Main description:

Posterior Pelvic Floor Abnormalities, by Tracy Hull, MD, is the ideal way to enhance your surgical skills in this key area of gynecology, obstetrics, and urology. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, detailed discussions and illustrations, case studies, and video footage clarify how to most effectively perform a variety of procedures and manage complications. Supplemental video presentations take you step by step through procedures including laparoscopic resection rectopexy, episioproctotomy, defecography with sigmoidocele, and more.

Contents:

1. Anatomy and Physiology of the Pelvic Digestive Organs
2. Common Tests for Evaluating the Posterior Pelvic Floor
3. Evaluation and Treatment of Fecal Incontinence
4. Anorectovaginal Fistula
5. Difficult Evacuation
6. Surgical Treatment of Rectal Prolapse in Adults
7. Sacral Nerve Stimulation for Posterior Pelvic Floor Abnormalities
8. The Pelvic Floor Center: A multidisciplinary Approach to Pelvic Floor Dysfunction

Video

2-1. Local Examination to Evaluate the Perineum and Anal Sphincters

2-2. Endoanal Ultrasound for Evaluation of Anal Sphincter Muscles

2-3. Normal Defecography Demonstrating Landmark Features and Anatomy

2-4. Defecography Demonstrating a Rectocele and Enterocele

2-5. Dynamic MRI Demonstrating Pelvic Floor Descent

3-1. Overlapping Sphincter Repair Done in a Prone Position

3-2. End-to-End Sphincter Repair Done in Dorsal Lithotomy Position

3-3. Placement of an Artificial Bowel Sphincter

4-1 Transanal Repair of Recurrent Rectovaginal Fistula with Rectal Advancement Flap

4-2. Rectal Sleeve Advancement Flap

4-3. Transperineal Repair of Recurrent Rectovaginal Fistula

4-4. Episioproctotomy

4-5. Rectovaginal Fistula Plug Repair

4-6. Martius Graft Interposition for Repair of Complex Rectovaginal Fistula

5-1 Defecography Demonstrating an Enterocele

5-2. Defecography Demonstrating a Sigmoidocele

5-3 Defect-Specific Rectocele Repair with Enterocele Repair and Vault Suspension

5-4. Vaginal Enterocele Repair with Rectocele Repair

5-5. Graft-Augmented Rectocele Repair

5-6 STARR Procedure

6-1. Delorme's Procedure

6-2. Altemeier Procedure

6-3. Laparoscopic Suture Rectopexy

6-4. Laparoscopic Resection Rectoplexy

7-1. Technique for Placement of Preliminary Nerve Evaluation (PNE) in an Office Setting Under Local Anesthesia

7-2. Technique for Stage I Implant Under Fluoroscopy

7-3. Total System Implantation

8-1. Examination of a Patient with a Large Rectocele and Rectal Prolapse

8-2. Laparoscopic Sacrocolporectopexy