Contributors

xi

Foreword

xv

Preface

xvii

SECTION I

GENERAL TOPICS AFFECTING GYNECOLOGIC SURGERY PRACTICE

1

Operative Gynecology Before the Era of Laparoscopy: A Brief History   Gert H, Brieger

02

2

The Ethics of Pelvic Surgery   Ruth M. Farrell, Eli A. Rybak, and Edward Wallach

15

3

Psychological Aspects of Pelvic Surgery   Betty Ruth Speir

26

4

Professional Liability and Risk Management for the Gynecologic Surgeon   Charles J. Ward

42

5

The Changing Environment in Which We Practice Gynecologic Surgery   Eric J. Bieber and Edie L. Derian

62

6

Training the Gynecologic Surgeon   Robert M. Rogers, Jr.

73

SECTION II

PRINCIPLES OF ANATOMY AND PERIOPERATIVE CONSIDERATIONS

7

Surgical Anatomy of the Female Pelvis   John O. L. DeLancey

82

8

Preoperative Care   Sanford M. Markham and John A. Rock

113

9

Postanesthesia and Postoperative Care   Alexander Duncan, Ira R. Horowitz, and Kenneth Kalassian

133

10

Water, Electrolyte, and Acid-Base Metabolism   Jack B. Basil

162

11

Postoperative Infections: Prevention and Management   W. David Hager and John W, Larsen

190

12

Shock in the Gynecologic Patient   Harriet O. Smith and Heather M, Greene

203

13

Wound Healing, Suture Material, and Surgical Instrumentation   Gary H. Lipscomb

226

SECTION III

PRINCIPLES OF GYNECOLOGIC SURGICAL TECHNIQUES AND MANAGEMENT OF ENDOSCOPY

14

Incisions for Gynecologic Surgery   James J. Burke II and Donald G. Gallup

246

15

Principles of Electrosurgery as Applied to Gynecology   Richard M. Soderstrom and Andrew I. Brill

280

16

Application of Laser Gynecology   John L. Marlow

298

17

Diagnostic and Operative Laparoscopy   Howard T, Sharp, Sean L. Francis, and Ana Alvarez Murphy

319

18

Operative Hysteroscopy   Michael S. Baggish

336

19

Control of Pelvic Hemorrhage   Howard W. Jones III and William A. Rock, Jr.

371

SECTION IV

SURGERY FOR FERTILITY

20

The Impact of Assisted Reproductive Technology on Gynecological Surgery   Howard W. Jones, Jr.

398

21

Reconstructive Tubal Surgery   Victor Gomel and Elizabeth Taylor

403

22

Endometriosis   John S. Hesla and John A. Rock

438

SECTION V

SURGERY FOR BENIGN GYNECOLOGIC CONDITIONS

23

Surgical Conditions of the Vulva   Ira R. Horowitz, Joseph Buscema, and Bhagirath Majmudar

480

24

Suigical Conditions of the Vagina and Urethra   Celia E. Dominguez, John A. Rock, and Ira R. Horowitz

508

25

Surgery for Anomalies of the Műllerian Ducts   John A. Rock and Lesley L. Breech

539

26

Normal and Abnormal Uterine Bleeding   William J. Butler and David E. Carnovale

585

27

Tubal Sterilization   Herbert B. Peterson, Amy E. Pollack, and Jeffrey S. Warshaw

609

28

Surgery for Benign Disease of the Ovary   Joseph S. Sanfilippo and John A. Rock

629

29

Persistent or Chronic Pelvic Pain   John F. Steege

648

30

Pelvic Inflammatory Disease   Mark G. Martens

660

31

Leiomyomata Uteri and Myomectomy   Lesley L. Breech and John A. Rock

687

32A

Abdominal Hysterectomy   Howard W. Jones III

727

32B

Vaginal Hysterectomy   S. Robert Kovac

744

32C

Laparoscopic Hysterectomy   Fred M. Howard

763

SECTION VI

SURGERY FOR OBSTETRICS

33

Management of Abortion   Melissa J. Kottke and Mimi Zieman

776

34

Ectopic Pregnancy   Mark A. Damario and John A. Rock

798

35A

Obstetric Problems   Cornelia R. Graves

825

35B

Ovarian Tumors Complicating Pregnancy   Cornelia R. Graves and Lynn Parker

842

SECTION VII

SURGERY FOR CORRECTIONS OF DEFECTS IN PELVIC SUPPORT AND PELVIC FISTULAS

36A

Pelvic Organ Prolapse—Basic Principles   Carl W. Zimmerman

854

36B

Site-Specific Repair of Cystourethrocele   Carl W. Zimmerman

874

36C

Paravaginal Defect Repair   Bobby Shull

882

36D

Posterior Compartment Defects   Thomas M. Julian

892

36E

Vaginal Vault Prolapse   Steven D. Kleeman and Mickey M. Karram

911

36F

The Nonsurgical Management of Pelvic Organ Prolapse: The Use of Vaginal Pessaries   Rony A. Adam

936

37

Stress Urinary Incontinence   Alfred E. Bent

942

38

Operative Injuries to the Ureter   Paul Underwood, Jr.

960

39

Vesicovaginal Fistula and Urethrovaginal Fistula   G. Rodney Meeks and Ted M. Roth

973

40

Anal Incontinence and Rectovaginal Fistulas   Michael P. Aronson and Raymond A. Lee

994

SECTION VIII

RELATED SURGERY

41

Breast Diseases: Benign and Malignant   Victoria L. Green

1030

42

The Vermiform Appendix in Relation to Gynecology   Barry K. Jarnagin

1084

43

Intestinal Tract in Gynecologic Surgery   Kelly L. Molpus

1097

44

Nongynecologic Conditions Encountered by the Gynecologic Surgeon   James R. Dolan and Michael D. Moen

1131

SECTION IX

GYNECOLOGIC ONCOLOGY

45

Malignancies of the Vulva   Mitchel S. Hoffman

1151

46

Cervical Cancer Precursors and Their Management   Howard W. Jones III

1208

47A

Cancer of the Cervix   Dennis S. Chi, Nadeem R. Abu-Rustum

1227

48

Endometrial Cancer   Marta Ann Crispens

1291

49

Ovarian Cancer: Etiology, Screening and Surgery   John R. Van Nagell, Jr., and David M. Gershenson

1307

50

Pelvic Exenteration   Thomas W. Burke

1340

51

Surgical Reconstruction of the Pelvis in Gynecologic Cancer Patients   Luis E. Mendez and Manuel Penalver

1353

Appendix

Questions and Answers

1375

Index

1411