State-of-the-Art Vaginal Surgery

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   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