynecology and Reconstructive Pelvic Surgery, Cleveland Clinic Florida, Weston/Fort Lauderdale, Florida, United States. K. K. Chan, MBBS, FRCS, FRCOG. Emeritus Consultant Gynecological Oncologist, Pan-Birmingham Gynecological Cancer Centre, City Hospital, Sandwell and West Birmingham Hospitals NHS Trust. Birmingham, United Kingdom.

Inhaltsangabe

Contributors
x Preface
xv List of Abbreviations
xvi Part I: General Preoperative
Intraoperative
and Postoperative Challenges Section 1: Preoperative Care Editors: Phil Moore and Arri Coomarasamy 1 Patient with Poor ASA Score
3 Phil Moore 2 Patient on Medication
6 Arri Coomarasamy 3 Patient with Ischemic Heart Disease
9 Sohail Q. Khan and Jonathan N. Townend 4 Patient with Arrhythmias
13 Sanoj Chacko and Joseph de Bono 5 Patient with a Pacemaker or Implantable Defibrillator
17 Howard Marshall 6 Patient with Complex Congenital Heart Disease (Fontan Circulation)
20 Yaso Emmanuel and Sara A. Thorne 7 Hypertensive Patient
22 Aarthi R. Mohan and Catherine Nelson-Piercy 8 Patient with Respiratory Disease
25 Heinke Kunst 9 Patient with Diabetes
28 Arri Coomarasamy and Dukaydah van der Berg 10 Patient with Thyroid Disease
30 Ramy Labib and Shiao-yng Chan 11 Patient with Renal Disease
33 Khalid Hasan 12 Patient with Liver Disease
35 Joanna K. Dowman and Philip N. Newsome 13 Patient with Rheumatologic Diseases
38 Amita A. Mahendru and Justin Chu 14 Patient with Hematologic Disorders
41 Chieh Lin Fu 15 Patient at High Risk of Venous Thrombosis
44 Ian A. Greer 16 Patient on Anticoagulant Therapy
47 Sophie Lee and Will Lester 17 Patient on Steroid Therapy
50 Shaista Nazir and John Ayuk 18 Patient with Epilepsy
54 Danita Jones and Virgilio Salanga 19 Patient with a Psychiatric Condition
56 Idnan Yunas 20 Patient with Organ Transplant
59 Sarah Winfield 21 Patient with Hepatitis B or C
61 Firas Al-Rshoud and Arri Coomarasamy 22 Patient with HIV
64 Firas Al-Rshoud and Arri Coomarasamy 23 Obese Patient
67 Phil Moore 24 Patient with Poor Nutritional Status
69 Phil Moore 25 Pregnant Patient Requiring Non-obstetric Surgery
71 Arri Coomarasamy Section 2: Intraoperative Care Editors: Arri Coomarasamy and Mahmood I. Shafi 26 Transverse Incision on the Abdomen Inadequate for Surgery
77 Arri Coomarasamy 27 Previous Multiple Abdominal Scars
79 Mohammed Khairy and Arri Coomarasamy 28 Patient with Previous Mesh Incisional Hernia Repair Requiring a Laparotomy
83 Christopher Smart and Chris Keh 29 Patient with Previous Mesh Incisional Hernia Repair Requiring a Laparoscopy
86 Emanuele Lo Menzo
Samuel Szomstein
and Raul J. Rosenthal 30 Unexpected Pathology: Ovarian Cyst
89 Mohan Kumar 31 Unexpected Pathology: Abnormal Appearance of the Uterus
92 Arri Coomarasamy 32 Unexpected Pathology: Severe Pelvic Adhesions
94 Stephen E. Zimberg and Michael L. Sprague 33 Unexpected Pathology: Abnormal Appearance of Bowel
97 Olivia Will and Justin Davies 34 Unexpected Pathology: Retroperitoneal Mass
