Te Linde's Operative Gynecology

Author: Howard Jones, III, MD, John Rock, MD
Affiliation:
Publisher: Lippincott Williams & Wilkins
Publication Date: 2015
ISBN 10: 1451177364
ISBN 13: 9781451177367
Edition: 11th

Description:

For nearly 70 years, health care professionals have turned to Te Linde's Operative Gynecology for authoritative, dependable guidance on everything from general topics of surgical ethics to details of surgical procedures. As surgical techniques continue to evolve and new procedures are introduced, Te Linde's remains your text of choice for up-to-date information and advice from today's best surgeons and teachers. Updated diagnostic and management approaches are provided throughout, as well as practical "pearls" that will improve your skills no matter what your level of experience. Features:New steps in the Procedure boxes included in all surgical chapters Get up-to-date guidance on everything from general background and pathology for surgical problems to patient and treatment selection, step-by-step surgical techniques, and post-operative concerns. Benefit from the strong visual support of more than 1,200 hand-drawn color illustrations, now colorized to even more clearly portray the location of blood vessels, ligaments, and other structures. Access high-quality video demonstrations online and see exactly how to perform selected vaginal surgeries. Explore innovative techniques with a new chapter on robotic surgery. In addition, the chapter on electrosurgical techniques has been extensively updated to include vessel sealing instruments. Discover fresh ideas and approaches thanks to new contributing authors Gain new insights into professional liability with an increased emphasis on risk prevention. e-Features: Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like:Complete content with enhanced navigation. Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web. Cross-linked pages, references, and more for easy navigation.

Table of Contents

Front Matter

  • ABOUT
  • DEDICATION
  • Contributors
  • Foreword
  • Preface
  • Preface from First Edition

SECTION I General Topics Affecting Gynecologic Surgery Practice

    CHAPTER 1: Operative Gynecology Before the Era of Laparoscopy: A Brief History

    • Introduction
    • Barriers to Surgical Progress
    • Beginnings of Gynecologic Surgery in 19th-Century America
    • Women as Patients in the 19th Century
    • The Relation Between Surgery and Gynecology
    • Gynecology in the 20th Century and Dr. Te Linde’s Book
    • The Beginning of the Era of Laparoscopy
    • Operative Gynecology, First Edition, 1946
    • Best Surgical Practices
    • Bibliography

    CHAPTER 2: The Ethics of Pelvic Surgery

    • Theory and Practice of Ethics in Medicine
    • Autonomy and Informed Consent
    • Ethical Issues in Surgical Training
    • Examination Under Anesthesia
    • Medical Legal Aspects of Gynecologic Care
    • Privacy and the Health Insurance Portability and Accountability Act
    • Confidentiality
    • Ethical Issues in Research on Human Subjects
    • Informed Refusal and the Jehovah’s Witness Patient
    • Advanced Planning and End-of-Life Decision Making
    • Relationships with Industry
    • Ethical Challenges Specific to Gynecologic Care
    • Conclusion
    • Best Surgical Practices
    • Bibliography

    CHAPTER 3: Psychological Aspects of Pelvic Surgery

    • Introduction
    • ANKH
    • Communication
    • Psychological Preparation for Surgery
    • Psychodynamics Specific to Diagnosis and Surgery
    • Psychosexual Rehabilitation
    • Special Cases
    • Dealing with Death
    • Future Trends
    • Conclusion
    • Bibliography

    CHAPTER 4: Risk Prevention, Risk Management, and Professional Liability

    • Introduction
    • Section I: The Genesis of Malpractice Claims
    • Section II: Professionalism and Risk Prevention
    • Section III: Managing a Risk Event
    • Section IV: Litigation
    • Conclusion
    • Acknowledgments
    • Bibliography

    CHAPTER 5: The Changing Environment in Which We Practice Gynecologic Surgery

    • Introduction
    • Health Care Reform
    • Quality Initiatives
    • Pay for Performance
    • Electronic Health Record
    • Changes in Education
    • Postgraduate Training
    • Hospitalists/Laborists
    • Rating Scientific Evidence
    • Conclusion
    • Best Surgical Practices
    • Bibliography

