By Robert S. and Zimmerman, Carl W. Kovac
This text/DVD package deal is a step by step, completely illustrated consultant to cutting-edge thoughts in vaginal surgical procedure. The ebook info the newest recommendations and applied sciences for working during the vagina, files the proof aiding the vaginal method of such a lot hysterectomies, and describes vaginal reconstructive surgical procedures for correcting many anatomic defects that reason sufferer difficulties. beginning sections overview pelvic anatomy and speak about instruments for vaginal surgical procedure, together with antibiotic prophylaxis. next sections concentrate on particular surgical procedures, together with hysterectomies, reconstruction of the vagina, and methods for treating urinary incontinence, colorectal difficulties, and fistulas. the ultimate part discusses acceptance and administration of intraoperative and postoperative problems. A bound-in DVD comprises electronic movies of vaginal hysterectomy, fix of the anterior vaginal section, site-specific colpocleisis, and overall procendentia.
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Extra info for Advances in Reconstructive Vaginal Surgery
The view on your right shows the lower pelvic floor removed to illustrate the pelvic diaphragm. (From, Anderson JR, Genadry R. Anatomy and embryology. In: Berek JS, ed. Novak's Gynecology. 13th ed. ) The upper pelvic floor (pelvic diaphragm), beginning with the cephalad pelvic membrane, consists mainly of the components of the levator ani muscle and its fascial coverings. A U-shaped muscle originates from the pubic rami on either side of the midline and laterally attaches to the arcus tendineus; the levator ani muscle passes around the rectum, opens anteriorly, and covers most of the pelvic inlet.
One way to kink the ureter is with the paravaginal stitches placed in the obturator fascia near the ischial spine, and then aggressively attached to the visceral fascia on the side of the bladder; this should be avoided. The ureter courses in the visceral connective tissues leading to the bladder, on top of the visceral connective tissue (fibromuscular coat) intimately fused with the vaginal epithelium. Cystoscopy must be consistently performed during these surgeries in order to ensure bilateral ureteral function.
12. Cruikshank SH, Kovac SK. Anatomic changes of the ureter during vaginal hysterectomy. Contemp Obstet Gynecol 1993;38:38â€“52. 13. Rogers RM Jr. Basic Pelvic neuroanatomy. In: Steege JF, Metzger DA, Levy B, eds. Chronic Pelvic Pain: An Integrated Approach. New York: WB Saunders, 1998. 14. Irvin W, Andersen W, Taylor P, et al. Minimizing the risk of neurologic injury in gynecologic surgery. Obstet Gynecol. 2004;103: 374-382. Editors: Kovac, S. Robert; Zimmerman, Carl W. Title: Advances in Reconstructive Vaginal Surgery, 1st Edition Copyright Â©2007 Lippincott Williams & Wilkins > Table of Contents > I - Female Pelvis > 2 - Applied Anatomy and Physiology of Female Pelvic Floor Support Disorders: The Identification of Site-Specific Defects and their Associated Pathophysiology 2 Applied Anatomy and Physiology of Female Pelvic Floor Support Disorders: The Identification of Site-Specific Defects and their Associated Pathophysiology Thomas M.
Advances in Reconstructive Vaginal Surgery by Robert S. and Zimmerman, Carl W. Kovac