Gynecologic and Obstetric Surgery E-Book

Arri Coomarasamy

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 1699

Veröffentlichungsjahr: 2016

Beschreibung

Gynecologic and obstetric surgery is a craft that requires sound knowledge and skills. The specifics of each individual case must be understood to enable the best surgical management approach and to minimize complications. This resource book offers insightful management options to many of the challenges a gynecologic or obstetric surgeon may face before, during and after an operation.

Divided into two sections, the book first covers general preoperative, intraoperative and postoperative challenges and, second, specific surgical procedures. It provides advice on both general gynecologic and obstetric operations, as well as subspecialist areas such as reproductive surgery, urogynecology and gynecologic oncology.

The chapters are concise, beginning with illustrative case histories followed by background, management options, and any preventative approaches. Designed to guide the surgeon to safe practice throughout all stages, they offer practical and step-by-step help.

Leseprobe

The Editors donate the royalties of this book to Ammalife (UK Registered Charity 1120236: www.ammalife.org) for the advancement of non-physician clinicians (clinical officers) in Africa.

This book is dedicated to my inspirational teachers in Valalai, Idaikkadu, Paththamani, Paruthithurai, Chennai and Forest Gate, for opening the doors of curiosity, knowledge and discernment.

Arri Coomarasamy

I would like to dedicate this book to my family: Naseem, Imran, Omar and Mohsin Shafi.

Mahmood I. Shafi

My contributions to this book are dedicated to the many clinical fellows, residents, researchers and observers who have given me the impetus to continue to acquire and, more importantly, share knowledge. Otherwise, life would be rather boring.

G. Willy Davila

Gynecologic and Obstetric Surgery

Challenges and Management Options

Edited by

Arri Coomarasamy, MBChB, MD, FRCOG

Professor of Gynecology and Reproductive Medicine, College of Medical and Dental Sciences, University of Birmingham; Consultant Gynecologist and Subspecialist in Reproductive Medicine and Surgery, Birmingham Women's NHS Foundation Trust, Birmingham, UK

Mahmood I. Shafi, MB BCh, MD, DA, FRCOG

Consultant Gynecologic Surgeon and Oncologist, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, UK

G. Willy Davila, MD, FACOG

Center Director, Women's Health Institute (Florida); Chairman, Department of Gynecology and Head of Section of Urogynecology and Reconstructive Pelvic Surgery, Cleveland Clinic Florida, Weston/Fort Lauderdale, Florida, USA

Kiong K. Chan, MBBS, FRCS, FRCOG

Emeritus Consultant Gynecologic Oncologist, Pan-Birmingham Gynecologic Cancer Center, City Hospital, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK

Section Editors

T. Justin Clark, MBChB, MD (Hons), MRCOG

Birmingham Women's NHS Foundation Trust; University of Birmingham, Birmingham, UK

Janesh Gupta, MSc, MD, FRCOG

University of Birmingham; Birmingham Women's NHS Foundation Trust, Birmingham, UK

Pallavi Latthe, MD, MRCOG

Birmingham Women's NHS Foundation Trust; University of Birmingham, Birmingham, UK

Phil Moore, MD, FRCA, FFPMRCA

Birmingham Women's NHS Foundation Trust, Birmingham, UK

Kavita Singh, MBBS, MD, FRCOG

City Hospital, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK

Editorial Coordinator

Helen Marie Williams, BSc (Hons)

Research Associate, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK

This edition first published 2016 © 2016 by John Wiley & Sons, Ltd

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ISBN: 9780470657614

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Cover image: © Nick Parsons Photography

CONTENTS

Contributors

Preface

List of Abbreviations

Part I: General Preoperative, Intraoperative, and Postoperative Challenges

Section 1: Preoperative Care

Chapter 1: Patient with Poor ASA Score

Background

Management

Prevention of complications

References

Further reading

Chapter 2: Patient on Medication

Background

Management

Resolution of the case

Prevention

References

Further reading

Chapter 3: Patient with Ischemic Heart Disease

Background

Management

Resolution of the case

Prevention

References

Chapter 4: Patient with Arrhythmias

Background

Management

Resolution of the case

References

Further reading

Chapter 5: Patient with a Pacemaker or Implantable Defibrillator

Background

Management

Prevention

References

Further reading

Chapter 6: Patient with Complex Congenital Heart Disease (Fontan Circulation)

Background

Management

Further reading

Chapter 7: Hypertensive Patient

Background

Management

References

Further reading

Chapter 8: Patient with Respiratory Disease

Background

Management

Resolution of the case

References

Chapter 9: Patient with Diabetes

Background

Management

Prevention

Reference

Further reading

Chapter 10: Patient with Thyroid Disease

Background

Management

Prevention

References

Chapter 11: Patient with Renal Disease

Background

Management

Prevention

Further reading

Chapter 12: Patient with Liver Disease

Background

Management

Resolution of the case

Prevention

References

Chapter 13: Patient with Rheumatologic Diseases

Background

Management of patients with rheumatoid arthritis

Resolution of the case

References

Further reading

Chapter 14: Patient with Hematologic Disorders

Anemia

Thrombocytopenia

Bleeding disorders

Venous thrombosis

Resolution of the case

References

Chapter 15: Patient at High Risk of Venous Thrombosis

Background

Obstetric surgery

Management

Resolution of the case

References

Chapter 16: Patient on Anticoagulant Therapy

Background

Management

Resolution of the cases

Reference

Further reading

Chapter 17: Patient on Steroid Therapy

Background

Management

Prevention (of complications)

