Clinical Problems, Injuries and Complications of Gynecologic and Obstetric Surgery

, by Nichols, David H.; Delancey, John O. L.

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ISBN: 9780683064971 | 0683064975
Cover: Hardcover
Copyright: 2/1/1995

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Massachusetts General Hospital, Boston. Third edition of a practical clinical reference on the prevention and prompt management of difficult situations in obstetrics/ gynecologic surgery. Previous edition 1988. Halftone illustrations. 77 contributors, 74 U.S.

Preface

vii

Acknowledgments

Contributors

Section I. Laparotomy

Managing Unexpected Findings at Myomectomy: Adenomyosis and Multiple Small Leiomyomas

(6)

John O. L. Delancey

Huge Cervical Myomata

(5)

Celso-Ramon Garcia

Intraoperative Hemorrhage

(4)

Byron J. Masterson

Transabdominal Myomectomy-Broken Needle

(4)

L. Russell Malinak

James M. Wheeler

Greg Simolke

A Small Transverse Pfannenstiel Incision and a Large Pelvic Tumor

(2)

William E. Crisp

Panniculectomy as Incidental Procedure

(4)

Joseph H. Pratt

Symptomatic Genital Prolapse in a Patient Desiring More Children

(2)

David H. Nichols

Ruptured Tubo-Ovarian Abscess

(2)

Richard H. Schwarz

Ovarian Remnant Syndrome

(4)

Raymond A. Lee

Coexisting Genital Procidentia and Rectal Prolapse

(4)

M. Leon Tancer

The Missing Sponge

(2)

Charles E. Flowers, Jr.

Pending Evisceration After Laparotomy

(2)

Byron J. Masterson

Postoperative Septic Pelvic Thrombophlebitis

(8)

James L. Breen

Brian Casey

Postoperative Necrotizing Fasciitis

(5)

Raymond A. Lee

Dyspareunia After Radical Hysterectomy

(6)

Abe Mickal

Section II. Adnexal Surgery

Oophorectomy-Resection of Endometrioma with Discovery of a 5-cm Segment of Ureter in Wall of Specimen

(3)

David H. Nichols

Bilateral Ovarian Mature Cystic Teratomas in a Young Woman

(5)

James L. Breen

Julian E. De Lia

John T. Comerci, Jr.

Unilateral Pelvic Abscess Following Removal of Intrauterine Device

(8)

Abe Mickal

Bilateral Chronic and Symptomatic Salpingitis: Should Hysterectomy Be Performed?

(6)

Howard W. Jones, Jr.

Section III. Laparoscopic and Fertility Surgery

Inability to Insufflate the Peritoneal Cavity at the Time of Laparoscopy

(5)

John O. L. Delancey

William W. Hurd

Arrhythmia and Drop in Blood Pressure During Inspiration with the Veress Needle

(4)

William W. Hurd

Injuries to Abdominal Wall Blood Vessels at Laparoscopy

(4)

William W. Hurd

Laparoscopy with Unexpected Viscus Penetration

(2)

Alan H. DeCherney

Cystic Adnexal Mass

100

(4)

William D. Schlaff

Ectopic Pregnancy in an Infertility Patient with Coexistent Chronic Pelvic Inflammatory Disease

104

(5)

Celso-Ramon Garcia

Phillip C. Galle

Missing Needle

109

(2)

Ray V. Haning, Jr.

Laparoscopic Hysterectomy-Ureter Transected

111

(6)

Harry Reich

Sheila E. Buchbinder

Endometriosis of the Rectovaginal Septum in an Infertility Patient with Rectal Penetration at the Time of Surgery

117

(6)

John J. Mikuta

Section IV. Endoscopic Surgery

Hysteroscopy-Hysteroscopic Resection of Intrauterine Septum Progresses to Perforation of the Uterine Fundus

123

(3)

John F. Randolph, Jr.

Hysteroscopy-400-Pound Patient with Uncontrollable Genital Hemorrhage-Emergency Care? Long-Term Care? Endometrial Ablation? Hysterectomy?

