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