Gynecologic laparoscopy has evolved into a major surgical tool used to treat a multitude of gynecologic indications. Laparoscopy is the most common surgical procedure performed by gynecologists today. This book catalogs the full spectrum of laparoscopic procedures in gynecology, oncology, and infertility treatment. The authors describe different techniques in minimally invasive surgery and review the evidence-based medical literature supporting these techniques. Included are sections on the management of complications during laparoscopy, ranging from vascular injury to bladder or bowel injury. It contains expanded chapters on laparoscopic anatomy, operative hysteroscopy and pelvic floor repair. The editors have pioneered some of the most important laparoscopic procedures used today. Their work has opened up the video laparoscopy field for surgeons worldwide. The contributors have extensive experience in laparoscopy and hysteroscopy, and many of them have established some of the surgical techniques discussed. High-quality color pictures supplement many of the presentations.
Foreword; 1. Introduction; 2. Equipment; 3. Anesthesia; 4. Laparoscopic trocar access; 5. Laparoscopic suturing; 6. Intraperitoneal and retroperitoneal anatomy; 7. Fertility: 7.1. Frontiers in fertility; 7.2. Assessment of the endometrial cavity in the patient with infertility; 7.3. Ultrasound egg recovery; 7.4. Ultrasonography and the embryo transfer; 7.5. Salpingostomy and salpingectomy TBD; 8. Hysteroscopy: 8.1. Evaluation and management of the uterine septum; 8.2. Intrauterine adhesions: hysteroscopic evaluation and treatment; 8.3 Hysteroscopic myomectomy; 8.4. Hysteroscopic tubal cannulation; 8.5. Hysteroscopic sterilization; 8.6. Global endometrial ablation; 9. Management of adnexal masses: 9.1. The adnexal mass; 9.2. Ovarian cystectomy; 9.3. Laparoscopic operations on the ovary; 9.4. Management of the ectopic pregnancy; 9.5. Management of tubo-ovarian abcesses; 9.6. Surgical management of polycystic ovarian syndrome; 9.7. Ovarian remnant; 10. Endometriosis: 10.1. The pathogenesis of endometriosis; 10.2. Thoracic endometriosis; 11. Laparoscopic adhesiolysis; 12. Leiomyomas: 12.1. Laparoscopic myomectomy; 12.2. Uterine fibroid embolization; 13. Hysterectomy: 13.1. Laparoscopy and hysterectomy; 13.2. Laparoscopic excision of rudimentary uterine horn; 14. Pelvic floor: 14.1. Laparoscopic burch colposuspension; 14.2. Minimally invasive slings; 14.3. Laparoscopic vaginal vault suspension; 14.4. Laparoscopic urethral suspension, repair of cystourethrocele and vesicovaginal fistula; 14.5. Laparoscopic rectovaginal fistula repair; 14.6. Laparoscopic assisted neovaginoplasty; 15. Uterosacral transection and ablation; 16. Gynecologic Malignancy: 16.1. Introduction; 16.2. Laparoscopic lymphadenectomy; 16.3. Laparoscopic sentinel lymph node identification in cervical cancer; 16.4. Schauta radical vaginal hysterectomy and total laparoscopic radical hysterectomy; 16.5. Laparoscopy for endometrial cancer; 16.6. Laparoscopic management of early ovarian cancer; 16.7. Second-look surgery for gynecologic malignancy; 16.8. Port site metastasis and pneumoperitoneum; 17. Laparoscopy in the pregnant patient; 18. Minimal access pediatric surgery; 19. Laparoscopic vascular surgery in 2006; 20. Complications in laparoscopy: 20.1. Laparoscopic major vascular injury; 20.2. Complications: ureter; 20.3. Laparoscopic treatment of gastrointestinal endometriosis; 21. Additional procedures for pelvic surgeons: 21.1. Cystoscopy; 21.2. Intraoperative sigmoidoscopy in gynecologic surgery; 21.3. Appendectomy; 22. Laparoscopy simulators for training basic surgical skills, tasks, and procedures; 23. Robot-assisted laparoscopy: 23.1. Computer assisted surgery and surgical robotics: past, present and future; 23.2. Minimally invasive gynecologic surgery: the evolving role of robotics.