100 Mohamed Mehasseb 35 Bladder Injury
103 Arri Coomarasamy and Richard Popert 36 Ureteric Injury
106 Arri Coomarasamy and Richard Popert 37 Small and Large Bowel Injury
111 Howard Joy 38 Inferior Epigastric Vessel Injury
116 Manas Chakrabarti and Sudha Sundar 39 Bleeding from Retracted Pedicular (Pelvic Sidewall) Vessels
119 Michael L. Sprague and Stephen E. Zimberg 40 Massive Hemorrhage
121 Karen Louise Moores
William Parry-Smith
and Martyn Underwood 41 Broken Needle
125 Joanne Kathleen Ritchie
Anuradha Radotra
and Martyn Underwood 42 Lost Swab
Needle or Instrument
127 Joanne Kathleen Ritchie
Martyn Underwood
and William Parry-Smith Section 3: Postoperative Care Editors: Arri Coomarasamy and Janesh Gupta 43 Postoperative Care
131 Janesh Gupta
Robbert Soeters
and Aaron Ndhluni 44 Excessive Nausea and Vomiting after Surgery
133 Phil Moore 45 Excessive Abdominal Pain after Surgery
136 Manjeet Shehmar 46 Bowel Damage: Postoperative Presentation
139 Ketan Gajjar and Mahmood I. Shafi 47 Wound Infection
142 Pallavi Latthe and James Gray 48 Wound Dehiscence
147 T. Justin Clark 49 Late Wound Failure: Incisional Hernia
150 Saloney Nazeer 50 Necrotizing Fasciitis
153 Tariq Ahmad 51 Management of Surgical Drains
156 Ahmed M. El-Sharkawy and Sherif Awad 52 Shocked Patient
159 Manjeet Shehmar 53 Breathless Patient: Postoperative Pulmonary Complications
162 Heinke Kunst 54 Confused Postoperative Patient
165 Idnan Yunas 55 Patient with Poor Urine Output
167 Amelia Davison and Jackie A. Ross 56 Electrolyte Imbalance
170 Manjeet Shehmar and Arri Coomarasamy 57 Swollen Leg
174 Edwin Stephen
Indrani Sen
and Tim Lees 58 Cardiorespiratory Arrest
177 Jennie Kerr PART II: Operations and Challenges Section 4: General and Minimal Access Gynecology Editors: T. Justin Clark
Kiong K. Chan
and Arri Coomarasamy 59 Difficulty in Dilating the Cervix: Cervical Stenosis and Cervical Closure
183 Arri Coomarasamy 60 Uterine Perforation
186 Arri Coomarasamy 61 Surgical Uterine Evacuation: Excessive Bleeding
189 Rajesh Varma 62 Surgical Uterine Evacuation in a Woman with Multiple Fibroids
191 Rajesh Varma 63 Use of Excessive Distension Media at Hysteroscopy
194 Arri Coomarasamy 64 Hysteroscopy: Endometrial Resection and Ablation in the Abnormal Uterine Cavity
197 Alessandro Conforti and Adam Magos 65 Laparoscopy in a Pediatric Patient
199 Suketu M. Mansuria
Cara R. King
and Arri Coomarasamy 66 Safe Laparoscopic Entry in a Thin Patient
202 Janesh Gupta and Justin Chu 67 Laparoscopy: Unable to Gain Entry
205 Mohamed Mehasseb 68 Surgical Emphysema
208 Arri Coomarasamy 69 Venous Air Embolism
210 Anneke Chu and Jennie Kerr 70 Laparoscopy: Problems with Monopolar Diathermy
213 Thomas G. Lang and Resad Pasic 71 Laparoscopy: Problems with Bipolar Diathermy
216 Thomas G. Lang and Resad Pasic 72 Laparoscopy: Bladder Injury
218 Peter L. Rosenblatt 73 Laparoscopy: Ureteric Injury