    CHAPTER 6: Training the Gynecologic Surgeon: Maintaining and Improving Surgical Skills

    • History of Surgical Education
    • Educational Theories: How do Adults learn?
    • Out of Operating Room Learning Experiences
    • Mental Imagery (Mental Practice)
    • Web-Based Learning
    • Teaching in the Operating Room
    • Surgical Skills Assessments
    • Challenges in Surgical Education
    • Future Directions
    • Conclusion
    • Best Surgical Practices
    • Bibliography

SECTION II Principles of Anatomy and Perioperative Considerations

    CHAPTER 7: Surgical Anatomy of the Female Pelvis

    • Vulva and Erectile Structures
    • The Pelvic Floor
    • Pelvic Connective Tissue and Cleavage Planes
    • Retroperitoneal Spaces and Lateral Pelvic Wall
    • The Abdominal Wall
    • Best Surgical Practices
    • Bibliography

    CHAPTER 8: Preoperative Care of the Gynecologic Patient

    • Introduction
    • Preoperative Counseling
    • Screening for Perioperative Risk
    • Value of Screening Laboratory Studies and Other Testing
    • Perioperative Management of Medications Taken Chronically
    • Preoperative Management of Risk Factors
    • Risk Reduction on the Day of Surgery
    • Bibliography

    CHAPTER 9: Postanesthesia and Postoperative Care

    • Postoperative Vascular Complications
    • Postoperative Pulmonary Complications
    • Postoperative Care of the Urinary Bladder
    • Postoperative Gastrointestinal Tract Management
    • Routine Orders
    • Best Surgical Practices
    • Bibliography

    CHAPTER 10: Water, Electrolyte, and Acid–Base Metabolism

    • Clinical Assessment of Disorders of Water and Electrolyte Metabolism
    • Database for Assessment of Effective Intravascular Volume
    • Clinical Assessment of Disorders of Extracellular Fluid Composition
    • Management of Water and Electrolyte Balance
    • Potassium Metabolism
    • Acid–Base Metabolism
    • Management
    • Metabolic Alkalosis
    • Best Surgical Practices
    • Bibliography

    CHAPTER 11: Postoperative Infections: Prevention and Management

    • Introduction
    • Febrile Morbidity
    • Incidence
    • Vaginal Flora
    • Risk Factors for Infection
    • Etiology
    • Categories of Infection
    • Evaluation of the Patient with Suspected Infection
    • Treatment
    • Prevention of Infection
    • Universal Precautions
    • Best Surgical Practice
    • Bibliography

    CHAPTER 12: Shock in the Gynecologic Patient

    • Introduction
    • Definition and Etiologies of Shock
    • Physiologic Response
    • Treatment of Shock
    • Summary
    • Bibliography

    CHAPTER 13: Wound Healing, Suture Material, and Surgical Instrumentation

    • Wound Healing
    • Suture Material
    • Surgical Instrumentation
    • Conclusion
    • Best Surgical Practices
    • Bibliography

SECTION III Principles of Gynecologic Surgical Techniques and Management of Endoscopy

    CHAPTER 14: Incisions for Gynecologic Surgery

    • Introduction
    • Anatomy of the Anterior Abdominal Wall
    • Physiology of Wound Healing
    • Sutures
    • Prevention of Surgical Site Infections
    • Best Practice
    • Abdominal Incisions
    • Best Practice
    • Delayed Primary Closure and Secondary Closure
    • Complete Wound Dehiscence and Evisceration
    • Incisional Hernia
    • Perineotomy Incisions
    • Best Surgical Practices
    • Bibliography

    CHAPTER 15: Principles of Electrosurgery and Laser Energy Applied to Gynecologic Surgery

