An Atlas of Pelvic OperationsPDF电子书下载

SECTION Ⅰ ABDOMINAL OPERATIONS 1

CONSIDERATIONS PERLIMINARY TO ALL ABDOMINAL SURGERY 3

Position for Curettage－Catheterization－Examination 6

Curettage 7

Positioning at Table－Abdominal Incision 8

Opening the Abdomen 10

Exploration of the Upper Abdomen 11

Application of Tenaculum to Fundus Uteri 12

HELPFUL HINTS FOR HYSTERECTOMY 13

Technique of Total Hysterectomy－Ovaries not Remover 14

Closure of Abdominal Wound 22

MODIFICATIONS OF TOTAL HYSTERECTOMY 23

Removal of Ovary and Tube－Peritonealization 24

Supracervical Hysterectomy 26

Marshall-Marchetti Operation for Stress Incontinence 28

Hysterectomy in Presence of Large Cervical Fibroid 30

Mobilization of Adnexa and Unterus 32

Peritonealization of Defects in Cul-de-Sac 33

Closure of Vaginal Apex－Splitting Cervical Fascia 34

CONSERVATIVE OPERATIONS 35

Excision of Endometrial Implant－Endometriosis 36

Olshausen Suspension 38

Baldy-Webster Suspension 39

Shortening Uterosacral Ligaments 40

Myomectomy 41

Presacral Neurectomy 42

OPERATIONS ON TUBE AND OVARY 45

Salpingo-oophorectomy 46

Salpingectomy 47

Removal of Small Ovarian Cyst 48

Oophorectomy 49

Interligamentous Cysts 50

Wedge Resection and Exploratory Incision of Ovary 52

Sterilization Procedures－Irving and Pomeroy Methods 53

Falk Tubal Exclusion Procedure 54

Plastic Operations for Restoration of Tubal Patency 55

Excision of Fimbriated End of Fallopian Tube 56

Cornual Resection of Tube 58

OPERATIONS INVOLVING THE INTESTINE 59

Repair of Injured Small Bowel 60

Excision of Meckel＇s Diverticulum 61

Enteroenterostomy (Side-to-Side) 62

Resection of Small Bowel and Side-to-Side Anastomosis 64

Resection of Small Bowel and End-to-End Anastomosis 66

Ileocolostomy 68

Large Bowel Resection and Anastomosis 70

Colostomy 72

Closure of Colostomy 73

Appendectomy 74

OPERATIONS INVOLVING THE URINARY TRACT 75

Repair of Bladder Damage－Suprapubic Cystotomy 76

End-to-End Repair of Damaged Ureter 78

Transplantation of Ureter into Bladder 80

Uretero-intestinal Anastomosis 83

Skin Ureterostomy 86

OPERATIONS ON THE ABDOMINAL WALL 89

Pfannenstiel Incision 90

Transverse Incision 92

Incisional Hernia 95

Reinforcement of Hernia Repair by Fascia Lata 97

Inguinal Hernia 98

Femoral Hernia 99

Inguinal and Combined Approach 100

Umbilical Hernia 102

Diastasis Recti 104

COMPLICATIONS FOLLOWING ABDOMINAL OPERATIONS 105

Femoral Vein Ligation 106

Dehiscence and Resuture 108

Retroperitoneal Drainage of Pelvic Abscess 109

Incision and Drainage of Pelvic Abscess through Vagina 110

Drainage of Pelvic Abscess through the Rectum 111

SECTION Ⅱ VAGINAL AND PERINEAL OPERATIONS 113

CONSIDERATIONS PRELIMINARY TO ALL VAGINAL AND PERINEAL OPERATIONS 115

VAGINAL PLASTIC PROCEDURES 117

Examination under Anesthesia 120

Dilatation and Curettage 121

Advancement of the Bladder 124

Cystocele Repair 128

Manchester (Donald or Fothergill) Operation 130

Vaginal Hysterectomy 134

Kennedy Repair for Stress Incontinence 141

Le Fort Operation 142

Total Obliteration of the Vagina 144

Excision of Cervical Stump 146

Simple Perineal Repair 147

Rectocele Repair 148

Repair o f Third Degree Tear 151

Vaginal Repair of Enterocele 152

Hemorrhoidectomy 154

COMBINED ABDOMINAL AND VAGINAL PROCEDURES 155

Combined Vaginal and Abdominal Repair of Enterocele 156

Prolapse of the Vagina Following Total Hysterectomy 157

Sling Operation for Stress Incontinence 160

OPERATIONS FOR REPAIR OF FISTULAE 163

Schuchardt Incision－Closure of Incision 164

Vesicovaginal Fistula－Vaginal Repair 165

Transvesical Repair of Vesicovaginal Fistula 166

Repair of Vesicovaginal Fistula through Abdominal Cavity 168

Rectovaginal Fistula 171

Rectovaginal Fistula near Anal Sphincter 172

MINOR OPERATIONS 173

Biopsy of the Cervix 174

Cauterization and Conization of the Cervix 175

Low Amputation of the Cervix 176

Trachelorrhaphy 178

Excision of Cyst of Bartholin＇s Gland 179

Simple Vulvectomy 180

SECTION Ⅲ OPERATIONS FOR MALIGNANT DISEASE 183

OPERATIONS FOR MALIGNANT DISEASE 185

Wertheim Hysterectomy with Pelvic Lymphadenectomy 188

Combined Abdominal and Perineal Resection of Rectum 196

Combined Bilateral Superticial Groin Dissection and Radical Vulvectomy 203

Extraperitoneal Iliac Lymphadenectomy 214

Vulvectomy 219

Radical Groin Dissection 222

INDEX 229