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by Shirish S Sheth, Carl W Zimmerman, Seth Finkelstein
When evidence-based studies show that vaginal is the choicest route for hysterectomy keeping abdomen intact, one wonders that why cannot same be utilized for much more than hysterectomy. The major focus is on the best surgical practices, keeping away greater invasion, have minimum hospital stay, complications, and cost, etc. As experience of vaginal surgery increases, indications for it can also increase by a corresponding decrease in the related contraindications. This can make one to advance in selectively performed vaginal hysterectomy with or without salpingo-oophorectomy to greater heights. This book “Advanced Vaginal Surgery” tries to bring to surface the strategies and techniques to conquer and achieve what is usually considered as impossible or taken for granted as a contraindication. It also presents favorable experience for the readers to get familiar and consider the possibility of going beyond routine and give several advantages to the suffering patients. The contents of the book include vast majority of clinical conditions met commonly in practice but willingness to utilize such opportunities to promote professional judgment and implement beyond routine is uncommon to rare. Safety and success in the operating room depend on comfort with surgical anatomy, setting a strategy preoperatively, and the willingness to re-evaluate the same intraoperatively and exercise good clinical judgment—readers will repeatedly find these concepts discussed in this text within the presented cases. There are 81 cases provided throughout this book. If vaginal surgery was marketed with the advantage of abdomen remaining virgin or scarless, certainly in a consumer-driven society, goods, i.e. vaginal, would have been more in demand.
|Section-01 Vaginal Hysterectomy with Uterine Debulking||1-26|
|Section-02A Vaginal Hysterectomy with History of Caesarean Section(s)||27-50|
|Section-02B Vaginal Hysterectomy with History of Uterine Surgery in Past||51-54|
|Section-03 Vaginal Hysterectomy with Adnexal Pathology||55-74|
|Section-04 Nullipara and Vaginal Hysterectomy||75-84|
|Section-05 Vaginal Hysterectomy for Endometrial Cancer||85-104|
|Section-06 Failed Trial Vaginal Hysterectomy/Trial Vaginal Route||105-120|
|Section-07 Special Cases: Vaginal Hysterectomy||121-142|
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