By Ronnie F. Lamont BSc, MB, ChB, MD, FRCOG (auth.), Peter O’Donovan MB, FRCOG, FRCS(ENG) (eds.)
Complications in Gynecological surgical procedure attracts jointly in one concise quantity a few contemporary and demanding advancements during this zone, with contributions from many specialists of foreign status. in keeping with own proof and situations, those top figures of urogynecology offer a accomplished advisor to surgical guidance, approach and recovery.
Using colour illustrations and tables the place acceptable, this e-book highlights how and why issues take place, and provides functional suggestion on how you can take care of difficulties that come up. The authors’ enormous box of expertise enable for a state of the art evaluate of surgical advances, outlining a number of technical assistance, in addition to sufferer care and possibility administration.
Focusing on more than a few gynecological concerns, together with urinary tract damage, sterilization and assisted being pregnant, in addition to the appliance of state of the art laparoscopy, this publication can be of significant curiosity and use to the practising gynecologist or urologist.
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Additional info for Complications in Gynecological Surgery
It may be necessary to use an absorbable mesh such as polyglactin or a nonabsorbable material such as polypropylene. While the latter is widely used in elective hernia repair, there is less experience with acute wound failure. There is a high complication rate due to infection but a risk of enteric ﬁ ﬁstula of 23%. Delayed absorbable mesh is probably preferable, which can be attached to the circumference of the defect. The wound should then be packed and not closed. 5.
075%, and 0% when open laparoscopy was performed. Catastrophic hemorrhage may occur if the sharp tip or edge of a laparoscopic trocar or insufﬂation ﬂ needle injures one of the major vessels, which include the aorta, the inferior vena cava, and the common, internal, and external iliac arteries and veins. In a review of 8 intraoperative major vascular injuries, one half of the patients required laparotomy, but laparoscopic repair was possible in the other half . 5%), and about one half of the patients require transfusion .
56. Vilos GA. Laparoscopic bowel injuries: forty litigated gynaecological cases in Canada. J Obstet Gynaecol Can. 2002;24:224–230. 57. Chandler JG, Corson SL, Way LW. Three spectra of laparoscopic entry access injuries. J Am Coll Surg. 2001;192:478–490. 58. Lam A, Rosen DMB. Laparoscopic bowel and vascular complications: should the Verres needle and cannula be replaced? J Am Assoc Gynaecol Laparosc. 1996;1: 301–305. 59. Ternamian AM. Laparoscopy without trocars. Surg Endosc. 1997;11:815–818. 60.
Complications in Gynecological Surgery by Ronnie F. Lamont BSc, MB, ChB, MD, FRCOG (auth.), Peter O’Donovan MB, FRCOG, FRCS(ENG) (eds.)