221 Peter L. Rosenblatt 74 Bowel Injury During Laparoscopy: Intraoperative Presentation
224 Alan Lam 75 Bowel Injury After Laparoscopy: Late Presentation
227 Alan Lam 76 Blood Vessel Injury at Laparoscopy
230 Elizabeth Ball 77 Laparoscopy for Large Ovarian Cyst
233 T. Justin Clark 78 Laparoscopy for an Ovarian Cyst in Pregnancy
235 T. Justin Clark 79 Laparoscopic Removal of Rectovaginal Endometriosis
238 Alan Lam 80 Laparoscopic Myomectomy
242 Ertan Saridogan 81 Total Laparoscopic Hysterectomy
245 Alan Farthing 82 Laparoscopic Hysterectomy for a Large Fibroid Uterus
247 Alan Lam 83 Laparoscopy: Difficulty in Tissue Retrieval
250 Su-Yen Khong and Alan Lam 84 Surgery for Cornual or Interstitial Pregnancy
253 Ayesha Mahmud and Yousri Afifi 85 Surgery for Cervical Ectopic Pregnancy
256 Bassel H. Al Wattar and Yousri Afifi 86 Surgery for Cesarean Scar Pregnancy
259 T. Justin Clark 87 Surgery for Adnexal Torsion
262 Mohamed Otify and Jackie A. Ross 88 Laparoscopic Appendectomy
264 Edward Rawstorne
Christopher Smart
and Chris Keh 89 Laparoscopic Surgery: When to Convert to Laparotomy?
267 Mohamed Mehasseb 90 Laparoscopy: Port-site Herniation
269 Ayesha Mahmud and Yousri Afifi Section 5: Reproductive Surgery Editors: Arri Coomarasamy and Mahmood I. Shafi 91 Uterine Septum
275 Basim Abu-Rafea and Khaldoun Sharif 92 Surgery for Intrauterine Adhesions
278 Mohan Kumar 93 Myomectomy: Breach of the Endometrial Cavity
280 Masoud Afnan and Arri Coomarasamy 94 Myomectomy: Multiple Large Fibroids
282 Justin Chu and Arri Coomarasamy 95 Myomectomy: Massive Intraoperative Hemorrhage
284 Neelam Potdar and Arri Coomarasamy 96 Vaginal Myomectomy
287 Adam Magos 97 Surgery for Proximal Tubal Blockage
289 Spyros Papaioannou 98 Surgery for Distal Tubal Disease
292 Lynne Robinson
Hemant N. Vakharia
and Yousri Afifi 99 Reversal of Sterilization
295 Hemant N. Vakharia
Lynne Robinson
and Yousri Afifi 100 Surgery for Congenital Abnormalities of the Genital Tract
299 Naomi S. Crouch 101 Surgical Sperm Retrieval
304 David Muthuveloe and Y. Zaki Almallah Section 6: Urogynecologic Surgery Editors: Pallavi Latthe and G. Willy Davila 102 Sling Procedures: Bladder Injury
309 Fidan Israfil-Bayli and Philip Toozs-Hobson 103 Sling Procedures: Urethral Injury
311 Gamal M. Ghoniem 104 Sling Procedures: Retropubic Hematoma
314 Fidan Israfil-Bayli and Philip Toozs-Hobson 105 Sling Procedures: Bowel Injury
316 Fidan Israfil-Bayli and Philip Toozs-Hobson 106 Sling Procedures: Voiding Dysfunction after Stress Urinary Incontinence Surgery
318 Margarita M. Aponte and Victor W. Nitti 107 Sling Procedures: Tape Erosion into the Bladder
321 Samuel J.S. Grimsley and Y. Zaki Almallah 108 Sling Procedures: Sexual Dysfunction
323 Swati Jha and Ranee Thakar 109 Sling Procedures: Persistent Urine Leakage
325 Luis Manuel Espaillat-Rijo and G. Willy Davila 110 Difficult Vaginal Hysterectomy
329 G. Willy Davila 111 Vaginal Hysterectomy: Difficulty in Entering the Posterior Pouch
