By Robert S. and Zimmerman, Carl W. Kovac
This text/DVD package deal is a step by step, completely illustrated consultant to state of the art strategies in vaginal surgical procedure. The e-book info the most recent innovations and applied sciences for working in the course of the vagina, files the facts helping the vaginal method of so much hysterectomies, and describes vaginal reconstructive surgical procedures for correcting many anatomic defects that reason sufferer difficulties. beginning 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 strategies for treating urinary incontinence, colorectal difficulties, and fistulas. the ultimate part discusses acceptance and administration of intraoperative and postoperative problems. A bound-in DVD includes electronic movies of vaginal hysterectomy, fix of the anterior vaginal section, site-specific colpocleisis, and overall procendentia.
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Extra resources for Advances in Reconstructive Vaginal Surgery
The external opening of the inguinal canal is found 2 cm superior and 2 cm lateral to the pubic tubercle. When passing instruments, sutures and/or mesh through the anterior rectus fascia near the pubic crest, the operator should stay within the boundaries set by the pubic tubercles in order to avoid entrapping these nerves with a suture or mesh. 13 Somatic nerves and relations to muscles and viscera in the dorsal lithotomy position. 19 The Visceral Connective Tissues of the Female Pelvis The organs in the female pelvis are surrounded by visceral connective tissues, also called endopelvic fasciae, that suspend and orient them anatomically within the pelvis.
From, Anderson JR, Genadry R. Anatomy and embryology. In: Berek JS, ed. Novak's Gynecology. 13th ed. 2 An upward looking view of the female pelvic floor. The view on your right shows the lower pelvic floor removed to illustrate the pelvic diaphragm. (From, Anderson JR, Genadry R. Anatomy and embryology. In: Berek JS, ed. Novak's Gynecology. 13th ed. ) The upper pelvic floor (pelvic diaphragm), beginning with the cephalad pelvic membrane, consists mainly of the components of the levator ani muscle and its fascial coverings.
The pelvic membrane is triangular and attaches to the inferior pubic rami laterally, passes to the pubic arch ventrally, and covers the anterior pelvic outlet, except where the urethra and vagina pass through it. The pelvic membrane anchors the vagina distally and the anterior perineal body. It prevents descent of the pelvic floor with increases in intra-abdominal pressure (Fig. 2). When the perineal membrane becomes detached from its bony insertions, the perineum and vagina descend with straining.
Advances in Reconstructive Vaginal Surgery by Robert S. and Zimmerman, Carl W. Kovac