Index

Practical Manual for Laparoscopic & Hysteroscopic Gynecological Surgery Thoralf Schollmeyer, Liselotte Mettler, Dawn Rüther, Ibrahim Alkatout

1:Historical Perspective
2:Instruments and Equipment for Laparoscopic Surgery
- INTRODUCTION
- INSTRUMENTS
- ENERGY SYSTEMS FOR OPERATIVE LAPAROSCOPY
- ARTICULATED INSTRUMENTS
  - The Terumo Kymerax System or Terumo “Precision-Drive Articulating Instrument”
  - The r2 Drive and r2 Curve
- SINGLE PORT ENDOSCOPIC ENTRY
3:Current Laparoscopic Training Models
- INTRODUCTION
- PELVITRAINING AND VIDEO TRAINING
- VIRTUAL REALITY TRAINING
- CONCLUSION
4:Current Hysteroscopic Training Models
- INTRODUCTION
- THEORETICAL CURRICULUM
- TRAINING MODELS
- WHAT TO CONSIDER BEFORE PERFORMING REAL PROCEDURES?
- ASSESSMENT/CERTIFICATION
  - Video Legends
5:Peritoneal Access
- INTRODUCTION
- ENDOSCOPIC THREADED IMAGING PORT
- GYNECOLOGICAL LAPAROSCOPY AND IMAGING
6:Risk Management in Gynecological Endoscopy
- DEFINITIONS
- INTRODUCTION
- COMMITMENT TO RISK MANAGEMENT
- RISK ASSESSMENT
- TIPS AND TRICKS
- PHOTO AND VIDEO CONSENT FORM
7:Descriptive and Functional Anatomy of the Female Pelvis
- INTRODUCTION
- THE ANTERIOR COMPARTMENT
- THE MID COMPARTMENT
- THE POSTERIOR COMPARTMENT
8:Female Pelvis Innervation and Vascularization in Laparoscopy
- INTRODUCTION
- LAPAROSCOPY IN EXTRAPERITONEAL SPACES
- VASCULARIZATION AND THE LYMPHATIC SYSTEM IN LAPAROSCOPY
- FEMALE PELVIC NERVOUS SYSTEM
- CONCLUSION
9:Suturing and Ligature Techniques at Laparoscopy
- INTRODUCTION
- HEMOSTASIS BY LOOP LIGATURES
- HEMOSTASIS BY ENDOLIGATURE OR ENDOSUTURE AND EXTRACORPOREAL KNOTTING
- HEMOSTASIS BY ENDOSUTURE WITH INTRACORPOREAL KNOTTING
- HEMOSTASIS BY SUTURE AND TYING KNOT WITH HALF HITCH
- NEEDLES AND SUTURES
- TIPS AND TRICKS
  - Loading the Needle
  - Adjusting the Needle
10:General Surgery Conditions and Techniques for Gyne-Endoscopic Surgeons
- INTRODUCTION
- ABDOMINAL AND PELVIC WALL
- UMBILICAL HERNIAS
  - Tips
- INCISIONAL HERNIAS
- WHEN AND HOW?
- PROCEDURE
- SPECIAL CONSIDERATIONS
  - Tips
- INGUINAL HERNIAS
- SPECIAL CONSIDERATIONS
  - Tips
- INTERNAL HERNIAS
  - Tips
- VISCERAL PATHOLOGIES
- COLON
  - Tips
- APPENDIX
- SPECIAL CONSIDERATIONS
  - Tips
- SMALL BOWEL
  - Tips
- SPECIAL CONSIDERATIONS
  - When to Repair Bowel Wall Injurie?
  - Tips
- OTHER TOPICS
  - Tips
  - Video Legends
11:Pneumoperitoneum
- INTRODUCTION
- DESICCATION EFFECTS
  - The Gas (CO2)
  - Increased Intra-abdominal Pressure Effects
- CONCLUSION
- TIPS AND TRICKS OF THE TRADE
12:Benign Ovarian Tumors
- INTRODUCTION
- PREOPERATIVE EVALUATION
- SURGICAL APPROACH
  - Specific Considerations
- SUTURING IN OVARIAN SURGERY
- TIPS AND TRICKS
  - Video Legends
13:Ectopic Pregnancy
- INTRODUCTION
  - Etiology and Risk Factors
- DIAGNOSTICS—PREOPERATIVE ASSESSMENT
- DIFFERENTIAL DIAGNOSIS
- SURGICAL TREATMENT OF TUBAL PREGNANCY
- SURGICAL TECHNIQUE FOR NONTUBAL ECTOPIC PREGNANCY
- GENERAL OPERATIVE STEPS AFTER REMOVAL OF THE ECTOPIC PREGNANCY
  - Hemostasis and Extended Operation
  - Complications