References

Chapter 18: Patient with Epilepsy

Background

Management

Further reading

Chapter 19: Patient with a Psychiatric Condition

Background

Management

Prevention

References

Chapter 20: Patient with Organ Transplant

Background

Management

References

Chapter 21: Patient with Hepatitis B or C

Background

Management

References

Chapter 22: Patient with HIV

Background

Management

Resolution of the case

Prevention of transmission of HIV from the patient to HCWs

References

Chapter 23: Obese Patient

Background

Management

Prevention

Further reading

Chapter 24: Patient with Poor Nutritional Status

Background

Management

Prevention

Further reading

Chapter 25: Pregnant Patient Requiring Non-obstetric Surgery

Background

Management

Resolution of the case

Prevention

References

Section 2: Intraoperative Care

Chapter 26: Transverse Incision on the Abdomen Inadequate for Surgery

Background

Management

Prevention

References

Chapter 27: Previous Multiple Abdominal Scars

Background

Management

References

Chapter 28: Patient with Previous Mesh Incisional Hernia Repair Requiring a Laparotomy

Background

Types of mesh and surgical approach

Management

References

Chapter 29: Patient with Previous Mesh Incisional Hernia Repair Requiring a Laparoscopy

Background

Management

Prevention

References

Chapter 30: Unexpected Pathology: Ovarian Cyst

Background

Management

Resolution of the cases

Prevention

Reference

Chapter 31: Unexpected Pathology: Abnormal Appearance of the Uterus

Background

Management

Resolution of the cases

Prevention

References

Chapter 32: Unexpected Pathology: Severe Pelvic Adhesions

Background

Management

Conclusion

References

Chapter 33: Unexpected Pathology: Abnormal Appearance of Bowel

Background

Management

Resolution of the case

Prevention

Conclusion

References

Chapter 34: Unexpected Pathology: Retroperitoneal Mass

Background

Management

Prevention

References

Chapter 35: Bladder Injury

Background

Management

Resolution of the cases

Prevention

References

Chapter 36: Ureteric Injury

Background

Management

Resolution of the cases

Prevention

References

Chapter 37: Small and Large Bowel Injury

Background

Management (see also Chapters 74 and 75)

Resolution of the cases

Prevention

Reference

Chapter 38: Inferior Epigastric Vessel Injury

Background

Management (see Chapters 40 and 76)

Prevention

References

Chapter 39: Bleeding from Retracted Pedicular (Pelvic Sidewall) Vessels

Background

Management (see Chapter 40)

Prevention

References

Chapter 40: Massive Hemorrhage

Background

Management

Resolution of the cases

Prevention

References

Chapter 41: Broken Needle

Background

Management

Prevention

References

Chapter 42: Lost Swab, Needle or Instrument

Background

Management

Prevention

References

Section 3: Postoperative Care

Chapter 43: Postoperative Care

Background

Prevention and management

Resolution of the case

References

Chapter 44: Excessive Nausea and Vomiting after Surgery

Background

Management

Prevention

Further reading

Chapter 45: Excessive Abdominal Pain after Surgery

Background

Management

Prevention

References

Chapter 46: Bowel Damage: Postoperative Presentation

Background

Management (see Chapter 37)

Resolution of the case

Prevention

References

Chapter 47: Wound Infection

Background

Management

References

Chapter 48: Wound Dehiscence

Background

Management

Prevention

References

Chapter 49: Late Wound Failure: Incisional Hernia

Background

Management

Prevention

References

Chapter 50: Necrotizing Fasciitis

Background

Management

References

Chapter 51: Management of Surgical Drains

Background

Management

Resolution of the case

References

Chapter 52: Shocked Patient

Background

Management

Resolution of the case

References

Chapter 53: Breathless Patient: Postoperative Pulmonary Complications

Background

Management

Resolution of the case

References

Chapter 54: Confused Postoperative Patient

Background

Management

Prevention

References

Chapter 55: Patient with Poor Urine Output

Background

Prevention

Management

Resolution of the cases Case history 1

References

Chapter 56: Electrolyte Imbalance

Background

Management

Resolution of the case

References

Chapter 57: Swollen Leg

Background

Management

Prevention of venous thromboembolism

References

Chapter 58: Cardiorespiratory Arrest

Background

Prevention

Management of cardiac arrest

References

Part II: Operations and Challenges

Section 4: General and Minimal Access Gynecology

Chapter 59: Difficulty in Dilating the Cervix: Cervical Stenosis and Cervical Closure

Background

Management

Resolution of the cases

Prevention

References

Chapter 60: Uterine Perforation

Background

Management

Resolution of the cases

Prevention

References

Chapter 61: Surgical Uterine Evacuation: Excessive Bleeding

Background

Management

Prevention

Further reading

Chapter 62: Surgical Uterine Evacuation in a Woman with Multiple Fibroids

Background

Management

Prevention

Further reading

Chapter 63: Use of Excessive Distension Media at Hysteroscopy

Background

Management

Resolution of the cases

Prevention

References

Chapter 64: Hysteroscopy: Endometrial Resection and Ablation in the Abnormal Uterine Cavity

Background

Management

References

Chapter 65: Laparoscopy in a Pediatric Patient

Background

Management

Resolution of the cases

Prevention

References

Chapter 66: Safe Laparoscopic Entry in a Thin Patient