An atlas of gynecologic oncology

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ISBN: 1853174904, 0203444787, 0203419545

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j. Richard and Del Priore, Giuseppe and Curtin, John and Monaghan, John.m Smith1853174904, 0203444787, 0203419545

(Martin Dunitz) New York Univ., New York City. Atlas for postgraduates involved in the surgical management of gynecological malignancy. Includes a full description of the majority of investigative and surgical procedures required of the gynecological oncologist. Gives clear written and pictorial instruction. Includes color hand-drawn illustrations and photos.

Table of contents :
Book Cover……Page 1
Half-Title……Page 2
Dedication……Page 3
Title……Page 4
Copyright……Page 5
Contents……Page 6
Contributors……Page 8
Acknowledgments……Page 13
Preface……Page 14
Infection prophylaxis……Page 15
Prevention and risk assessment……Page 16
Treatment……Page 18
Infection control*……Page 19
Prevention of blood-borne infection……Page 21
Bibliography……Page 23
The pelvic fascia and pelvic spaces……Page 24
Vascular supply……Page 26
Nerve supply……Page 28
Bony and cutaneous landmarks……Page 33
Bibliography……Page 36
Ovarian and fallopian tube cancers……Page 37
CA125……Page 38
Differential diagnosis of an adnexal mass……Page 39
Prognosis……Page 40
Combination with other markers……Page 41
Carcinoembryonic antigen……Page 42
Alpha-fetoprotein……Page 43
Inhibin and related peptides……Page 44
Cytokines……Page 45
CYFRA 21–1……Page 46
Endometrial cancers……Page 47
Cervical cancers……Page 48
Tissue polypeptide antigen……Page 49
Vulval and vaginal cancers……Page 50
Bibliography……Page 51
Role of imaging……Page 57
Ultrasonography……Page 58
Magnetic resonance imaging……Page 59
Uterine sarcoma……Page 60
Role of imaging……Page 61
Computed tomography……Page 62
Magnetic resonance imaging……Page 63
Gestational trophoblastic disease……Page 66
Role of imaging……Page 67
Ultrasonography……Page 68
Computed tomography……Page 69
Magnetic resonance imaging……Page 70
References……Page 71
Rigid sigmoidoscope……Page 76
Flexible sigmoidoscope……Page 77
Rectal biopsy……Page 78
Indications……Page 79
Rigid cystoscope……Page 80
Flexible cystoscope……Page 81
Rigid cystoscope……Page 82
Flexible cystoscope……Page 83
Postoperative care……Page 84
Bibliography……Page 85
Vascular supply……Page 86
LEEP/LETZ……Page 87
Scalpel or ‘cold knife’ cone biopsy……Page 89
Complications……Page 91
Operative procedure……Page 92
Bibliography……Page 99
Introduction……Page 107
Indications……Page 108
The laparoscopic operation……Page 109
The Vaginal Operation……Page 110
Conclusion……Page 114
Bibliography……Page 115
Vascular supply……Page 120
Cardinal (Mackenrodt) ligament……Page 121
Anatomical relationship……Page 122
Opening the paravesical space……Page 123
Identification and mobilization of the ureter……Page 124
Section of the cardinal ligament (proximal parametrium)……Page 125
Prophylactic cervical cerclage and closure of the vaginal mucosa……Page 126
Cervical appearance after trachelectomy……Page 127
Saling procedure……Page 128
Results……Page 129
Bibliography……Page 130
FIGO staging……Page 139
Vascular considerations……Page 141
Future developments……Page 142
Bibliography……Page 146
Selection of the patient for exenterative surgery……Page 148
Patient assessment……Page 149
Relative contraindications……Page 150
Preoperative preparation……Page 151
Total and anterior exenteration……Page 153
Dealing with the empty pelvis……Page 157
Bibliography……Page 159
Introduction……Page 162
Indications……Page 164
Operative procedure……Page 165
Radiation therapy……Page 172
Clamping……Page 173
Bibliography……Page 174
13 Surgical management of trophoblastic disease……Page 184
Bibliography……Page 185
Preoperative investigations……Page 186
Primary laparotomy……Page 187
Surgical techniques for advanced disease……Page 188
En bloc resection of advanced pelvic disease……Page 189
Appendectomy……Page 191
Splenectomy……Page 192
Omentectomy……Page 193
Excision of liver nodules……Page 195
Second-look surgery……Page 196
References……Page 197
Vascular supply……Page 199
Operative procedure……Page 200
Superficial and deep inguinal lymph node dissection……Page 203
Bibliography……Page 204
Anatomic considerations……Page 206
Operative procedure……Page 207
Introduction……Page 208
Operative procedure……Page 209
Radical hysterectomy……Page 211
Introduction……Page 213
Anatomic considerations……Page 214
Operative procedure……Page 215
Indications……Page 216
Operative procedure……Page 217
Introduction……Page 218
Para-aortic nodes……Page 219
Para-aortic lymphadenectomy……Page 220
Pelvic lymphadenectomy……Page 223
References……Page 227
Anatomic considerations……Page 239
Resection……Page 240
Indications……Page 243
Anatomic considerations……Page 244
Operative procedures……Page 245
Indications……Page 253
Gastrostomy tube placement……Page 254
Needle jejunostomy……Page 255
Baker tube jejunostomy……Page 256
Bibliography……Page 257
Indications……Page 262
Psoas……Page 263
Ureteroureterostomy……Page 264
Ureteroneocystotomy with or without psoas hitch and bladder flap……Page 265
Indications……Page 268
Colon……Page 269
General considerations……Page 270
Ileal conduit……Page 271
Colonic conduit……Page 272
Continent ileocolic reservoir……Page 274
Bibliography……Page 277
Surgical causes……Page 285
Radiation……Page 286
Malignancy……Page 287
Presentation……Page 288
Excretion urography……Page 289
Fistulography……Page 290
Cystoscopy……Page 291
Timing of repair……Page 292
Instruments……Page 293
Dissection and repair in layers……Page 294
Saucerization……Page 295
Vaginal repair procedures in specific circumstances……Page 296
Transvesical repair……Page 298
Ureteric reimplantation……Page 299
Rectovaginal fistula repair……Page 300
Bladder drainage……Page 303
Mobility and thromboprophylaxis……Page 304
Antibiotics……Page 305
Subsequent management……Page 306
Bibliography……Page 307
Anatomic considerations……Page 312
Venous control and repair……Page 316
Vascular patches……Page 317
Caval interruption……Page 319
Bibliography……Page 321
Vascular supply……Page 322
Nerve supply……Page 323
Muscles involved……Page 324
The rectus abdominis flap……Page 325
Fasciocutaneous neurovascular pudendal thigh flaps……Page 326
Full-thickness cutaneous advancement flaps……Page 327
Bibliography……Page 328
Introduction……Page 342
Initial management of pain……Page 343
Neuropathic pain……Page 344
Blockade of ganglion impar……Page 345
Presacral neurectomy……Page 346
Bibliography……Page 348
23 Doctor-patient communication……Page 351
Case 1……Page 353
Case 2……Page 354
Cusp 2: living with cancer……Page 355
Cusp 3: pre-terminal phase……Page 356
Bibliography……Page 357
Index……Page 358

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