Vaginal Surgery-1판

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.


TABLE OF CONTENTS
1 Immediate pre- and postoperative care 3
2 Positioning 5
3 Instrumentation 9
4 Specific anatomy and the creation of spaces 13
5 Vaginal hysterectomy 23
6 Techniques for reducing uterine volume 37
7 Simple trachelectomy 45
8 Annexectomy 49
9 Laparoscopic assistance for the vaginal approach 57
10 The Schanta operation with preparatory laparoscopy 65
11 Radical trachelectomy 77
12 Colpectomy 81
Techniques for curing genital prolapses 88
13 Vaginal colpohysterectomy 91
14 Anterior operational stages - Campbell intervention 99
15 Anterior operative stages - paravaginal suspension to the tendinous arches of the pelvic fascia 103
16 Anterior operational stages - the "Plastron" technique 107
17 Posterior operational stages - suspension of the vaginal vault according to
Richter 115
18 Posterior operational stages - myorrhaphy of the levator muscles 125
19 Posterior operational stages - Douglassectomy 129
20 Posterior operational stages - perineal repair according to Musset 133
21 Uterine preservation - Richardson operation 137
22 Uterine preservation - Manchester operation and Shirodkar technique 141
23 Recently developed techniques for the treatment of genital prolapse 147
Urinary incontinence : generalities 156
24 Suburethral slings 159
25 Suburethral slings via a transobturator approach 171
26 Vaginal sling 175
27 Bologna operation 179
28 "Classical" slings 183
29 Visceral injury 189
30 Intra- and postoperative haemorrhage 195
History justifies the pre-eminence of vaginal surgery 200
The role of vaginal surgery in today's gynaecological surgery 200
Vaginal surgery, surgery of the future 201