UID:
almahu_9948621008002882
Format:
1 online resource (xi, 402 pages) :
,
illustrations (chiefly color)
ISBN:
9780323428781
Content:
"With an emphasis on a practical, "how-to" approach, this comprehensive text addresses the most important and commonly performed procedures in gynecologic oncology surgery today. Written by leaders in the field, Principles of Gynecologic Oncology Surgery clearly describes the critical steps for each procedure, provides up-to-date information on the recent literature, and includes high-quality illustrations of anatomy and technique"--Publisher's description.
Note:
Front Cover -- IFC -- Principles of Gynecologic Oncology Surgery -- Principles of Gynecologic Oncology Surgery -- Copyright -- Dedication -- Contributors -- Foreword -- Preface -- Contents -- Video Contents -- 1 - Anatomy and Principles of Surgery -- 1 - Introduction to Principles of Gynecologic Oncology Surgery -- 2 - Abdominal and Pelvic Anatomy -- Pelvic Anatomy -- Bony Pelvis -- Ilium -- Ischium -- Pubis -- Sacrum -- Orientation of the Bony Pelvis -- Anatomic Landmarks of the Bony Pelvis -- Ischial Spine -- Coccyx -- Pubic Arch -- Pectineal Line -- Pelvic Ligaments -- Sacrospinous Ligament -- Sacrotuberous Ligament -- Pelvic Muscles -- Muscles of the Lateral Pelvis -- Obturator Internus Muscle -- Piriformis Muscle -- Muscles of the Pelvic Floor -- Levator Ani Muscle Complex -- Arcus Tendineus Levator Ani -- Puborectalis Muscle -- Avascular Spaces -- Retropubic Space (Space of Retzius) -- Paravesical Spaces -- Pararectal Space -- Vesicovaginal Space -- Rectovaginal Space -- Presacral Space -- Uterine Support Structures -- Parametria -- Round Ligaments -- Broad Ligament -- Pelvic Vasculature -- Arterial Supply -- Venous Drainage -- Pelvic Lymphatic System -- Pelvic Nerves (Fig. 2.30) -- Somatic Nerves -- Autonomic Nerves -- Pelvic Viscera -- Female Upper Genital Tract -- Bladder -- Ureters -- Sigmoid Colon, Rectum, and Anus -- Perineum -- Perineal Membrane -- Urogenital Triangle -- Perineal Body -- Anal Triangle -- Ischiorectal Fossa -- Vulva -- Vagina -- Urethra -- The Retroperitoneum -- Retroperitoneal Vasculature -- Abdominal Aorta -- Branches of the Abdominal Aorta -- Inferior Vena Cava -- Variations -- Collateral Circulation -- Lymphatic System -- Retroperitoneal Nerves -- Adrenal Glands -- Arterial Supply -- Venous Drainage -- Lymphatic Drainage -- Kidneys -- Gerota Fascia -- Anatomic Relations -- Vascular Supply -- Lymphatic Drainage.
