Vaginal and Laparoscopic Vaginal Surgery

Preface vii
Acknowledgments ix
1 Introduction 1
2 Anatomy 3
Anatomy of the uterus and the organs situated close to it
Fascia and free spaces between the genital organs and the organs located close
to them
Ligaments and free spaces between the pelvic organs and the pelvic walls
Urogenital and pelvic diaphragms
3 Instruments 15
Positioning the patient on the table
The instruments and the way to use them
4 Perioperative care 19
Anesthesia
Prevention of hemorrhage
Prevention of thrombosis
Prevention of infection
Conclusion
5 Surgery of the cervix: conization 31
Technique
Postoperative course and complications
Indications and postoperative management
6 Colpotomy 41
Technique
Postoperative course and complications
Indications and contraindications
7 Vaginal hysterectomy 47
Technique
Postoperative course/complications
Indications and contraindications
Future
8 Genital prolapse 87
Technique
Postoperative course and complications
Indications and contraindications
9 Vesico- and rectovaginal fistulas 131
Upper colpocleisis described by Latzko
Vaginal flaps for lower fistulas
Perineal bipartition and reconstruction described by Musset
10 Vaginal surgery in obstetrics 141
Vaginal Cesarean section
Vaginal isthmic cerclage
Cervical closure as described by Saling
11 Laparoscopic assistance for vaginal surgery 147
Definitions and concepts
Place of laparoscopic assistance in different situations
Conclusion
12 Laparoscopic vaginal radical hysterectomy 151
Technique
Postoperative course and complications
Indications and contraindications
Future
13 Laparoscopic vaginal radical trachelectomy 187
Technique
Postoperative course
Indications and contraindications
Oncological outcome
Obstetric outcome
Conclusion
14 Laparoscopic vaginal colpoplasty or colpopoiesis 201
Technique
Postoperative course and complications
Indications
Index 207