Williams Gynecology

1424 Pages·2012·66.75 MB·English

by  Barbara Hoffman

Williams
GYNECOLOGY
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NOTICE
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Williams
GYNECOLOGY
S E C O N D E D I T I O N
Barbara L. Hoffman, MD
John O. Schorge, MD
Joseph I. Schaffer, MD
Lisa M. Halvorson, MD
Karen D. Bradshaw, MD
F. Gary Cunningham, MD
Department of Obstetrics and Gynecology
University of Texas Southwestern Medical Center at Dallas
Parkland Health and Hospital System
Dallas, Texas
Lewis E. Calver, MS, CMI, FAMI
Biomedical Communications Graduate Program
University of Texas Southwestern Medical Center at Dallas
New York Chicago San Francisco Lisbon London Madrid Mexico City
Milan New Delhi San Juan Seoul Singapore Sydney Toronto
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DEDICATION
This second edition of Williams Gynecology is dedicated with stems no doubt from his work as one of the editors of our text-
great appreciation to Dr. Steven L. Bloom, Chairman of the book patriarch—Williams Obstetrics. As chairman, his vision
Department of Obstetrics and Gynecology at the University of and leadership have created an environment in which critical
Texas Southwestern Medical Center at Dallas. During his tenure evidence-based academic projects can flourish. We have ben-
as chairman, Steve has been a stalwart supporter of both editions efited from his effective use of resources, commitment to excel-
of Williams Gynecology. His insight into the needs of authors lence, and dedication to the advancement of medical education.
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CONTENTS
Editors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiv
Artists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xix
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xx
SECTION 1
BENIGN GENERAL GYNECOLOGY
1. Well Woman Care . . . . . . . . . . . . . . . . . . . 2 8. Abnormal Uterine Bleeding . . . . . . . . . . 219
2. Techniques Used for 9. Pelvic Mass . . . . . . . . . . . . . . . . . . . . . . 246
Imaging in Gynecology . . . . . . . . . . . . . . 33
10. Endometriosis . . . . . . . . . . . . . . . . . . . . 281
3. Gynecologic Infection . . . . . . . . . . . . . . . 64
11. Pelvic Pain . . . . . . . . . . . . . . . . . . . . . . . 304
4. Benign Disorders of the
12. Breast Disease . . . . . . . . . . . . . . . . . . . . 333
Lower Reproductive Tract . . . . . . . . . . . 110
13. Psychosocial Issues and Female
5. Contraception and Sterilization . . . . . . . 132
Sexuality . . . . . . . . . . . . . . . . . . . . . . . . 356
6. First-Trimester Abortion . . . . . . . . . . . . 170
14. Pediatric Gynecology . . . . . . . . . . . . . . . 382
7. Ectopic Pregnancy . . . . . . . . . . . . . . . . . 198
vii
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viii Contents
SECTION 2
REPRODUCTIVE ENDOCRINOLOGY,
INFERTILITY, AND THE MENOPAUSE
15. Reproductive Endocrinology . . . . . . . . . 400 19. Evaluation of the Infertile Couple . . . . . 506
16. Amenorrhea . . . . . . . . . . . . . . . . . . . . . 440 20. Treatment of the Infertile Couple . . . . . 529
17. Polycystic Ovarian Syndrome and 21. Menopausal Transition . . . . . . . . . . . . . 554
Hyperandrogenism . . . . . . . . . . . . . . . . 460
22. The Mature Woman . . . . . . . . . . . . . . . 581
18. Anatomic Disorders . . . . . . . . . . . . . . . . 481
SECTION 3
FEMALE PELVIC MEDICINE AND
RECONSTRUCTIVE SURGERY
23. Urinary Incontinence . . . . . . . . . . . . . . 606 25. Anal Incontinence and Functional
