By Peter J. O'Donovan, Ellis G. R. Downes, Paul McGurgan
This ebook covers essentially the most fresh advances in gynaecological surgical procedure strategy and perform. it's been written through the various best names within the box, from the united kingdom, Europe and united states, every one bankruptcy representing a concise distillation of the main updated info on hand on that specific subject. every one bankruptcy is totally illustrated, in color the place precious.
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Technique Once anaesthetised, the patient is placed in the reverse Trendelenberg position with the legs in Lloyd-Davies stirrups. The bladder is then catheterised with a size 18 Foley catheter. A pneumoperitoneum is created by inserting a Veress needle suprapubically. A subumbilical 10 mm port is used for the laparoscope and two further ports introduced; a left lateral 5 mm port and a right lateral 12 mm port. Particular care is taken not to damage the inferior epigastric artery. These two lateral ports are used to introduce the instruments used to perform the procedure.
Retrospective reports on laparoscopic colposuspension have included 2-year follow up with different results. Lobel and Sand8 reported a cure rate of 89% at 3 months, 86% at 1 year and 69% at 2 years. The series included a number of different techniques and an average operating time of 190 minutes was recorded. Ross9 conducted a retrospective review of 40 cases over 2 years and reported success rates of 98% at 6 weeks and 90% at 2 years. Thus, one series suggests a marked decline in efficacy and the other a sustained effect on longer-term follow up.
Palter SF, Olive DL. Office microlaparoscopy under local anesthesia for chronic pelvic pain. J Am Assoc Gynecol Laparosc 1996; 3: 359–364. 31. Love BR, McCorvey R, McCorvey M. Low cost office laparoscopic sterilization. J Am Assoc Gynecol Laparosc 1994; 1: 379–382. 32. Downing BG, Wood C. Initial experience with a new microlaparoscope 2 mm in external diameter. Aust N Z J Obstet Gynaecol 1995; 35: 202–204. 33. van der Wat J. Microendoscopy in the operating room. Gynecol Endosc 1997; 6: 265–268.
Advances in Gynaecological Surgery by Peter J. O'Donovan, Ellis G. R. Downes, Paul McGurgan