- MEDICAL TREATMENT
- FOLLOW-UP AND PROGNOSIS
  - Future Fertility and Risk of Recurrence
- TIPS OF THE EXPERTS
14:Endoscopic Surgery in Pregnancy
- INTRODUCTION
- INDICATIONS FOR LAPAROSCOPIC SURGERY DURING PREGNANCY
- CONCLUSION
- TIPS AND TRICKS
15:Extragenital Findings in Gynecological Laparoscopy
- INTRODUCTION
- PREOPERATIVE ASSESSMENT
- PREOPERATIVE RELEVANT SKIN FINDINGS
- EXTRA-ABDOMINAL RELEVANT ANATOMY
  - Places for Trocar Insertion
  - Subcostal Insufflation Technique (Palmer's Point)
- INTRA-ABDOMINAL RELEVANT ANATOMY THROUGH THE EYE OF THE TROCAR
  - Places for Trocar Insertion
- RISK MANAGEMENT
  - Preoperative Management
  - General Operative Beginning
- INTRAOPERATIVE MANAGEMENT
  - Hemostasis and Extended Operation
- CONCLUSION
- TIPS OF THE EXPERTS
16:Tubal Surgery
- INTRODUCTION
- TYPES OF TUBAL SURGERY
- HYSTEROSCOPIC TUBAL CANNULATION
  - Technique
- LAPAROSCOPIC TUBAL MICROSURGERY
- EQUIPMENTS AND INSTRUMENTS
- SELECTION OF CASES
- INTRAOPERATIVE EVALUATION
- SURGICAL TECHNIQUE
  - Important Surgical Steps
- TYPES OF ANASTOMOSIS
- AUTHOR'S EXPERIENCE
- LAPAROSCOPIC SALPINGOOVARIOLYSIS AND FIMBRIOPLASTY
  - Technique
- CONCLUSIONS
- TIPS AND TRICKS
17:Tubal Torsion: The Diagnostic Dilemma
- INTRODUCTION
- OPERATIVE STEPS
- SUMMARY AND COMPLICATIONS
- TIPS AND TRICKS
18:Endometriosis
- INTRODUCTION
- GENERAL CONSIDERATIONS
- SURGICAL TECHNIQUES
- CONCLUSION
  - TIPS AND TRICKS
  - Video Legends
19:Rectal Endometriosis–Diagnostic Procedure and Therapeutic Concepts
- INTRODUCTION
- WHAT KIND OF PREOPERATIVE DIAGNOSTICS?
- HOW TO MANAGE RECTAL ENDOMETRIOSIS?
- CONCLUSION
20:Adhesiolysis and Prophylaxis of Adhesions
- BACKGROUND
- HANDLING OF ADHESIONS
- OUTLOOK
21:Fibroids
- PREOPERATIVE PREPARATION
- PATIENT POSITIONING IN THE OPERATING THEATER
- STANDARD POSITIONING AND PLACEMENT OF TROCARS
- ALTERNATIVE POSITIONING AND PLACEMENT OF TROCARS
- INSTRUMENTS
- OPERATING STEPS
- POSTOPERATIVE CARE
- COMPLICATIONS
- RESULTS AND OUTCOME
- CONCLUSIONS
- TIPS AND TRICKS OF THE TRADE
  - Video Legends
22:Pelvic Floor Defects Surgery
- INTRODUCTION
- ANATOMY
- PREOPERATIVE EVALUATION
- UTEROSACRAL LIGAMENT SUSPENSION
- LAPAROSCOPIC SACRAL COLPOPEXY
- COMPLETE PELVIC FLOOR RECONSTRUCTION WITH MESH
  - Technique
  - Postoperative Care
- TIPS AND TRICKS OF THE TRADE
  - Video Legends
23:Total Laparoscopic Hysterectomy
- TEACHING YESTERDAY AND TODAY
- HOW TO LEARN LAPAROSCOPIC HYSTERECTOMY
- TIPS AND TRICKS FOR THE TOTAL LAPAROSCOPIC HYSTERECTOMY
24:Technique of Routine Total Laparoscopic Hysterectomy With a Dissection of Uterine Vessels at Internal Iliac Level and Using a Uterine Manipulator
- PREPARATION
- TROCARS, INSTRUMENTS AND START
- OPENING OF PELVIC SIDE WALL
- IDENTIFICATION AND DISSECTION OF UTERINE VESSELS AT INTERNAL ILIAC LEVEL
- WITH OR WITHOUT BILATERAL SALPINGO-OOPHORECTOMY
- DISSECTION OF PARAMETRIA AND SACROUTERINE LIGAMENTS
- REMOVAL OF UTERUS
- RESULTS
- CONCLUSION
- TIPS AND TRICKS
  - Video Legend
25:Hysterectomies—Laparoscopic Subtotal Hysterectomy
- INTRODUCTION
