By Robert S. and Zimmerman, Carl W. Kovac
This text/DVD package deal is a step by step, completely illustrated advisor to cutting-edge innovations in vaginal surgical procedure. The publication info the newest ideas and applied sciences for working during the vagina, files the proof assisting the vaginal method of so much hysterectomies, and describes vaginal reconstructive surgical procedures for correcting many anatomic defects that reason sufferer difficulties. commencing sections assessment pelvic anatomy and speak about instruments for vaginal surgical procedure, together with antibiotic prophylaxis. next sections specialize in particular surgical procedures, together with hysterectomies, reconstruction of the vagina, and methods for treating urinary incontinence, colorectal difficulties, and fistulas. the ultimate part discusses popularity and administration of intraoperative and postoperative problems. A bound-in DVD comprises electronic video clips of vaginal hysterectomy, fix of the anterior vaginal phase, site-specific colpocleisis, and overall procendentia.
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Additional resources for Advances in Reconstructive Vaginal Surgery
Performance of cystoscopy is mandatory to ensure closure of the entry site and bilateral ureteral function. Laterally, the cervical incision begins the process of mobilizing the cardinal ligaments and uterosacral ligaments, with the ureter away from the pericervical ring. Likewise, the posterior extension incises the rectovaginal fascia away from the pericervical ring. Because of the presence of the rectovaginal fascia between the rectum and the visceral fascial coat surrounding the vagina, there is no tissue analogous to the supravaginal bladder septum.
Again, hyperflexion can compress and stretch this nerve causing pain along the lateral aspect of the thigh to the knee. This clinical picture is called meralgia paresthetica. The obturator nerve courses in the substance of the psoas muscle until the pelvic brim, where it leaves this muscle medially to enter the pelvis. This nerve then travels along the anterior aspect of the obturator internus muscle in the obturator space. It is encased in loose, fatty areolar tissue that hides its presence. This nerve exits the pelvis through the obturator canal and enters the medial aspect of the thigh to innervate the adductor muscles.
6. Leffler KS, Thompson JR, Cundiff GW, et al. Attachment of the rectovaginal septum to the pelvic sidewall. Am J Obstet Gynecol. 2001;185:41â€“43. 7. Richardson AC. The anatomic defects in rectocele and enterocele. J Pelvic Surg. 1995;1:214â€“221. 8. Shull BL, Bachofen C, Coates KW, et al. A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments. Am J Obstet Gynecol. 2000;183:1365â€“1374. 9. Farrell SA, Dempsey T, Geldenhuys L. Histologic examination of â€œfasciaâ€• used in colporrhaphy.