    • Introduction
    • History and the Development of Electrosurgery
    • Basic Principles of Electrosurgery
    • Electrosurgical Generators
    • Monopolar and Bipolar
    • Tissue Effects
    • Electrosurgery and Patient Safety
    • Advanced Monopolar and Bipolar Devices
    • Ultrasonics
    • Special Surgical Situations
    • Electrosurgical Applications in Operative Hysteroscopy
    • Bipolar Hysteroscopic Surgery
    • Bipolar Endometrial Ablation
    • Laser Technology
    • Laser Safety
    • Summary
    • Best Surgical Practices
    • Bibliography

    CHAPTER 16: Diagnostic and Operative Laparoscopy

    • History
    • Indications for Laparoscopy
    • Equipment
    • Positioning the Patient for Laparoscopic Surgery
    • Entering the Abdominal Cavity
    • Secondary Trocar Placement
    • Tissue Removal
    • Fascial Closure
    • Diagnostic Laparoscopy
    • Operative Laparoscopic Procedures
    • Laparoscopic Myomectomy
    • Laparoscopy Using Local Anesthesia or Conscious Sedation
    • Complications
    • Conclusion
    • Best Surgical Practices
    • Bibliography

    CHAPTER 17: Robotic Surgery

    • Introduction
    • Robotic Training
    • Robot Components and Instrumentation
    • OR and Table Setup
    • Gynecologic Procedures Performed Robotically
    • Cost Analysis
    • Implementing a Robotic Surgery Program
    • Best Surgical Practices
    • Bibliography

    CHAPTER 18: Operative Hysteroscopy

    • Introduction
    • Instrumentation
    • Camera
    • Accessory Instruments
    • Distending Media
    • Gaseous Media
    • Liquid Media
    • Diagnostic Hysteroscopy Techniques
    • Operative Hysteroscopy Techniques
    • Electrosurgical Devices and Lasers
    • Specific Procedures in Hysteroscopic Surgery
    • Complications
    • Best Surgical Practices
    • Bibliography

    CHAPTER 19: Control of Pelvic Hemorrhage

    • Introduction
    • Fundamental Concepts of Normal Coagulation
    • Preoperative Coagulation Assessment for Surgical Patients
    • Component Therapy for Replacement before Surgery
    • Component Therapy for Replacement during Surgery
    • Component Therapy for Postoperative Replacement
    • Risks of Blood Transfusion
    • Autologous Blood Transfusion
    • Basic Surgical Principles to Avoid Excessive Bleeding in Pelvic Surgery
    • Intraoperative Measures to Control Pelvic Hemorrhage
    • Postoperative Bleeding
    • Summary
    • Best Surgical Practices
    • Bibliography

SECTION IV Surgery for Fertility

    CHAPTER 20: The Impact of Assisted Reproductive Technology on Gynecologic Surgery

    • Assisted Reproductive Technology
    • Assisted Reproductive Technology and Endometriosis
    • Assisted Reproductive Technology and Tubal Infertility
    • Assisted Reproductive Technology and Surgical Management of Uterine Myomas
    • Assisted Reproductive Technology and the Indication for Hysterectomy
    • Assisted Reproductive Technology and the Preservation of Fertility After Surgical Menopause
    • Conclusion
    • Best Surgical Practices
    • Bibliography

    CHAPTER 21: Reconstructive Tubal Surgery

    • Introduction
    • Tubal Factor Infertility
    • Investigation
    • Treatment of Tubal Infertility
    • Reproductive Surgery
    • Microsurgery
    • Surgical Technique
    • Bibliography

    CHAPTER 22: Endometriosis

    • Introduction
    • Prevalence
    • Histogenesis
    • Natural History
    • Pathophysiology
    • Diagnosis
    • Classifications
    • Therapies
    • Endometriosis and Assisted Reproductive Technologies
    • Adenomyosis
    • Best Surgical Practices
    • Bibliography