Anorectal Disorders . . . . . . . . . . . . . . . . 659
24. Pelvic Organ Prolapse . . . . . . . . . . . . . . 633
26. Genitourinary Fistula
and Urethral Diverticulum . . . . . . . . . . . 677
SECTION 4
GYNECOLOGIC ONCOLOGY
27. Principles of Chemotherapy . . . . . . . . . 692 33. Endometrial Cancer . . . . . . . . . . . . . . . . 817
28. Principles of Radiation Therapy . . . . . . . 712 34. Uterine Sarcoma . . . . . . . . . . . . . . . . . . 839
29. Preinvasive Lesions of the Lower 35. Epithelial Ovarian Cancer . . . . . . . . . . . 853
Genital Tract . . . . . . . . . . . . . . . . . . . . . 730
36. Ovarian Germ Cell and Sex
30. Cervical Cancer . . . . . . . . . . . . . . . . . . . 769 Cord-Stromal Tumors . . . . . . . . . . . . . . . 879
31. Invasive Cancer of the Vulva . . . . . . . . . 793 37. Gestational Trophoblastic Disease . . . . . 898
32. Vaginal Cancer . . . . . . . . . . . . . . . . . . . . 808
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Contents ix
SECTION 5
ASPECTS OF GYNECOLOGIC SURGERY
38. Anatomy . . . . . . . . . . . . . . . . . . . . . . . . 918 40. Intraoperative Considerations . . . . . . . . 979
39. Perioperative Considerations . . . . . . . . 948
SECTION 6
ATLAS OF GYNECOLOGIC SURGERY
41. Surgeries for Benign 41-19. Bartholin Gland Duct
Gynecologic Conditions . . . . . . . . . . . 1020 Marsupialization . . . . . . . . . . . . . . . 1065
41-1. Midline Vertical 41-20. Bartholin Gland Duct Cystectomy . . 1066
Incision . . . . . . . . . . . . . . . . . . . . . . 1020
41-21. Vulvar Abscess Incision and
41-2. Pfannenstiel Incision . . . . . . . . . . . . 1022 Drainage . . . . . . . . . . . . . . . . . . . . . 1068
41-3. Cherney Incision . . . . . . . . . . . . . . . 1024 41-22. Vestibulectomy . . . . . . . . . . . . . . . . 1070
41-4. Maylard Incision . . . . . . . . . . . . . . . 1025 41-23. Labia Minora Reduction . . . . . . . . . 1072
41-5. Ovarian Cystectomy . . . . . . . . . . . . 1026 41-24. Transverse Vaginal
Septum Excision . . . . . . . . . . . . . . . 1073
41-6. Oophorectomy . . . . . . . . . . . . . . . . 1028
41-25. McIndoe Procedure . . . . . . . . . . . . . 1075
41-7. Interval Partial Salpingectomy . . . . 1030
41-26. Treatment of Preinvasive
41-8. Salpingectomy and Salpingostomy 1033
Ectocervical Lesions. . . . . . . . . . . . . 1078
41-9. Cornuostomy and Cornual Wedge
41-27. Cervical Conization . . . . . . . . . . . . . 1083
Resection . . . . . . . . . . . . . . . . . . . . 1035
41-28. Treatment of Vulvar
41-10. Abdominal Myomectomy . . . . . . . 1039
Intraepithelial Neoplasia . . . . . . . . . 1086
41-11. Vaginal Myomectomy
for Prolapsed Leiomyoma . . . . . . . . 1043 42. Minimally Invasive Surgery . . . . . . . 1094
41-12. Abdominal Hysterectomy . . . . . . . 1045 42-1. Laparoscopy Fundamentals . . . . . . . .1095
41-13. Vaginal Hysterectomy . . . . . . . . . . . 1051 42-2. Diagnostic Laparoscopy . . . . . . . . . . .1121
41-14. Trachelectomy . . . . . . . . . . . . . . . . . 1055 42-3. Laparoscopic Sterilization . . . . . . . . .1123
41-15. Sharp Dilatation and Curettage . . . . 1057 42-4. Laparoscopic Salpingectomy . . . . . . .1129
41-16. Suction Dilatation and Curettage . . 1059 42-5. Laparoscopic Salpingostomy . . . . . . .1131
41-17. Hymenectomy. . . . . . . . . . . . . . . . . 1062 42-6. Laparoscopic Ovarian Cystectomy . . .1133
41-18. Bartholin Gland Duct Incision and 42-7. Laparoscopic Salpingo-
Drainage . . . . . . . . . . . . . . . . . . . . . 1063 Oophorectomy . . . . . . . . . . . . . . . . .1137
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