Hysterectomy: A Comprehensive Surgical Approach

by Ibrahim Alkatout (Editor), Liselotte Mettler (Editor)

Overview

This book initiates the descriptions of the practical performance of different hysterectomies with conventional and robotically assisted laparoscopy, laparotomy and vaginal surgery. Laparoscopic hysterectomy has been out as an additional technique for hysterectomies for the last couple of decades. As the necessary light, augmentation and advanced skill has only been introduced into this already 200 year old surgical procedure within the last few decades by laparoscopy, the editors aim to look at the laparoscopic procedures followed by the traditional techniques of hysterectomy with laparotomy and vaginal surgery.

Product Details

ISBN-13:	9783319224978
Publisher:	Springer-Verlag New York, LLC
Publication date:	09/14/2017
Sold by:	Barnes & Noble
Format:	eBook
Pages:	600
File size:	196 MB
Note:	This product may take a few minutes to download.

About the Author

Ibrahim Alkatout studied medicine and medical ethics in Marburg, Dresden and Kiel. He was a resident in the Kiel Institute of Pathology from 2005 to 2007 and in the Kiel University Department for General Surgery from 2007 to 2009. Since 2009 he has been working in the Department of Obstetrics and Gynaecology, University Hospitals Schleswig-Holstein, Campus Kiel. In 2013 he was appointed senior consultant in obstetrics and gynecology with the subspecialty endoscopic surgery. In 2014 he became Head of the Kiel School of Gynaecological Endoscopy and was appointed university lecturer.

Liselotte Mettler was born in Vienna, Austria. From 1959-1981 she conducted her medical studies, doctorate, gynaecological specialist training, habilitation, and professorship in Tübingen, Vienna, and Kiel. From 1981-2008 she was Deputy Director of the Department of Obstetrics and Gynaecology at the University Hospitals Schleswig-Holstein. From 1990-2008 she was Director of the Kiel School of Gynecological Endoscopy and also Head of the Kiel Gynaecological Endocrinology and Reproductive Medicine Division. Her main fields of activity are reproductive medicine, gynaecological endoscopy, and gynaecological endocrinology. Professor Mettler is actively participating in many societies and organisations. Despite retiring in 2008 she also serves as General Secretary of the International Academy of Human Reproduction (IAHR) with the 15th World Congress planned for March 2013 in Venice, Italy.