    CHAPTER 23: Surgical Conditions of the Vulva

    • Introduction
    • Vulvar Dermatoses
    • Vulvar Intraepithelial Neoplasia
    • Technique of Conservative (Simple) Vulvectomy
    • Vulvar Reconstruction
    • Vulvar Pruritus
    • Vulvar Pain and Vulvodynia
    • Vulvar Infections
    • Crohn Disease
    • Trauma
    • Cysts of the Vulva
    • Solid Tumors of the Vulva
    • Best Surgical Practices
    • Acknowledgments
    • Bibliography

    CHAPTER 24: Surgical Conditions of the Vagina and Urethra

    • Obstructive Lesions of the Vagina
    • The Urethra
    • Best Surgical Practices
    • Bibliography

SECTION V Surgery for Benign Gynecologic Conditions

    CHAPTER 25: Surgery for Anomalies of the Müllerian Ducts

    • Introduction
    • Classification of Uterovaginal Anomalies
    • Embryology
    • Congenital Absence of the Müllerian Ducts
    • Methods of Creating a Vagina
    • Disorders of Vertical Fusion
    • Disorders of Lateral Fusion
    • Unusual Configurations of Vertical-Lateral Fusion Defects
    • Best Surgical Practices
    • Bibliography

    CHAPTER 26: Normal and Abnormal Uterine Bleeding

    • Introduction
    • Menstrual Physiology
    • Endocrinology
    • Abnormalities of the Menstrual Cycle
    • Perimenopausal and Postmenopausal Bleeding
    • Curettage of the Uterus
    • Best Surgical Practices
    • Bibliography

    CHAPTER 27: Tubal Sterilization

    • Introduction
    • Timing of Sterilization
    • Preoperative Evaluation
    • Anesthesia
    • Surgical Approach
    • Method of Tubal Occlusion
    • Immediate Complications
    • Delayed Complications
    • Vasectomy as a Surgical Alternative
    • Best Surgical Practices
    • Bibliography

    CHAPTER 28: Surgery for Benign Disease of the Ovary

    • Introduction
    • Embryology
    • Gene Expression
    • Female Fetal Development
    • Anatomy
    • Adnexal Mass
    • Adnexal Mass During Pregnancy
    • Ultrasound
    • Magnetic Resonance Imaging
    • Tumor Markers
    • Minimally Invasive Approach to an Adnexal Mass
    • Ovarian Remnant Syndrome
    • Residual Ovary
    • Adnexal Torsion
    • Surgery of the Ovarian Surface
    • Reconstruction of the Ovary
    • Resection of Benign Cysts
    • Management of Polycystic Ovarian Disease
    • Incidentaloma
    • Paradoxical Oophorectomy
    • Fertility Preservation with Cancer
    • Ovarian Transposition Before Radiotherapy
    • Prophylactic Oophoectomy in Association with Increased Cancer Risk
    • Ovarian Cysts in Neonate and Prepubertal Child
    • Laparoscopic Ovarian Surgery in the Pediatric or Adolescent Patient
    • Best Surgical Practices
    • Bibliography

    CHAPTER 29: Persistent or Chronic Pelvic Pain

    • Introduction
    • History
    • Contributions of Peripheral Pain Generators
    • Psychological Factors
    • Diagnostic Strategies
    • Management
    • The Evolution of a Chronic Pain Syndrome
    • Best Surgical Practices
    • Bibliography

    CHAPTER 30: Pelvic Inflammatory Disease

    • Introduction
    • Epidemiology
    • Etiology
    • Risk Factors
    • Diagnosis
    • Sequelae
    • Mortality
    • Treatment
    • Management of Sex Partners
    • HIV Infection
    • Surgical Management
    • Posterior Colpotomy
    • Percutaneous Drainage
    • Exploratory Laparotomy
    • Ruptured Pelvic Abscess
    • Primary Ovarian Abscess
    • Surgery for Chronic Pelvic Inflammatory Disease
    • Pelvic Tuberculosis
    • Best Surgical Practices
    • Bibliography

    CHAPTER 31: Leiomyomata Uteri and Myomectomy

    • Introduction
    • Etiology, Pathology, and Growth Characteristics of Uterine Leiomyomata
    • Clinical Features of Uterine Leiomyomata
    • Choice of Treatment for Uterine Leiomyomata
    • Best Surgical Practices
    • Abdominal Myomectomy Checklist
    • Bibliography

