This third edition has been extensively updated to provide the gynecologic surgeon with a state-of-the-art
and practical resource that can be used to review or learn about commonly performed surgical
procedures in minimally invasive gynecology. To meet the needs of both novice and experienced
surgeons, the text is engineered to cover the clinical decision-making, key instrumentation, and technical
cascade for each surgical procedure. Wherever possible, discussion is focused on methods to optimize
outcome and reduce risk. The content in this latest edition has been substantially bolstered by the
addition of chapters covering vaginal hysterectomy, tissue retrieval in laparoscopic surgery, single port
laparoscopy, robotic hysterectomy, robotic myomectomy, robotic sacralcolpopexy, radical robotic
hysterectomy, and hemostatic agents for laparoscopic surgery.
1. Patient preparation, 1
2. The art of the competent surgeon: Anatomy and surgical dissection, 7
3. Instrumentation and equipment, 17
4. Anesthesia in laparoscopy, 31
5. Creation of pneumoperitoneum and trocar insertion techniques, 43
6. Energy systems in laparoscopy, 55
7. Laparoscopic suturing, 69
8. Laparoscopic tubal sterilization, 79
9. Laparoscopic surgery for adhesions, 87
10. Ectopic pregnancy, 107
11. Laparoscopic management of the adnexal mass, 115
12. Laparoscopic myomectomy, 123
13. Nonsurgical options for treatment of uterine fibroids, 131
14. Tissue retrieval in laparoscopic surgery, 137
15. Surger for endometriosis, 147
16. Vaginal hysterectomy and adnexectomy technique, 157
17. Laparoscopic assisted vaginal hysterectomy (LAVH), 167
18. Laparoscopic supracervical hysterectomy (LSH), 175
19. Total laparoscopic hysterectomy (TLH), 183
20. Retroperitoneal dissection of the pelvic sidewall, 195
21. Lower urinary tract endoscopy, 203
22. Laparoscopic paravaginal repair and Burch urethropexy, 209
23. Midurethral sling procedures for stress urinary incontinence, 217
24. Laparoscopic sacrocolpopexy and cervicopexy, 227
25. Laparoscopic uterosacral ligament suspension, 237
26. Laparoscopy in children and adolescent patients, 247
27. Endoscopic diagnosis and correction of malformations of female genitalia, 253
28. Laparo-Endoscopic Single Site (LESS) Surgery, 265
29. Laparoscopic bowel surgery, 275
30. Laparoscopic radical hysterectomy, 285
31. Laparoscopic and robotic-assisted laparoscopic lymphadenectomy in Gynecologic Oncology, 295
32. Robotics: The clinical nuts and bolts to applications in minimally invasive gynecologic surgery, 303
33. Robotic hysterectomy, 311
34. Robotic myomectomy, 319
35. Robotic sacrocolpopexy, 327
36. Robotically-assisted radical hysterectomy, 333
37. Hemostatic agents in laparoscopic surgery, 347
38. Complications of laparoscopic surgery, 367