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Non-Descent Vaginal Hysterectomy
Shalini Rajaram, Neerja Goel, Surveen Ghumman
CHAPTER 1:
Introduction
CHAPTER 2:
Indications and Contraindications for Non-Descent Vaginal Hysterectomy
INTRODUCTION
Dysfunctional Uterine Bleeding
Adenomyosis
Fibroids and Enlarged Uterus
Learning Curve
CHAPTER 3:
Preoperative and Peroperative Assessment
MRI
Laparoscopic Assessment
Peroperative Assessment under Anesthesia
Step 1: Size and Mobility of Uterus
Step 2: Descent of Cervix
Step 3: Mobility of Vaginal Mucosa
Step 4: Depth of Fornix
Step 5: Assessment of Fibroids
Step 6: Vaginal and pelvic accessibility
Per-operative Score
CHAPTER 4:
Anesthetic Considerations for Non-Descent Vaginal Hysterectomy (NDVH)
INTRODUCTION
Rationale for using Regional Anesthesia
Neuraxial Blocks for NDVH Operation
EQUIPMENT REQUIRED
Steps for Combined Spinal-epidural Block (Fig. 4.3 to 4.11)
Drugs Used
Advantages of CSE Technique
Complications of CSE Technique
Immediate
Delayed
Contraindications
CONCLUSION
CHAPTER 5:
Basic Technique for Normal Size Uterus
INTRODUCTION
INSTRUMENTS
SPECIAL INSTRUMENTS
Suture Material
Operative Technique
Position of Patient
Step 1
Step 2
Step 3
Step 4
Step 5
Step 6
Step 7
Step 8
Step 9
Step 10
CHAPTER 6:
Clampless Procedure for NDVH
INTRODUCTION
Steps 1–6
Step 7
Step 8
Step 9
Step 10
Step 11 and 12
CHAPTER 7:
Advanced Technique for Large Uteri
INTRODUCTION
Single Fibroid Enlarging the Uterus up to 14 Weeks’ Size
Multiple Intramural Fibroids
Fibroids Posing Difficulty
Adenomyosis
CHAPTER 8:
Vaginal Oophorectomy
INTRODUCTION
ASSESSING FEASIBILITY FOR OOPHORECTOMY
OTHER METHODS OF OOPHORECTOMY
BENIGN ADNEXAL MASS
CHAPTER 9:
Common Problems and their Management
INTRODUCTION
NULLIPARITY
OBESITY OR INCREASED BMI
PREVIOUS CESAREAN SECTION
Opening of Posterior Pouch
Anterior Pouch
CHAPTER 10:
Reasons of Failure
INABILITY TO OPEN ANTERIOR POUCH
Anterior Myoma
Solution
Adherent Bladder
Solution
Points to Remember
DIFFICULTY IN OPENING THE POUCH OF DOUGLAS
RESTRICTED MOBILITY OF UTERUS
ERROR IN JUDGMENT OF SIZE OF UTERUS
FIBROIDS
INACCESSIBLE FIBROIDS
Inaccessible Anterior Wall Fibroids are often Reason for Failure
Solution
Points to Remember
Laterally Placed Fibroid
Soft Degenerated Fibroid
Solution
UNIFORMLY ENLARGED UTERUS—ADENOMYOSIS
ADNEXAL PATHOLOGY
SLIPPING OF VASCULAR PEDICLE WITH RETRACTION OF BLEEDER
INEXPERIENCED SURGEON AND UNENTHUSIASTIC ASSISTANTS
Overconfident Surgeon
CHAPTER 11:
Complications
INTRODUCTION
‘FAILED’ VAGINAL HYSTERECTOMY OR CONVERSION TO LAPAROTOMY
INJURY TO BLADDER, RECTUM, URETER
HEMORRHAGE, VAGINAL BLEEDING, HEMATOMA
MORTALITY
CHAPTER 12:
Analysis of Data: 75 Consecutive Cases
RESULTS
CONCLUSION
CHAPTER 13:
The Future and Resident's Training for NDVH
INTRODUCTION
CHAPTER 14:
Sterilization Methods for Surgical Equipments
AUTOCLAVING (STEAM STERILIZATION)
Temperature
Time
Characteristics of the Steam
Steam quality
Air in the Autoclave Chamber
Personnel Errors
Steam Sterilization Monitoring
Advantages and Disadvantages of Autoclaving
CHEMICAL DISINFECTION AND STERILIZATION
Alcohols
Glutaraldehyde
Chlorhexidine
CHEMICAL GAS STERILIZATION
INDEX
TOC
Index
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