    CHAPTER 32A: Abdominal Hysterectomy

    • Introduction
    • History
    • Incidence
    • Indications for Hysterectomy
    • Choice of Approach: Abdominal, Vaginal, or Laparoscopic
    • Preoperative Counseling
    • Preparation for Hysterectomy
    • Total Abdominal Hysterectomy: Surgical Technique
    • Subtotal Abdominal Hysterectomy
    • Postoperative Care
    • Complications
    • Best Surgical Practices
    • Bibliography

    CHAPTER 32B: Vaginal Hysterectomy

    • Introduction
    • Indications
    • Preoperative Preparation
    • Operative Technique
    • Vaginal Oophorectomy
    • Closure and Support of the Vaginal Cuff
    • Best Surgical Practices
    • Acknowledgment
    • Bibliography

    CHAPTER 32C: Laparoscopic Hysterectomy

    • Introduction
    • Preparing for Hysterectomy
    • Operative Technique
    • Laparoscopic Supracervical Hysterectomy
    • Total Laparoscopic Hysterectomy
    • Complications
    • Conclusions
    • Best Surgical Practices
    • Bibliography

SECTION VI Surgery for Obstetrics

    CHAPTER 33: Management of Abortion

    • Introduction
    • Early Pregnancy Loss
    • Illegal Abortion
    • Legal Abortion
    • Conclusion
    • Best Surgical Practices
    • Bibliography

    CHAPTER 34: Ectopic Pregnancy

    • Introduction
    • Epidemiology of Ectopic Pregnancy
    • Pathology
    • Etiology of Ectopic Pregnancy
    • Sites of Ectopic Pregnancy
    • Effects of Ectopic Pregnancy on Future Reproduction
    • Tubal Ectopic Pregnancy
    • Diagnosis
    • Treatment for Ectopic Pregnancy
    • Interstitial Pregnancy
    • Ovarian Ectopic Pregnancy
    • Abdominal Ectopic Pregnancy
    • Cervical Ectopic Pregnancy
    • Cesarean Scar Pregnancy
    • Heterotopic Pregnancy
    • Rh Immunoglobulin Use after Ectopic Pregnancy
    • Best Surgical Practices
    • Bibliography

    CHAPTER 35A: Surgical Management of Obstetric Complications

    • Introduction
    • Physiologic Changes of Pregnancy
    • Imaging Techniques
    • Postpartum Hemorrhage
    • Abnormal Placentation
    • Late Postpartum Hemorrhage
    • Peripartum Hysterectomy
    • Episiotomy
    • Cervical Cerclage
    • Best Surgical Practices
    • Acknowledgments
    • Bibliography

    CHAPTER 35B: Ovarian Tumors Complicating Pregnancy

    • Introduction
    • Epidemiology
    • Diagnosis
    • Pathology
    • Therapy
    • Treatment Outcome
    • Cytotoxic Chemotherapy During Pregnancy
    • Other Issues Surrounding Malignancy
    • Best Surgical Practices
    • Bibliography

SECTION VII Surgery for Corrections of Defects in Pelvic Support and Pelvic Fistulas

    CHAPTER 36: Pelvic Organ Prolapse: Basic Principles

    • Basic Concepts
    • Anatomic Considerations
    • Etiology and Prevention
    • Clinical Evaluation
    • Choice of Treatment
    • Best Surgical Practices
    • Bibliography

    CHAPTER 37: Reconstruction of the Anterior Vagina for Prolapse

    • Introduction
    • Terminology
    • Anatomy and Pathology
    • Evaluation
    • Surgical Repair Techniques
    • Results
    • Complications
    • Best Surgical Practices
    • Bibliography

    CHAPTER 38: Posterior Compartment Defects

    • Epidemiology
    • Histology
    • Anatomy
    • Evaluation
    • Management
    • Surgical Management
    • Surgical Techniques
    • Outcomes
    • Postoperative Care
    • Best Surgical Practices
    • Bibliography