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Ureters -- Anatomy of the Upper Abdomen and Midabdomen -- The Diaphragm -- Diaphragmatic Attachments -- Central Tendon of the Diaphragm -- Diaphragmatic Apertures -- Nerve Supply -- Blood Supply -- Lymphatic Drainage -- The Stomach -- Gastroesophageal Junction -- Gastroduodenal Junction -- Lesser Curvature -- Greater Curvature -- Anterosuperior Surface -- Posteroinferior Surface -- Segments of the Stomach -- Lesser Omentum -- Greater Omentum -- Venous Drainage -- Lymphatic Drainage -- Nerves of the Stomach -- Parasympathetic Nerve Supply -- Sympathetic Nerve Supply -- Duodenum and Pancreas -- The Pancreas -- Venous Drainage -- Lymphatic Drainage -- Nerves of the Duodenum and Pancreas -- The Liver -- Ligamentous Attachments -- Perihepatic Organs -- Hepatic Segmentation -- Couinaud Classification -- Hepatic Vasculature -- Arterial Vasculature -- Venous Vasculature -- Lymphatic Drainage -- Innervation -- Intrahepatic Biliary Tree -- Extrahepatic Biliary Tract -- Cystic Duct -- Gallbladder -- Common Bile Duct -- Hepatocystic Triangle and Triangle of Calot -- Arterial Supply -- Venous Drainage -- Lymphatic Drainage -- Spleen -- Small Intestine -- Blood Supply and Lymphatics of the Small Intestine -- Large Bowel -- Cecum and Appendix -- Ascending Colon -- Transverse Colon -- Descending Colon -- Sigmoid Colon -- Rectum -- Anal Canal -- Blood Supply to the Large Bowel -- Conclusion -- Suggested Readings -- 3 - Enhanced Recovery After Surgery in Gynecologic Oncology Surgery -- ERAS in Gynecologic Oncology -- Elements of ERAS Program and Guidelines -- Preoperative Components -- Preoperative Counseling -- Preoperative Optimization -- Preoperative Mechanical Bowel Preparation -- Preoperative Fasting and Carbohydrate Loading -- Preanesthetic Medication -- Thromboembolism Prophylaxis -- Antimicrobial Prophylaxis -- Intraoperative Components.
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Short-Acting Anesthesia -- Multimodal Opioid-Sparing Regimens -- Maintenance of Normothermia -- No Routine Nasogastric Intubation or Drainage of the Peritoneal Cavity -- Avoidance of Salt and Water Overload -- Minimally Invasive Procedures -- Postoperative Components -- Postoperative Nausea and Vomiting Prophylaxis -- Multimodal Analgesia -- Avoidance of Salt and Water Overload -- Early Oral Nutrition -- Removal of Urinary Catheter -- Early Mobilization -- Postoperative Glucose Control -- Audit of Compliance and Outcomes -- Summary -- References -- 2 - Vulvar Cancer -- 4 - Vulvar Surgery and Sentinel Node Mapping for Vulvar Cancer -- Presentation, Diagnosis, and Workup -- Presentation -- Diagnosis -- Preoperative Workup -- Preoperative Considerations -- Anatomy -- Primary Surgical Treatment Versus Primary Radiation -- Surgical Planning for Resection of Primary Tumor -- Surgical Planning for Inguinofemoral Lymph Nodes -- Sentinel Nodes in Vulvar Cancer -- Surgical Procedures -- Wide Local Excision -- Wide Radical Excision -- Complete Inguinofemoral Lymphadenectomy -- Lymphatic Mapping and Sentinel Lymph Node Biopsy -- Mapping Substances -- Surgical Technique -- Complications and Morbidity -- References -- 3 - Cervical Cancer -- 5 - Conservative Surgery in Early-Stage Cervical Cancer -- Radical Trachelectomy -- Indications -- Preoperative Evaluation -- Surgical Approaches -- Vaginal Radical Trachelectomy -- Abdominal Radical Trachelectomy -- Minimally Invasive Radical Trachelectomy -- Intraoperative Schema -- Pelvic Lymphadenectomy and Lymphatic Mapping -- Obstetric Outcomes -- Cervical Conization or Simple Hysterectomy in Low-Risk Patients -- Rationale for Conservative Management of Cervical Cancer -- Summary of Data From Retrospective Studies of Conservative Management.
