Bonney's Gynaecological Surgery, Eleventh Edition by Tito Lopes, Nick M. Spirtos, Raj Naik, John M.

By Tito Lopes, Nick M. Spirtos, Raj Naik, John M. Monaghan(auth.)

  • enterprise favorite for gynaecological surgical perform considering that 1911, broadly revised through prime gynaecological surgeons
  • supplying details on reconstructive surgical procedure, anaesthesia, info know-how and audit, issues and caliber
  • concentrating on the main quite often played techniques with emphasis on evidence-based determination making and the expanding use of laparoscopy in diagnostic and surgeries

Chapter 1 advent and Prologue (pages 1–6):
Chapter 2 education for surgical procedure (pages 7–14):
Chapter three tools, Operative fabrics and easy Surgical concepts (pages 15–30):
Chapter four starting and shutting the belly hollow space (pages 31–41):
Chapter five The Laparoscopic procedure in Gynaecology (pages 42–51):
Chapter 6 Postoperative Care and problems (pages 52–55):
Chapter 7 Operations at the Vulva (pages 57–65):
Chapter eight Operations at the Vagina (pages 66–80):
Chapter nine Operations at the Cervix (pages 81–98):
Chapter 10 Operations at the Uterine hollow space (pages 99–104):
Chapter eleven Operations at the Uterus (pages 105–120):
Chapter 12 Uterine Fibroids (pages 121–124):
Chapter thirteen Operations at the Fallopian Tubes (pages 125–130):
Chapter 14 Operations at the Ovaries (pages 131–135):
Chapter 15 Caesarean part (pages 136–145):
Chapter sixteen Operations for Pelvic Organ Prolapse (pages 147–160):
Chapter 17 Operations for Urinary Incontinence (pages 161–174):
Chapter 18 Operations for the Correction of Urinary Fistulae (pages 175–180):
Chapter 19 surgical procedure for Carcinoma of the Vulva (pages 181–189):
Chapter 20 Vaginal melanoma surgical procedure (pages 190–191):
Chapter 21 Cervical melanoma (pages 192–215):
Chapter 22 Uterine melanoma (pages 216–218):
Chapter 23 Ovarian melanoma (pages 219–221):
Chapter 24 Exenterative surgical procedure (pages 222–230):
Chapter 25 Vascular surgical procedure: purposes in Gynaecology and Gynaecological Oncology (pages 231–234):
Chapter 26 Urinary Tract (pages 235–249):
Chapter 27 Operations at the Intestinal Tract for the Gynaecologist (pages 250–259):
Chapter 28 Reconstructive approaches (pages 260–262):

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Much effort has gone into the development of 3D technology for MAS, yet, to date, there is no system that is widely marketed or commonly in use. That is not to say that the experienced surgeon is without a sense of depth when performing MAS. In the same way one-eyed individuals develop a sense of depth perception with subconscious micro-movements of the eye providing two images centrally, so does the experienced surgeon performing MAS. It is the merging of the two images (binocular vision) that usually provides one with a sense of depth.

Continuous sutures Continuous sutures can produce a near perfect closure and apposition of two surfaces with excellent haemostasis. This technique is more rapidly performed than interrupted sutures and obviously requires fewer knots. It derives its strength from tension being distributed evenly along the full length of the suture. In the presence of infection, a monofilament suture should be used to avoid infection being transmitted along its full length. Locked or blanket stitches (Fig. 10) are of great value in achieving haemostasis; the editors use this stitch to oversew the vaginal edge at the completion of the hysterectomy procedure.

Discussion as to whether the abdominal peritoneum should be closed continues among some gynaecologists, but the majority have abandoned the procedure for lack of evidence to its benefit and have adopted mass closure. This has been shown to have a lower incidence of dehiscence and incisional hernia than layered closure. Avoiding closure of the peritoneum has also been shown to reduce adhesion formation. Mass closure technique Mass closure incorporates all the layers of the abdominal wall except for the skin and, ideally, the 37 BONNEY’S GYNAECOLOGICAL SURGERY the editors will often bury the ‘sheath knot’ using the sheath suture or will apply one or two Vicryl sutures within the fat layer above the knot.

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