    CHAPTER 39: Vaginal Vault Prolapse

    • Procedures to Suspend the Vaginal Apex
    • Laparoscopic and Robotic Approach to Vaginal Suspension
    • The Optimal Approach to Pelvic Prolapse
    • Role of Hysterectomy in Prolapse Repairs
    • Obliterative Procedures
    • Conclusion
    • Best Surgical Practices
    • Bibliography

    CHAPTER 40: Nonsurgical Management of Pelvic Organ Prolapse: The Use of Vaginal Pessaries and Pelvic Floor Muscle Training

    • Introduction
    • History of Pessary
    • Indications and Therapeutic Benefits of Pessary
    • Patient Considerations and Selection for Pessary Use
    • Pessary Selection and Fitting
    • Management/Follow-Up of Pessary
    • Summary
    • Best Clinical Practices
    • Bibliography

    CHAPTER 41: Stress Urinary Incontinence

    • Introduction
    • Initial Evaluation
    • Initial Management
    • Surgical Techniques for the Treatment of Stress Incontinence
    • Summary
    • Best Surgical Practices
    • Test Questions
    • Bibliography

    CHAPTER 42: Operative Injuries to the Ureter

    • Introduction
    • Functional Anatomy of the Ureter
    • Injury to the Ureter in Gynecologic Surgery
    • Diagnosing Ureteral Injury
    • Techniques for Ureteral Repair
    • Summary
    • Best Surgical Practices
    • Bibliography

    CHAPTER 43: Vesicovaginal and Urethrovaginal Fistulas

    • Introduction
    • Etiology and Epidemiology
    • Pathogenesis
    • Clinical Presentation
    • Prevention
    • Diagnosis and Evaluation
    • Management of Urogenital Fistulas
    • Urogenital Fistula Repair—Technical Details
    • Bibliography

    CHAPTER 44: Anal Incontinence and Rectovaginal Fistula

    • Introduction
    • Functional Anatomy of Anal Continence
    • The Effect of Pregnancy and Childbirth on the Pelvic Floor
    • Evaluation of Anal Incontinence
    • Treatment
    • Rectovaginal Fistulae
    • Summary
    • Best Surgical Practices
    • Acknowledgments
    • Bibliography

SECTION VIII Related Surgery

    CHAPTER 45: Diseases of the Breast

    • Introduction
    • Embryology
    • Anatomy
    • Breast Health Assessment
    • Breast Examination
    • Benign Pathology
    • Common Clinical Scenarios
    • Treatment of Benign Breast Disease
    • Breast Cancer
    • Breast Cancer Management
    • Surgical Management of Breast Cancer
    • Sentinel Lymphatic Mapping
    • Breast Reconstruction
    • Radiation Therapy
    • Systemic Therapy
    • Unusual Clinical Scenarios
    • Surveillance
    • Best Surgical Practices
    • Bibliography

    CHAPTER 46: The Vermiform Appendix in Relation to Gynecology

    • Introduction
    • Anatomy and Function of the Appendix
    • Acute Appendicitis
    • Appendicitis in Pregnancy
    • Appendix and Chronic Pelvic Pain
    • Incidental Appendectomy in Gynecologic and Obstetric Surgery
    • Best Surgical Practices
    • Bibliography

    CHAPTER 47: Intestinal Surgery for the Gynecologic Surgeon

    • Introduction
    • Anatomy
    • Indications
    • Primary Intestinal Disease
    • Preoperative Preparation
    • Operative Techniques
    • Postoperative Care and Complications
    • Best Surgical Practices
    • Bibliography

    CHAPTER 48: Nongynecologic Conditions Encountered by the Gynecologic Surgeon

    • Introduction
    • Preoperative Evaluation
    • Preoperative Preparation
    • Intraoperative Findings and Management
    • Gastrointestinal Disorders
    • Urologic Disorders
    • Vascular Neoplasms
    • Presacral Tumors
    • Summary
    • Best Surgical Practices
    • Bibliography