126

(5)

James A. Roberts

Section V. Vaginal Surgery

Abbe-McIndoe Procedure with Rectal Penetration

131

(6)

John D. Thompson

Postoperative Vaginal Fibrosis and Contracture Following Abbe-McIndoe Procedure

137

(2)

David H. Nichols

Inability to Find an Enterocele That Was Suspected Preoperatively

139

(5)

John O. L. DeLancey

Prolapse Subsequent to Le Fort Partial Colpocleisis

144

(3)

John O. L. DeLancey

Uterovaginal Prolapse That Is Difficult or Impossible to Reduce

147

(5)

John O. L. DeLancey

Genital Prolapse with Unsuspected Ventral Fixation

152

(6)

John H. Isaacs

Vaginal Hysterectomy with Intrapelvic Adhesions

158

(6)

J. George Moore

Management Challenges in Postmenopausal Bleeding

164

(3)

Michael P. Hopkins

Fallopian Tube Prolapse Following Hysterectomy

167

(3)

W. Glenn Hurt

Procidentia with Adenocarcinoma of the Endometrium

170

(4)

William A. Cliby

Karl C. Podratz

Injury to the Femoral Nerve During Laparotomy

174

(5)

Susan I. Salzberg

John O. L. DeLancey

Evisceration One Year After Vaginal Hysterectomy Without Colporrhaphy

179

(3)

David H. Nichols

Dyspareunia Following Acquired Vaginal Atresia

182

(4)

Tommy N. Evans

Genital Prolapse in a Patient with Poor Cardinal-Uterosacral Ligaments

186

(7)

David H. Nichols

Recurrent Genital Prolapse Following Sacrospinous Vaginal Vault Suspension

193

(4)

Fred S. Miyazaki

Massive Eversion of a Shortened Vagina

197

(3)

George W. Morley

Enterocele, Vaginal Vault Prolapse, and Cystocele Following Vesicourethral Pin-up Operation

200

(3)

David H. Nichols

Kathleen Martin

Vaginal Evisceration Following Pelvic Surgery

203

(11)

Clifford R. Wheeless, Jr.

Transvaginal Oophorectomy and Salpingo-Oophorectomy

214

(4)

David H. Nichols

Anterior Vaginal Wall Prolapse After Cystectomy

218

(4)

William J. Hoskins

Posterior Colporrhaphy---Lost Needle

222

(4)

Robert F. Porges

Mass in the Lateral Wall of the Vagina

226

(6)

Winfred L. Wiser

Wolffian Duct Cyst at the Vaginal Vault

232

(5)

Ricardo M. Azziz

Lisa A. Peacock

John A. Rock

Retroperitoneal Postoperative Hemorrhage

237

(5)

R. Clay Burchell

Bleeding Three Hours Following Vaginal Hysterectomy

242

(3)

George W. Mitchell, Jr.

Fred M. Massey

Unanticipated Spontaneous Vaginal Hemorrhage Following Straining at Stool on Tenth Postoperative Day

245

(2)

David H. Nichols

Recurrent Protrusion of Anterior Vaginal Wall with Vault Eversion, Paravaginal Defects, and Thin Vaginal Epithelium

247

(8)

Bobby L. Shull

Section VI. Urinary Tract Problems and Injuries

Accidental Cystotomy During Vaginal Hysterectomy

255

(11)

John D. Thompson

Urine Leakage Through Vagina After Vaginal Hysterectomy and Anterior Colporrhaphy

266

(3)

Richard E. Symmonds

Vesicovaginal Fistula Following Total Abdominal Hysterectomy

269

(9)

John D. Thompson

Unrecognized Clamping of Ureter at Hysterectomy

278

(3)

Richard E. Symmonds

Unilateral Postoperative Ureteral Obstruction

281

(3)

David H. Nichols

Stitch Penetration of Bladder at Vaginal Hysterectomy and Repair

284

(3)

George W. Mitchell, Jr.