332 Alfredo Jijon and G. Willy Davila 112 Salpingo-oophorectomy at the Time of Vaginal Hysterectomy
335 Alfredo Jijon and G. Willy Davila 113 Bladder Injury During Anterior Vaginal Repair or Vaginal Hysterectomy
338 Pallavi Latthe
Suneetha Rachaneni
and Mohammed Belal 114 Difficult Sacrocolpopexy
341 Orfhlaith E. O'Sullivan and Barry A. O'Reilly 115 Difficult Sacrospinous Fixation
345 Smita Rajshekhar and Rohna Kearney 116 Recurrent Pelvic Organ Prolapse
348 Monika Vij and Robert Freeman 117 Colpocleisis
351 Kalaivani Ramalingam and Ash Monga 118 Uterine Suspension Procedures: Laparoscopic Hysteropexy
353 Natalia Price and Simon Jackson 119 Mesh Tape Exposure Following Tension-free Vaginal Tape
356 Helen Bolton and Mark Slack 120 Vaginal Vault Evisceration
360 Swati Jha 121 Complications in Laparoscopic Pelvic Floor Surgery
362 Nir Haya and Christopher Maher 122 Robotic Urogynecology Procedures
367 Orfhlaith E. O'Sullivan and Barry A. O'Reilly 123 Complications in Robotic Pelvic Floor Surgery
370 Amie Kawasaki 124 Neovagina
372 Lynsey Hayward and G. Willy Davila 125 Vaginal Stricture After Pelvic Organ Prolapse Surgery
375 Ted M. Roth
G. Rodney Meeks and G. Willy Davila 126 Urethral Diverticula and Other Periurethral Masses
378 Bhavin Patel and Kathleen C. Kobashi 127 Vesicovaginal Fistulae
382 Karolynn T. Echols
Tamara V. Toidze
and Edward Stanford 128 Urethrovaginal Fistulae
386 Sohier Elneil 129 Rectovaginal Fistulae
389 Claire Burton and Simon Radley 130 Secondary Anal Sphincter Repair
392 Steven D. Wexner and Emanuela Silva Section 7: Gynecologic Oncology Editors: Kavita Singh
Mahmood I. Shafi
and Kiong K. Chan 131 Large Loop Excision of the Transformation Zone
399 Mahmood I. Shafi 132 Knife Cone Biopsy
401 Najum Qureshi 133 Staging Procedures: Examination Under Anesthesia
Cystoscopy
Sigmoidoscopy
and Biopsy Techniques
403 Mahmood I. Shafi 134 Radicality of Surgery for Cervical Cancer
406 Mahmood I. Shafi 135 Pelvic and Para-aortic Lymphadenectomy in Gynecologic Cancers
408 Kavita Singh and Rami Fares 136 Trachelectomy for Treatment of Cervical Cancer
412 Kavita Singh and Janos Balega 137 Laparoscopic Radical Surgery for Cervical Cancer
414 Mohamed Mehasseb 138 Groin and Retroperitoneal Lymphocele
416 David M. Luesley 139 Laparotomy for a Pelvic Mass of Uncertain Nature
418 Mahmood I. Shafi 140 Gynecologic Cancer Extending to the Bowel
420 Kiong K. Chan 141 Omental Procedures: Supracolic Omentectomy
Infracolic Omentectomy
and Omental Biopsy
423 Kiong K. Chan 142 Diaphragmatic Surgery in Advanced Ovarian Cancer
425 Ariella Jakobson-Setton and Kavita Singh 143 Fine-needle Aspiration Biopsy of Superficial Groin Lymph Node
428 Moji Balogun 144 Vulval Surgery: Wide Local Excision and Vulvectomy
431 Mahmood I. Shafi 145 Sentinel Node Biopsy in Gynecologic Cancer
433 Kavita Singh 146 Groin Lymphadenectomy
435 Ketan Gajjar 147 Plastic Surgical Techniques in Vulval or Perineal Procedures