SECTION IX Gynecologic Oncology

    CHAPTER 49: Malignancies of the Vulva

    • Introduction
    • Epidemiology
    • Clinical Presentation
    • Histology
    • Pretreatment Investigation
    • Staging
    • Prognostic Factors
    • Treatment of Invasive Squamous Cell Carcinoma of the Vulva
    • Posttreatment Surveillance
    • Recurrent Disease
    • Unusual Vulvar Tumors
    • Best Surgical Practices
    • Bibliography

    CHAPTER 50: Cervical Cancer Precursors and Their Management

    • Introduction
    • Epidemiology and Oncogenesis
    • Terminology
    • Evaluation of Abnormal Screening Tests
    • Management of Cervical Intraepithelial Neoplasia
    • Best Surgical Practices
    • Bibliography

    CHAPTER 51: Cancer of the Cervix

    • Introduction
    • Staging of Cervical Cancer
    • Histopathology
    • Clinical Presentation
    • Prognostic Factors
    • Pretreatment Evaluation and Staging
    • Surgical Treatment of Early-Stage Cervical Cancer
    • Radical Hysterectomy
    • Pertinent Pelvic Anatomy Arterial and Venous Anatomy
    • Evolution of the Classification Systems of Radical Hysterectomy and Pelvic Lymphadenectomy
    • Radical Abdominal Hysterectomy Surgical Technique
    • Fertility-Sparing Radical Abdominal Trachelectomy
    • Laparoscopically Assisted Radical Vaginal Hysterectomy (Schauta)
    • Laparoscopically Assisted Radical Vaginal Trachelectomy (Dargent Procedure)
    • Total Laparoscopic and Robotic Radical Hysterectomy with Lymphadenectomy
    • Laparoscopic Surgical Staging
    • Pathologic Examination of the Operative Specimen
    • Postoperative Complications
    • Adjuvant Therapy in Conjunction with Radical Surgery
    • Follow-Up after Radical Surgery for Cervical Cancer
    • Radiation Therapy
    • Summary
    • Best Surgical Practices
    • Bibliography

    CHAPTER 52: Endometrial Cancer

    • Introduction
    • Epidemiology
    • Risk Factors
    • Prognostic Features
    • Screening for Endometrial Cancer
    • Evaluation of the Symptomatic Patient
    • Endometrial Hyperplasia
    • Surgical Staging and Treatment
    • Radiation Therapy
    • Systemic Therapy
    • Incidental Diagnosis of Endometrial Cancer at Hysterectomy
    • Posttreatment Surveillance
    • Uterine Sarcomas
    • Future Directions
    • Bibliography

    CHAPTER 53: Ovarian Cancer

    • Introduction
    • Incidence and Risk Factors
    • Signs and Symptoms
    • Preoperative Evaluation
    • Patterns of Spread
    • Examination of Ovarian Tumor Specimens and Histologic Classification
    • Primary Surgery
    • Maintenance Therapy
    • Secondary Surgery
    • Management of Recurrent Ovarian Cancer
    • Management of Intestinal Obstruction
    • Best Surgical Practices
    • Bibliography

    CHAPTER 54: Pelvic Exenteration

    • Introduction
    • Indications and Preoperative Evaluations
    • Surgical Techniques
    • Urinary Diversion
    • Colonic Diversion
    • Pelvic Floor Reconstruction
    • Outcomes after Pelvic Exenteration
    • Minimally Invasive Surgical Approaches
    • Best Surgical Practices
    • Bibliography

    CHAPTER 55: Surgical Reconstruction of the Pelvis in Gynecologic Cancer Patients

    • Introduction
    • Vaginal and Vulvar Reconstruction
    • Skin Grafting
    • Urinary Conduits
    • Noncontinent Conduit Technique
    • Lower Gastrointestinal Reconstruction after Exenteration
    • The Role of Reconstruction
    • Best Surgical Practices
    • Acknowledgments
    • Bibliography