- SURGICAL PROCEDURE
- COMPLICATIONS
- CONCLUSION
26:Laparoscopic Combined Hysterectomy Using the “Change Over Technique” for Very Large Uterine Myomata
- LAPAROSCOPIC COMBINED HYSTERECTOMY (FOR UTERUS OVER 1,000 GRAMS)
- SURGICAL PROCEDURE
- COMPLICATIONS
- SUMMARY
- TIPS AND TRICKS
27:Laparoscopic Pectopexy
- A NEW TECHNIQUE IN PROLAPSE SURGERY
  - Preoperative Considerations
- PROCEDURES
- EQUIPMENT
- TIPS AND TRICKS
  - Video Legend
28:Strategies to Prevent Vault Descent at the Time of Hysterectomy
- INTRODUCTION
- TECHNIQUE
  - Te Linde Modified by B van Herendael
  - High McCall Modified by Harry Reich
29:Oncologic Surgery on the Ovary
- SUMMARY
- INTRODUCTION
- LAPAROSCOPY FOR OVARIAN MALIGNANCIES: PROPHYLACTIC OPERATIONS
- LAPAROSCOPY FOR OVARIAN MALIGNANCIES: BORDERLINE TUMORS
- LAPAROSCOPY FOR OVARIAN MALIGNANCIES: EARLY STAGE INVASIVE TUMORS
- LAPAROSCOPY FOR OVARIAN MALIGNANCIES: ADVANCED STAGE INVASIVE TUMORS
- INDICATION AND PREOPERATIVE WORK-UP
- LAPAROSCOPIC PROCEDURES
- TIPS AND TRICKS
  - Video Legends
30:Oncologic Surgery on the Uterus
- INTRODUCTION
- LAPAROSCOPIC RADICAL HYSTERECTOMY2,4
- LAPAROSCOPIC NERVE SPARING RADICAL HYSTERECTOMY11,12
- ANTERIOR EXENTERATION13,14
- ROBOTIC RADICAL HYSTERECTOMY19
  - Port Positions
  - Procedures
- SINGLE INCISION LAPAROSCOPIC RADICAL HYSTERECTOMY20
31:Robot Assisted Surgery in Gynecology
- PROPAEDEUTICS/DEFINITION/INTENT OF ROBOT-ASSISTED SURGERIES/TARGET
- DEVELOPMENT/TECHNOLOGY OF THE DA VINCI® SYSTEM
- ADVANTAGES AND DISADVANTAGES OF THE DA VINCI® SYSTEM
  - Advantages for Patient and Surgeon
  - Disadvantages for Patient and Surgeon
- TRAINING/LEARNING CURVE/BUILDING A TEAM
- PREPARATION/PATIENT POSITIONING/COVERING/COMMUNICATION
- SELECTION OF INSTRUMENTS/UTERINE MANIPULATION/USE OF THE FOURTH ARM
- FUNDAMENTAL OPERATION SEQUENCE (SINGLE FUNDAMENTAL OPERATING ROOM STEPS, CHART OF OPERATING ROOM TIMES)
- TROCAR PLACEMENT (PRINCIPLES/POSSIBILITIES)/DOCKING MANEUVER/DOCKING POSSIBILITIES
- PATIENT SELECTION/SELECTION CRITERIA (INITIAL PHASE, ADVANCED STAGE, ETC.)
- RANGE OF ROBOT-ASSISTED GYNECOLOGIC PROCEDURES
- SPECIFICS WITH INTRAOPERATIVE COMPLICATIONS OR COMPLICATION MANAGEMENT
  - System Associated Complications/System Breakdown (Mechanical Failure, Software Faults)
  - Spectrum of Surgical Complications and Management
- ASPECTS OF PATIENT INFORMATION/SPECIFICS OF ANESTHESIOLOGY
- ECONOMIC FACTORS/MARKETING
- FURTHER DEVELOPMENTS/FUTURE MODELS
- SIGNIFICANCE OF ROBOTIC SYSTEMS WITHIN MINIMALLY INVASIVE SURGERY
- TIPS AND TRICKS
- VIDEO REGISTER
32:Diagnostic Hysteroscopy and Office Hysteroscopy
- INTRODUCTION
- INSTRUMENTS AND EQUIPMENT
- PREPARATIONS
- TIPS AND TRICKS
33:Operative Hysteroscopy
- INDICATIONS FOR OPERATIVE HYSTEROSCOPY
- INSTRUMENTATION AND TECHNICAL EQUIPMENT
- TECHNIQUE AND PROCEDURE OF OPERATIVE HYSTEROSCOPY
- STAFF REQUIREMENTS
- SURGICAL INTERVENTIONS
- SUMMARY
  - Established Indications for Operative Hysteroscopy
  - Relative Indications for Operative Hysteroscopy

INDEX

TOC
Index

Chapter Notes