Table of Contents

Part I. Historical Background.- 1. The History of Hysterectomy.- 2. History of Radical Hysterectomy.- Part II. Topographical Anatomy.- 3. Topographical Anatomy for Hysterectomy Procedures.- Part III. Imaging and Diagnostics.- 4. Clinical Diagnostics before Hysterectomy.- 5.  Ultrasound imaging.- 6. Radio-imaging for benign uterine disease.- 7. Radio-imaging for malignant uterine disease.- 8. Interventional diagnostics before hysterectomy.- Part IV. Extended Aspects Regarding Indications and Contraindications.- 9. Evidence based review of Hysterectomy and Sexuality.- 10. Guidelines and recommendations of scientific societies and associations for hysterectomy.- 11.  Choosing the Correct Hysterectomy Technique.- 12. Indications for Salpingectomy.- 13. Indications for oophorectomy and adnexectomy.- 14. Uterine sarcomas and atypical smooth-muscle tumors – clinic, diagnostics and appropriate surgical therapy.- 15. Uterine Morcellation.- Part V. Surgical Education and Training.- 16. Learning by doing: How to teach hysterectomy.- 17. Communicative and ethical aspects of the doctor-patient relationship in extreme situations.- Part VI. Macroscopic and Microscopic Pathological Aspects.- 18. Processing and histopathological workup of Hysterectomy specimens.- VII. Specific Hematological and Anesthesiological Aspects.- 19. Perioperative management of antithrombotic therapy in the periprocedural period of patients undergoing hysterectomy.- 20. Anaesthesia in Gynaecology.- Part VIII. Laparoscopic Hysterectomy and Extended Procedures for Benign and Malignant Indications.- 21. Indications and Contraindications for Laparoscopic Hysterectomy.- 22. Preparation (Medical History, Surgical Set-up, Antibiotics, Anticoagulants).- 23. Instrumentation Systems, Apparatus and Materials in Hysterectomy.- 24. Uterine Manipulators for Total Laparoscopic Hysterectomy.- 25. Diagnostic laparoscopy and final site recognition.- 26. General Aspects and Their Handling: Adhesions.- 27. Comorbidities.- 28. General Surgery Conditions and Techniques for Gyne-Endoscopic Surgeons.- 29. Fibroids in laparoscopic hysterectomy.-30. Symptomatic fibroids as main indication for laparoscopic hysterectomy and their handling.- 31. Uterine-Preserving Operative Therapy of Uterus Myomatosus.- 32. Laparoscopic subtotal hysterectomy (LSH).- 33. Laparoscopic supracervical hysterectomy for large uteri.- 34. Cervical Stump Extirpation.- 35. Total laparoscopic hysterectomy for the small and normal-sized uterus.- 36. Total Laparoscopic Hysterectomy in Patients with Bulky Uterus.- 37. Total Laparoscopic Hysterectomy for the Patient with Concomitant Pelvic Organ Pelvic Prolapse.- 38. Laparoscopic assisted vaginal hysterectomy in prolapse situations.- 39. Radical Hysterectomy and Pelvic Lymphadenectomy (French school).- 40. Laparoscopic Radical Hysterectomy with Pelvic Lymphadenectomy (Spanish school).- 41. Total laparoscopic nerve-sparing radical hysterectomy.- 42. Modified nerve-sparing radical-like hysterectomy for deep infiltrating endometriosis.- 43. Laparoscopic Total Mesometrial Resection (L-TMMR).- 44. Laparoscopic radical hysterectomy for malignant indications:Laparoscopic trachelectomy.- 45. Laparoscopic radical hysterectomy with anterior and posterior exenteration - gynecological perspectives.- 46. Laparoscopic radical hysterectomy (LRH) with anterior and posterior exenteration .- 47. LRH with anterior and posterior exenteration: Surgical perspectives.- 48. Hysterectomy in the surgical management of endometriosis.- 49. Laparoscopic Hysterectomy (TLH) in obese patients.- 50. Laparoendoscopic Single-Site (LESS) Hysterectomy.- 51. Laparoscopic Pelvic and Paraaortic Lymphonodectomy.- 52. Surgical techniques of laparoscopic omentectomy.- 53. Final steps and postoperative considerations.- 54. Extraperitoneal hysterectomy- total pelvic peritonectomy combined with the segmental resection of the rectosigmoid.- Part IX. Robotic-assisted Laparoscopic Hysterectomy and Extended Procedures for Benign and Malignant Indication.- 55. Indications and Contraindications to Robotic-Assisted Hysterectomy.- 56. Preparation of Robotic-Assisted Laparoscopic Hysterectomy.- 57. Instruments, apparatuses and uterine manipulators for hysterectomy with special focus on robotic-assisted laparoscopic hysterectomy.- 58. Diagnostic laparoscopy via the Da Vinci robot in general and site recognition.- 59. General Aspects and their Handling: Adhesions.- 60. General Aspects and their Handling: Comorbidities.- 61. General aspects and their handling: General surgery conditions and techniques for robotic hysterectomy.- 62. Robotic assisted supracervical hysterectomy.- 63. Cervical stump extirpation with regard to robotic-assisted laparoscopic hysterectomy.- 64. Robotic-assisted total hysterectomy: Hysterectomy Techniques in the Normal-Sized and Small Uterus.- 65. Robotic-assisted total hysterectomy: Hysterectomy techniques for the large uterus.