Atlas of Gynecologic Surgery 4/e(Hirsch)

A superb work of art as well as an outstanding clinical reference, this book continues the rich tradition of earlier
editions by providing unparalleled coverage of the entire field of gynecologic surgery. This new fourth edition offers
completely updated content, user-friendly features, and the cornerstone of the book: an art program of astounding
quality. It is indispensable for gynecologic surgeons or residents who need to review, refresh, or fine-tune their
skills in preparation for surgery, while being alerted to pitfalls and possible complications at every juncture.

Special features of the new 4th edition of this world-famous atlas:

Nearly 1,200 stunning watercolor drawings that provide a visual depiction of operative steps unequalled in the
literature
Detailed, point-by-point descriptions of routine as well as more complex procedures
Full coverage of abdominal, vaginal, and endoscopic approaches in sections on the adnexa, uterus, vulva/vagina, and
pelvic floor
Introduction of the new Procedure Navigator section, which facilitates a convenient search from disease to indication
to medical or surgical treatment of choice
A truly international perspective, with leading specialists from Europe and the United States sharing their clinical
experience and wisdom
Complete with expert foundational chapters on pre- and postoperative treatment, informed consent, instrumentation,
indications and contraindications, risks and complications, and more, this book is both beautiful and informative. Its
step-by-step didactic concept is ideal for residents-in-training, while its detailed description of both common and
rare procedures makes it useful for experienced surgeons. For all specialists, Atlas of Gynecologic Surgery is a
standard, must-have reference on current methodology and clinical protocols in this rapidly evolving field.



Table of Contents 1

Operations for Benign Conditions of the Ovaries and Tubes and for Relief of Pelvic Pain 11

Minor Diagnostic and Therapeutic Procedures 13

Surgery for Benign Conditions of the Vulva and Vagina 15

Operations at the Cervix 19

Laparoscopy and Hysteroscopy 41

Hysteroscopy 61

Sterilization and Pregnancy Termination 67

Termination of Pregnancy 76

Opening and Closing of the Abdomen 83

Surgery of the Abdominal Wall 97

Umbilical Hernia 104

References 112

Abdominal Procedures for Malposition of the Genital Organs 113

Abdominal Hysterectomy 123

Conservative Surgery for Uterine Fibroids and Uterine Malformations 153

Cesarean Section and Cesarean Hysterectomy 165

Hysterectomy After Cesarean 173

Ovarian Tumors 181

Operations for the Relief of Pelvic Pain 200

Reconstructive Surgery of the Fallopian Tube 207

Vaginal Hysterectomy 225

LaparoscopicallyAssisted Vaginal Hysterectomy LAVH 247

Vaginal Surgery for Pelvic Relaxation 255

Operations for Pelvic Relaxation with Preservation 271

Surgery for Enterocele 277

Denervation of the Vulva for Intractable Pruritus 292

Operations for Septa Atresia and Stenosis 298

Surgery for Cervical Cancer 325

Surgery for Malignancies of the Uterine Corpus 373

Surgery for Cancer of the Ovaries and Tubes 381

Pelvic Exenteration 393

Carcinoma of the Vulva and Vagina 411

References 424

Biopsy Procedures 430

Subcutaneous Mastectomy with Reconstruction 439

Surgical Treatment of Stress Urinary Incontinence 499

Surgery of the Urinary Tract 539

Bladder Injury 545

Surgery for Fistulas of the Lower Urinary Tract 585

Vesicouterine Fistulas 592

Surgery of the Intestinal Tract 609

Surgery of the Large Bowel 619

Proctologic Operations 629

Rectovaginal Fistulas and Defects of the Perineum and Anal Sphincter 653

Vaginoperineal Fistulas 660

PlasticReconstructive Operations 667

Closure of Vulvar and Vaginal Defects 674

Index