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Bonney's Gynaecological Surgery 11th ed - T. Lopes, et al., (Wiley-Blackwell, 2011) WW PDF

284 Pages·2011·10.58 MB·English
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Bonney’s Gynaecological Surgery This book is dedicated to the memory of Victor Bonney. It is also dedicated to Jane, Vicki, Roopal and Maggie for their support, understanding, patience and love, which they have shown us in our lives together . Bonney’s Gynaecological Surgery Tito Lopes MBChB, FRCOG Consultant Gynaecological Oncologist Royal Cornwall Hospital Truro UK Nick M. Spirtos MD Professor and Vice-Chairman, Department of Obstetrics and Gynecology Director, Division of Gynecologic Oncology, University of Nevada School of Medicine, Reno, and the Women’s Cancer Center of Nevada, Las Vegas NV, USA Raj Naik MD, FRCOG Consultant Gynaecological Oncologist and Surgeon Clinical Director of the Northern Gynaecological Oncology Centre Queen Elizabeth Hospital Gateshead UK John M. Monaghan MB, FRCS (Ed), FRCOG Retired Senior Lecturer in Gynaecological Oncology, University of Newcastle Upon Tyne Retired Gynaecological Oncologist, Regional Department of Gynaecological Oncology Queen Elizabeth Hospital Gateshead UK ELEVENTH EDITION A John Wiley & Sons, Ltd., Publication This edition fi rst published 2011 © 1911, 1974, 1986, 2004, 2011 by Tito Lopes, Nick M. Spirtos, Raj Naik, John M. Monaghan Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwell’s publishing program has been merged with Wiley’s global Scientifi c, Technical and Medical business to form Wiley-Blackwell. Registered offi ce: John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial offi ces: 9600 Garsington Road, Oxford, OX4 2DQ, UK The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 111 River Street, Hoboken, NJ 07030-5774, USA For details of our global editorial offi ces, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell The right of the author to be identifi ed as the author of this work has been asserted in accordance with the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. The contents of this work are intended to further general scientifi c research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting a specifi c method, diagnosis, or treatment by physicians for any particular patient. The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifi cally disclaim all warranties, including without limitation any implied warranties of fi tness for a particular purpose. In view of ongoing research, equipment modifi cations, changes in governmental regulations, and the constant fl ow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organization or Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the publisher endorses the information the organization or Website may provide or recommendations it may make. Further, readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read. No warranty may be created or extended by any promotional statements for this work. Neither the publisher nor the author shall be liable for any damages arising herefrom. Library of Congress Cataloging-in-Publication Data Bonney’s gynaecological surgery. – 11th ed. / Tito Lopes ... [et al.]. p. ; cm. Other title: Gynaecological surgery Includes bibliographical references and index. ISBN 978-1-4051-9565-2 1. Generative organs, Female–Surgery. I. Lopes, Tito. II. Bonney, Victor, 1872–1953. Gynaecological surgery. III. Title: Gynaecological surgery. [DNLM: 1. Gynecologic Surgical Procedures. 2. Genitalia, Female–surgery. WP 660 B7171 2010] RG104.B65 2010 618.1–dc22 2010015117 ISBN: 9781405195652 A catalogue record for this book is available from the British Library. This book is published in the following electronic format: ePDF 9781444325232; Wiley Online Library 9781444325225 Set in 9/11.5 pt Sabon by Toppan Best-set Premedia Limited 01 2011 v Contents Preface to the eleventh edition, vii Preface to the ninth edition, ix Part 1: General 1 Introduction and prologue, 3 2 Preparation for surgery, 7 3 Instruments, operative materials and basic surgical techniques, 15 4 Opening and closing the abdominal cavity, 31 5 The laparoscopic approach in gynaecology, 42 6 Postoperative care and complications, 52 Part 2: Anatomical For the general gynaecologist and gynaecologist in training 7 Operations on the vulva, 59 8 Operations on the vagina, 66 9 Operations on the cervix, 81 10 Operations on the uterine cavity, 99 11 Operations on the uterus, 105 12 Uterine fi broids, 121 13 Operations on the fallopian tubes, 125 14 Operations on the ovaries, 131 15 Caesarean section, 136 Part 3: Condition Recognition of surgical special interest and subspecialties Urinary/pelvic fl oor 16 Operations for pelvic organ prolapse, 149 Gillian E. Fowler and David H. Richmond 17 Operations for urinary incontinence, 161 David H. Richmond 18 Operations for the correction of urinary fi stulae, 175 David H. Richmond CONTENTS vi Oncology 19 Surgery for carcinoma of the vulva, 181 20 Vaginal cancer surgery, 190 21 Cervical cancer, 192 22 Uterine cancer, 216 23 Ovarian cancer, 219 24 Exenterative surgery, 222 Operations on other organs 25 Vascular surgery: applications in gynaecology and gynaecological oncology, 231 26 Urinary tract, 235 27 Operations on the intestinal tract for the gynaecologist, 250 28 Reconstructive procedures, 260 Index, 263 vii Preface to the e leventh e dition Next year, Bonney ’ s Gynaecological Surgery cele- brates its 100th birthday, the fi rst edition having been published in 1911 by Comyns Berkeley and Victor Bonney. In those 100 years, major advances in anaes- thetics, transfusion services, antibiotics and instru- ment development have not only resulted in safer surgery for the patient but also have allowed increas- ing innovation in surgical procedures. In gynaecology this is exemplifi ed by the almost routine use of minimal access techniques in everyday practice, as well as the increasing surgical options in the urological and oncological subspecialties. Despite these advances, many of the basic surgical principles remain unchanged, and this is highlighted by the retention in this edition of some of Bonney ’ s original drawings 100 years on. Three of the current editors have worked in the department of gynaecological oncology in Gateshead started by Stanley Way in 1948. It is therefore not surprising that this 11th edition refl ects an evolution rather than a revolution from the 9th edition edited by John Monaghan in 1986, the preface of which follows this current preface. As with previous editors, I have taken the liberty of removing elements from the last edition which are no longer relevant to current practice. The format has also changed and the current edition is divided into three sections. The fi rst section, covering general principles and basic techniques, lays the foundation for any trainee wishing to develop into a competent gynaecological surgeon. The second section, presented by anatomical site, covers the common procedures undertaken in day - to - day benign gynaecology. The last section recognizes the two surgical subspecialties of urogynaecology and gynaecological oncology. Although several of the procedures described are cur- rently undertaken by the experienced generalist as well as the specialist, this is becoming less common, especially in cancer surgery. This section also covers surgery for other sites that may arise during gynaeco- logical surgery, either as a planned procedure or as the result of an unexpected fi nding or complication. Although rarely encountered in general gynaecology, and usually within the remit of one ’ s surgical col- leagues, it is important to understand the principles of the procedures involved. As the senior editor I am indebted to John Monaghan and Raj Naik for their continued support and I am extremely grateful to Nick Spirtos for agreeing to join us in editing this current edition. His skills in both laparoscopic and radical open surgery are recognized internationally and his methodical approach to these procedures is refl ected in his contributions to the book. I also wish to thank David Richmond and Gillian Fowler for their contributions to the section on urogynaecology. Lastly, my thanks to Wiley - Blackwell and espe- cially to publisher Martin Sugden for inviting me to lead on this edition of Bonney ’ s Gynaecological Surgery . The support and encouragement of their team along with that of Lindsey Williams has made the whole process a pleasure. Tito Lopes Truro, Cornwall September 2010

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