- 66. Robotic-assisted total hysterectomy: Hysterectomy techniques in prolapse situations.- 67. Robotic-assisted Radical Hysterectomy.- 68. Robotic-assisted radical hysterectomy (RRH) as nerve-sparing procedure.- 69. Robotic-assisted radical hysterectomy as compartmental resection according to rTMMR and rPMMR.- 70. Robotically assisted therapeutic pelvic and paraaortic lymphadenectomy in uterine cancer.- 71. Robot assisted laparoscopic fertility sparing radical trachelectomy .- 72. Robotic-Assisted Radical Hysterectomy with Anterior and Posterior Exenteration – Urological Perspectives.- 73. Robotic-assisted radical hysterectomy with anterior and posterior exenteration - Surgical perspective74. Robotic-Assisted Laparoscopic Hysterectomy and Endometriosis.- 75. Hysterectomy techniques for obese patients.- 76. Robotic-assisted single-port laparoscopic hysterectomy.- 77. Robot assisted laparoscopic pelvic and paraaortic.- lymphadenectomy.- 78. Techniques for Gastrocolic and Infracolic Robotic Omentectomy.- 79. Robotic-assisted Laparoscopic Hysterectomy: Final steps and postoperative considerations.- Part X. Abdominal Hysterectomy and Extended Procedures for Benign and Malignant Indications.- 80. Abdominal Hysterectomy: Indications and contraindications.- 81. Abdominal Hysterectomy: Preparation.- 82. Abdominal Hysterectomy: Instrumentation and Apparatuses.- 83. Midline Laparotomy.- 84. Transverse Incisions.- 85. Adhesions.- 86. Comorbidities and Abdominal Hysterectomy.- 87. Subtotal Abdominal Hysterectomy.- 88. Cervical Stump Extirpation.-89. Total abdominal hysterectomy in benign conditions: Hysterectomy techniques for the normal-sized and small uterus.- 90. Total Abdominal Hysterectomy in Benign Indications: Hysterectomy Techniques for the Large Uterus.- 91. Total abdominal hysterectomy in benign indications: Hysterectomy techniques for prolapse situations - Cervico-Sacropexy (CESA) and Cervico-Recto-Sacropexy (CERESA).- 92. Total abdominal hysterectomy in benign indications: Hysterectomy techniques for prolapse situations - Vagino-Sacropexy (VASA)  and Vagino-Recto-Sacropexy (VARESA).- 93. Total abdominal hysterectomy in benign indications: Hysterectomy techniques for prolapse situations - Uterosacropexy and Uterorectosacropexy.- 94. Total Abdominal Hysterectomy with Electrosurgical Bipolar Vessel Sealing.- 95. Peripartum Hysterectomy.- 96. Abdominal Hysterectomy for obese patients.- 97. Wertheim-Meigs abdominal radical hysterectomy and lymphadenectomy.- 98. Okabayashi Radical Hysterectomy.- 99. Radical abdominal hysterectomy with electrosurgical bipolar vessel sealing.- 100. ARH as a Nerve-Sparing Procedure.- 101. Total and Peritoneal Mesometrial Resection.- 102. Radical abdominal trachelectomy.- 103. Radical Abdominal Hysterectomy with Anterior and Posterior Exenteration – Gynecological Perspectives.- 104. Radical abdominal hysterectomy with anterior exenteration: Urological Perspectives.- 105. Radical abdominal hysterectomy (RAH) with anterior and posterior exenteration: Surgical perspectives.- 106. Pelvic and para-aortic lymph node dissection.- 107. Omentectomy.- 108. Abdominal closure at longitudinal and horizontal abdominal incisions.- 109. Abdominal Hysterectomy: Postoperative care.- Part XI. Abdominal Hysterectomy and Extended Procedures for Benign and Malignant Indications.- 110. Indications and Contraindications of Vaginal Hysterectomy.- 111. Preparation for Vaginal Hysterectomy: history, preoperative assessment, operative set-up, table, antibiotics.- 112. Vaginal Hysterectomy: Instrumentation and Apparatuses.- 113. Colpotomy and the modalities for closure.- 114. Adhesions.- 115. Comorbidities associated with vaginal hysterectomy.- 116. Vaginal total hysterectomy in benign indications: Hysterectomy techniques in the normal-sized uterus.- 117.       Hysterectomy Techniques for the Large Uterus.- 118. Vaginal total hysterectomy in benign indications: Hysterectomy techniques with bipolar diathermy system.- 119. The advantages in the selection and use of bipolar vessel sealing devices in vaginal hysterectomy, dependent on the different degrees of operative difficulty.- 120. Hysterectomy Techniques in Prolapse Situations.- 121. Trachelectomy: Removal of cervical stump following supracervical hysterectomy.- 122. Vaginal Salpingo-Oophorectomy.- 123. The Mayo Technique for Vaginal Hysterectomy.- 124. Vaginal-assisted laparoscopic radical hysterectomy and pelvic lymphadenectomy.- 125. Radical vaginal trachelectomy.- 126. Difficult Vaginal Hysterectomy.- 127. Hysterectomy in Women without Previous Vaginal Delivery.- 128. Vaginal Hysterectomy in the Obese Patient.- 129. Vaginal Cuff Dehiscence Following Hysterectomy.- 130. Postoperative care.- Part XII. Conservative Management.- 131. What is the place of myoma surgery with the advent of selective progesterone receptor modulators (SPRMs)?.- 132. Future Perspectives in Hysterectomy