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This volume is directed toward physicians who perform gynecologic sur gery. The problems addressed are those encountered specifically in the performance of surgical procedures on the female genitalia. This book is not intended to be an atlas of surgery, but rather to supplement the many atlases available to the interested reader. There is an increasing body of physiologic and clinical data that is di rectly related to gynecologic surgery. The editors have selected subjects for this volume that directly impact on the outcome of the operative proce dure. Authors were chosen who have documented interest and expertise. Many decisions made before the performance of the gynecologic opera tion can influence the outcome of the procedure, such as choice of abdomi nal incision, preparation of the operative field, and use of prophylactic anticoagulants and antibiotics. During the operation, additional choices that are open to the surgeon can affect the outcome: choice of suture material, technique of bladder drainage, and the use of drains. Attention to details of surgery, avoidance of genitourinary or gastrointestinal injury, and attention to potential problems in specific age groups can result in better outcome for the patient. The reader will also find chapters devoted to the legal implications of operative consent, the control of surgical bleed ing, and intra- and postoperative monitoring. It is our hope that the material in this book will help the gynecologic surgeon in his practice to improve the care of the female patient undergo ing operative procedures on the genitalia.
List of contents
1 Preoperative Assessment.- 2 Informed Consent to Gynecologic Surgery.- 3 Surgical Incisions and Their Anatomic Basis.- 4 Mechanical and Chemical Preparation of the Abdomen and Vagina.- 5 Mechanisms of Wound Healing, Suture Material, and Wound Closure.- 6 Avoiding Urinary Tract Injuries.- 7 The Gastrointestinal Tract.- 8 Prophylactic Antibiotics for Abdominal and Vaginal Hysterectomy.- 9 Control of Surgical Bleeding.- 10 Monitoring High-Risk and Critically Ill Patients.- 11 Postoperative Venous Thromboembolic Disease: Natural History, Risk Factors, and Prophylaxis.- 12 Reconstructive Techniques.- 13 The Pediatric Patient.- 14 Surgery in the Aged.- 15 The Role of Surgical Drains.- 16 Postoperative Bladder Drainage.- 17 Major Posthysterectomy Infections: Diagnosis and Management.
