© 2006 – CRC Press
304 pages | 343 Color Illus.
Surgical techniques that take advantage of the vaginal route are now used quite widely. The advantages of this approach are numerous: patient comfort, aesthetic results and, above all, reduced post-operative morbidity. In addition, the time necessary for hospitalization and convalescence are reduced, and that using instruments less onerous than those required for laparoscopy. Nevertheless, the application of this technique requires expertise, training, and experience. This is why this reference, resolutely didactic and practical, was written with the ambition to become a handbook of reference for the proven techniques of vaginal surgery.
SURGICAL ENVIRONMENT. Immediate pre- and postoperative care.
Positioning. Instrumentation. Specific anatomy and the creation of spaces.
SIMPLE HYSTERECTOMY. Vaginal hysterectomy. Techniques for reducing uterine volume. Simple trachelectomy. Annexectomy. LAPAROSCOPIC ASSISTANCE.
Laparoscopic assistance for the vaginal approach. ONCOLOGICAL SURGERY.
The Schanta operation with preparatory laparoscopy. Radical trachelectomy.
Colpectomy. PROLAPSUS. Techniques for curing genital prolapses.
Vaginal Colpohysterectomy. Anterior operational stages - Campbell intervention.
Anterior operative stages - Paravaginal suspension to the tendinous. Arches of the pelvic fascia. Anterior operational stages - the "Plastron" technique. Posterior operational stages - Suspension of the vaginal vault according to Richter. Posterior operational stages - Myorrhaphy of the levator muscles. Posterior operational stages - Douglassectomy.
Posterior operational stages - Perineal repair according to Musset. Uterine preservation - Richardson operation. Uterine preservation - Manchester operation and Shirodkar technique. Recently developed techniques for the treatment of genital prolapse..
URINARY INCONTINENCE. Urinary incontinence : generalities. Suburethral slings.
Suburethral slings via a transobturator approach. Vaginal sling. Bologna operation.
"Classical" slings. DIAGNOSIS AND TREATMENT OF COMPLICATIONS.
Visceral injury. Intra- and postoperative haemorrhage. PERSPECTIVES.
History justifies the pre-eminence of vaginal surgery. The role of vaginal surgery in today's gynaecological surgery. Vaginal surgery, surgery of the future. Index
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