State-of-the-Art Vaginal Surgery

Overview

A full-color text, complete with DVD, that covers all aspects of vaginal surgery -- from anatomy to advanced techniques

Surgery plays a key role in the medical management of a wide range of gynecologic conditions, from disorders of the
pelvic floor, pelvic organ prolapse, and benign vulval, and vaginal, uterine and urogical conditions, to ablative and
excision therapy for intraepithelial neoplasia and genital malignancies. This book, written for gynecological surgical
residents (and general surgery residents) covers virtually all aspects of vaginal surgery, ranging from surgical
anatomy and preoperative care to anesthetic considerations and surgical techniques. The book includes full coverage of
advances LEEP, TVT and TVTO, laparoscopic adnexectomy, etc. Full-color illustrations and a user-friendly text help to
further illuminate the latest surgical techniques and instrumentation.

Features


Full-color illustrations
DVD demonstrates advanced techniques
50 chapters in 9 sections cover every aspect of vaginal surgery
Valuable to students as well as surgeons

Table of contents
Contents
Section I: Surgical Anatomy of Female Genital Tract
1. Vulva: Anatomy, Blood Supply and Lymphatic Drainage 3
Asha Sharma, Amita Suneja
2. Pelvic Diaphragm and Supports of Uterus 9
Abha Sharma
3. Uterus and Cervix: Relations, Blood Supply and Lymphatic Drainage 15
Neerja Goel, Ruchika Garg
4. Adnexa in Relation to Vaginal Surgery 20
Namita Grover, Shalini Rajaram
5. Applied Anatomy of Ureter in Relation to Vaginal Surgery 26
Shalini Rajaram, Sandhya Jain
Section II: Preoperative Care, Operation Theatre, Sutures and Instruments
6. Current Concepts in Preoperative Care 37
Rashmi Malik
7. Thromboprophylaxis for Vaginal Surgery 46
Neerja Goel, Gunjan Singh
8. Reducing Surgical Risk for HIV and Hepatitis B Infection 53
Shalini Rajaram, Asha Sharma
9. Operating Tables, OT Lighting and Positions for Vaginal Surgery 65
Medha Mohta, Tarun Bhagchandani
10. Electrosurgical Cautery Units 75
Manpreet Singh, Namita Grover
11. Sutures and Suturing Techniques 87
Nitin Agarwal, Anshul Grover, Neerja Goel
12. Instruments for Vaginal Surgery 98
Shalini Rajaram, Harsha Sharma, Nitin Agarwal
Section III: Anesthesia, Blood Transfusion and Sterilization Techniques
13. Anesthetic Considerations for Vaginal Surgery 113
Ashok Kumar Saxena, Raman Azad, Nitin Jain
14. Blood Transfusion: Guidelines, Recommendations and Complications 122
Nitin Jain, Ashok Kumar Saxena
15. Sterilization and Disinfection of Surgical Instruments and Endoscopes 129
AK Sethi, Deepti Agarwal
Section IV: Vulval Surgery
16. Vulval Disorders (Non-neoplastic and Premalignant),
Biopsy Techniques and Wide Local Excision 151
Sudha Prasad, Shakun Tyagi
17. Hymenectomy, Labial Fusion Release, Introital Widening, Schuchardt’s Incision 160
Neerja Goel, Rajni Gill
18. Bartholin’s Gland Surgery: Incision and Drainage, Marsupialization and Excision 167
Rachna Agarwal, Gayathri R
19. Simple Vulvectomy for Intraepithelial Neoplasia 177
Amita Suneja, Richa Agarwal
20. Radical Vulvectomy with Groin Dissection 184
K Chitrathara, Rema P
21. Vestibulectomy for Vulvodynia 195
Rachna Agarwal, Pushpanjali Rai
Section V: Vaginal Surgery for Prolapse and Reconstructive Vaginal Surgery
22. Current Concepts of Pelvic Organ Prolapse: Evaluation and Choice of Procedure 205
KC Singh, SD Barman
23. Surgical Correction of Anterior Compartment Defects 209
Abha Sharma
24. Surgical Correction of Posterior Compartment Defects 217
Abha Sharma
25. Manchester Repair 224
Kiran Guleria
26. Vaginal Hysterectomy and Enterocele Repair 232
AG Radhika
27. Sacrospinous Colpopexy 240
KC Singh, SD Barman
28. Posthysterectomy Vault Prolapse 246
Sumita Mehta
29. Complete Perineal Tear 258
Harsha Khullar, SK Bhandari, Kanika Jain, Geeta Mehdiratta
30. Radical Vaginal Hysterectomy 266
Partha Basu
31. Vaginectomy 277
K Chitrathara, Namrata Kachhara
32. Colpocleisis 286
Neerja Goel, Seema Ummat
33. Culdocentesis and Colpotomy 293
Shalini Jain
34. Skin and Muscle Grafts 296
Upender Sharma
35. Creation of Neovagina 305
Gita Radhakrishnan, Gunjan Singh
36. Excision of Transverse and Longitudinal Vaginal Septum 312
Sumita Mehta
37. Fallopian Tube Prolapse and Tubal Ligation 318
Shalini Rajaram, Namita Grover
Section VI: Surgery of Cervix
38. Cervical Biopsy Techniques 325
Neerja Goel, Madhu Bagaria
39. Ablative (Cryotherapy) and Excision (LEEP) Procedures for CIN 331
Neerja Bhatla, Shilpa Singla
40. Cervical Incompetence and Cervical Cerclage Techniques 339
Kanwal Gujral, Nidhi Khera, Chandra Mansukhani
Section VII: Non-Descent Vaginal Hysterectomy
41. Basic and Clampless Techniques 355
Shalini Rajaram, Neerja Goel
42. Volume Reductive Vaginal Hysterectomy 366
Neerja Goel, Shalini Rajaram, Rachna Agarwal
43. Technique of NDVH in Nulliparous, Obese and Women with Previous Surgeries 375
Shirish S Sheth, Kurush Paghdiwalla
44. Laparoscopic and Vaginal Adnexectomy 392
Alka Kriplani, Sumana G, Pradeep Kumar Garg
Section VIII: Genital Fistulae, Rectal Prolapse and Stress Urinary Incontinence
45. Vesicovaginal Fistula 401
JB Sharma
46. Rectovaginal Fistulae 406
Sanjay Gupta
47. Rectal Prolapse with Anal Incontinence 416
Arun Gupta
48. Surgery for Stress Urinary Incontinence 420
Pranathi Reddy
Section IX: Postoperative Care
49. Postoperative Management in Vaginal Surgery 429
Shalini Rajaram, Rashmi Khatri
50. Complications of Vaginal Surgery 436
Vijay Zutshi, Sumita Mehta
Index 451