438 Mahmood I. Shafi 148 Vaginectomy
441 Janos Balega and Kavita Singh 149 Urinary Diversion
443 John Parkin 150 Pelvic Exenteration
446 Kavita Singh 151 Gynecologic Cancer and Concurrent Pregnancy
449 Nirmala Rai Talapadi and Sudha Sundar Section 8: Obstetric Surgery Editors: Pallavi Latthe
Kiong K. Chan
and Arri Coomarasamy 152 Ovarian Cyst Identified at Cesarean Section
455 Kiong K. Chan and Ioannis Gallos 153 Laparoscopy in Pregnancy
457 Kevin J.E. Stepp and Anjana Nair 154 Cervical Cerclage
459 Ayesha Mahmud and Yousri Afifi 155 Cesarean Section in a Woman with Fibroids
463 Andrew Prentice 156 Cesarean Section at the Limits of Viability
465 Catherine Aiken and Jeremy Brockelsby 157 Difficult Delivery of the Fetal Head During Cesarean Section
468 Parveen Abedin 158 Surgical Management of Massive Obstetric Hemorrhage from the Uterus
Cervix
or Vagina
470 Phil Steer 159 Surgical Management of Placenta Praevia
475 Vibha Giri and Mohan Kumar 160 Surgical Management of Placenta Accreta
479 Vibha Giri and Mohan Kumar 161 Surgical Management Options for Shoulder Dystocia: Zavanelli Maneuver
Abdominal Rescue
Symphysiotomy
and Cleidotomy
482 Syeda Batool Mazhar and Asia Nazir 162 Uterine Inversion
485 Phil Steer 163 Episiotomy and Second-degree Tear
488 Khaled M.K. Ismail and Sara S. Webb 164 Obstetric Anal Sphincter Tear
490 Natalie P. Nunes
Helen Stevenson
and Matthew Parsons 165 Pregnancy and Female Genital Mutilation
493 Naomi Low-Beer and Gubby Ayida 166 Destructive Operations on a Dead Fetus
496 Hany Abdel-Aleem 167 Development of a Basic Obstetric Theater Facility in a Low-resource Setting
499 Zahida Qureshi and Alfred Murage Section 9: Miscellaneous Editors: Mahmood I. Shafi and Arri Coomarasamy 168 Enhanced Recovery
505 Manjeet Shehmar 169 Major Surgery in a Jehovah's Witness Patient
507 Martyn Underwood and William Parry-Smith 170 Termination of Pregnancy at Advanced Gestation
509 Rohan Chodankar and Janesh Gupta 171 Cervical Fibroids: Techniques for Myomectomy and Hysterectomy
511 Deborah R. Karp 172 Hysterectomy for Broad Ligament Fibroids
514 Kiong K. Chan 173 Hysterectomy for a Double Uterus
516 Kiong K. Chan 174 Cervical Stump Excision
518 Kiong K. Chan 175 Surgery for Ovarian Remnant
520 Kiong K. Chan and Arri Coomarasamy 176 Surgery for Missing Intrauterine Contraceptive Device
522 Toh Lick Tan 177 Management of Imperforate Hymen
Transverse and other Vaginal Septa
525 Jane MacDougall 178 Benign Lesions in the Groin and Vulva
528 Jennifer Byrom 179 Cystic Structure in the Upper Vagina
531 Ted M. Roth and G. Rodney Meeks 180 Adnexal Masses in Infants and Children
533 Rachel J. Miller and Kris Ann P. Schultz 181 Nerve Injuries Associated with Gynecologic and Obstetric Surgery
536 Djavid Alleemudder 182 Consent Challenges
540 William Parry-Smith and Martyn Underwood 183 Dealing with Complaints
542 Mahmood I. Shafi 184 Dealing with Litigation
544 Rebekah Ley and Mahmood I. Shafi Index
547