Fred M. Massey

Bladder Management at Postpartum Hysterectomy

287

(5)

R. Clay Burchell

Large Uterine Leiomyomas and Stress Urinary Incontinence

292

(16)

Anne K. Wiskind

John D. Thompson

Urinary Stress Incontinence in a Young Patient Who Wants More Children

308

(3)

W. Glenn Hurt

Inability to Void Following Vesicourethral Sling Procedure

311

(4)

David H. Nichols

Suburethral Sling Rejection

315

(3)

Stephen B. Young

Persistent Stress Urinary Incontinence After Retropublic Sling Procedure: Pharmacologic Management

318

(4)

Michael P. Aronson

Inability to Void Four Months After Needle Suspension Surgery

322

(7)

Edward J. McGuire

Section VII. Intestinal Problems and Injuries

Right Lower Quadrant Pelvic Abscess

329

(2)

Leslie W. Ottinger

Injury to Bowel During Pelvic Surgery

331

(6)

George W. Mitchell, Jr.

Fred M. Massey

Unexpected Clamping of Small Bowel During Hysterectomy

337

(4)

John H. Isaacs

Rectovaginal Fistula

341

(6)

John J. Mikuta

Section VIII. Pelvic Cancer Surgery

Carcinoma of the Vulva with Coexistent Genital Prolapse

347

(2)

George W. Morley

Carcinoma of the Vulva with Coexistent Genital Prolapse-A Contrasting View

349

(6)

Augusto G. Ferrari

Luigi Frigerio

Radical Vulvectomy-One Node Positive

355

(3)

Philip J. DiSaia

Carcinoma of the Vulva with Postoperative Inguinal Wound Breakdown

358

(6)

George W. Morley

Vulvar Paget's Disease Involving Anal Skin

364

(5)

John H. Isaacs

Vaginal Hysterectomy for a Patient with Microinvasive Carcinoma of the Cervix and Symptomatic Pelvic Relaxation

369

(3)

George W. Morley

Microinvasive Cancer of the Cervix in Pregnancy

372

(2)

Philip J. DiSaia

Unexpected Uterine Malignant Tumor (Adenocarcinoma or Endometrial Sarcoma) Found When the Uterus Was Opened in the Operating Room

374

(2)

John J. Mikuta

Undiagnosed Invasive Squamous Cell Carcinoma in Hysterectomy Specimen

376

(4)

Henry C. McDuff

Trauma to the Vena Cava During Para-Aortic Node Dissection

380

(4)

Jerome L. Belinson

Myomectomy with Unexpected Leiomyosarcoma

384

(4)

Arlan B. Fuller, Jr.

Unexpected Carcinoma of the Ovary Reported by Pathology Five Days Following Unilateral Salpingo-Oophorectomy for Presumed Endometrial Cyst

388

(6)

Denis Cavanagh

Donald E. Marsden

Nonresectable Adenocarcinoma of Ovary Which Shrinks During Chemotherapy

394

(5)

William T. Creasman

Section IX. Problems of Minor Gynecologic Surgery

Perforation of Uterus at Dilatation and Curettage

399

(4)

John C. Lathrop

Pelvic Mass Following Conization

403

(6)

Barrie Anderson

Section X. Obstetric Surgery

Disruption of a Fourth-Degree Laceration

409

(4)

John O. L. DeLancey

Postpartum Rectovaginal Fistula---When to Repair? Future Delivery-Vaginal or Cesarean?

413

(6)

Bruce H. Drukker

Section XI. Medical, Endocrine, and Miscellaneous Problems

The HIV-Positive Patient's Right of Confidentiality in Surgery

419

(3)

Thomas E. Elkins

Douglas Brown

Procidentia in an Elderly Multipara

422

(2)

J. George Moore

Surgical Patient with History of Previous Thrombophlebitis

424

(3)

Robert E. Rogers

Hysterectomy in Morbidly Obese Patients

427

(5)

Donald G. Gallup

Compartment Syndrome

432

(2)

David H. Nichols

Adnexal Abscess After Vaginal Hysterectomy

434

(2)

David H. Nichols

Psychiatric Consequences of Gynecologic Surgery

436

(5)

Andrew E. Slaby

Genital Injuries Following Sexual Assault

441

(4)

David Muram

Medicolegal Complications Consequent to Unauthorized Surgery

445

(4)

David Landel Nichols

John W. Caldwell

Index

449

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Clinical Problems, Injuries and Complications of Gynecologic and Obstetric Surgery

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