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Prospective Trials of Conservative Surgical Management of Low-Risk Cervical Cancer -- Conservative Surgery in Larger Cervical Tumors -- Surgical Techniques -- Abdominal (Robotic) Radical Trachelectomy -- Step 1: Exploration of the Abdomen -- Step 2: Exposure of the Retroperitoneum and Pelvic Spaces -- Step 3: Uterine Artery Ligation and Ureteral and Parametrial Dissection -- Step 4: Colpotomy and Cervical-Parametrial Amputation -- Step 5: Placement of Uterine Cannula and Cerclage -- Areas of Controversy -- Complications of Radical Trachelectomy -- Intraoperative Complications -- Amenorrhea -- Cerclage Erosion -- Reoperation -- Conversion to Radical Hysterectomy -- Key Points -- References -- 6 - The Application of Sentinel Lymph Node Biopsy in Cervical Cancer* -- Lymph Node Involvement in Cervical Cancer -- Cervical Cancer: A Candidate for Sentinel Lymph Node Mapping -- Anatomy of the Cervix and Its Lymphatic Channels -- Efficiency of Sentinel Lymph Node Technique -- Methodologies -- Radioactive Tracers, Lymphoscintigraphy, and SPECT-CT -- Lymphoscintigraphy Versus SPECT-CT -- Colorimetric Dye -- Fluorescence -- The Performance of the Detection Modalities -- Impact of Size of Metastasis in the Sentinel Node -- Morbidity -- Typical and Unexpected Locations of Sentinel Lymph Nodes -- Limitations of Sentinel Lymph Node Technique -- Indications for Sentinel Lymph Node Detection -- Impact of Neoadjuvant Chemotherapy on Sentinel Lymph Node Detection -- Technical Application and Suggested Algorithm -- Conclusion -- References -- 7 - Abdominal Radical Hysterectomy -- History of Radical Hysterectomy -- Classification of Radical Hysterectomy -- Type A Radical Hysterectomy -- Type B Radical Hysterectomy -- Type C Radical Hysterectomy -- Lateral Parametria-Transverse (Horizontal) Resection Margins -- Longitudinal (Deep Parametrial or Vertical) Resection Margins.
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Ventral Parametria-Transverse Resection Margins -- Longitudinal Resection Margins -- Dorsal Parametria-Transverse Resection Margins -- Longitudinal Resection Margins -- Type D Radical Hysterectomy -- Indications for Radical Hysterectomy -- Preoperative Evaluation -- Surgical Approach -- Laparoscopic-Assisted Radical Vaginal Hysterectomy -- Abdominal Radical Hysterectomy -- Laparoscopic Radical Hysterectomy -- Robotic Radical Hysterectomy -- Surgical Assessment and Technique -- Type of Incision -- Unexpected Nodal Disease -- Step-by-Step Approach to Abdominal Radical Hysterectomy -- Development of the Rectovaginal Space (Fig. 7.1) -- Development of the Pelvic Spaces -- Bladder Dissection -- Uterine Artery Ligation and Unroofing of Ureter -- Parametrial Resection -- Pelvic Node Dissection -- Complications of Radical Hysterectomy -- Intraoperative Complications -- Postoperative Complications -- Summary -- Key Points -- References -- 8 - Surgical Staging for Treatment Planning -- Anatomic Considerations -- General Instrumentation -- Extraperitoneal Laparoscopic Paraaortic Node Dissection -- Patient and Staff Positioning -- Technical Description -- Entry Into Extraperitoneal Space and Placement of Trocars -- Development of Extraperitoneal Space -- Mobilization of Nodal Tissue Along the Lateral Portions of the Left Common Iliac Artery and Aorta -- Mobilization of Nodal Tissue Along the Anterior Portion of the Aorta and Vena Cava -- Removal of Detached Nodal Bundles -- "Preventive Marsupialization" and Completion of the Procedure -- Additional Considerations -- Complete Inter-aortocaval Dissection -- Gonadal Pedicle Resection -- Nerve-Sparing Dissection -- Technical Difficulties -- Fixed Nodes -- Intraoperative and Postoperative Complications -- Lymphatic Complications -- Lower Extremity Lymphedema -- Hemorrhage -- Bowel Injury and Ureteral Injuries.
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Anatomic Variations.
Additional Edition:
ISBN 0-323-42878-9
Additional Edition:
ISBN 0-323-44277-3
Language:
English
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