How to Perform Operative Procedures in Obstetrics and Gynaecology

British Medical Association Book Award Winner - Obstetrics and Gynaecology 2021

Trainees in Obstetrics and Gynaecology require robust operative skills, yet factors such as the implementation of structured training and increased litigation concerns have significantly limited training time. Whilst conventional textbooks are sufficient for presenting theoretical knowledge, they are inadequate in explaining practical procedures. How to Perform Operative Procedures in Obstetrics and Gynaecology thoroughly describes many key index operations in the Royal College of Obstetricians and Gynaecologists training syllabus, offering an innovative, media-rich approach to the subject.

Written by a team of O&G practitioners, this unique resource combines concise written instructions, full-colour pictures and diagrams, and hours of high-quality video footage of real-life operations, narrated by experienced NHS consultants. Specialty trainees, MRCOG candidates and post-MRCOG doctors are provided clear, easy-to-follow guidance on procedures including assisted vaginal delivery, Caesarean section, abdominal hysterectomy, diagnostic and operative laparoscopy, cone biopsy, rigid cystoscopy and many others.

• Features a companion website containing more than six hours of video tutorials, vignettes and personal experiences
• Includes a colour WHO Surgical Safety Checklist
• Discusses non-technical aspects such as consent and understanding human factors
• Covers surgical instruments, surgical positioning, and sutures and needles
• Offers introductions, overviews, and "Top Tips" for each procedure to highlight important learning points

An ideal study guide and reference for individual and group work alike, How to Perform Operative Procedures in Obstetrics and Gynaecology is indispensable for specialty trainees and those preparing for MRCOG examinations.

Wai Yoong is a consultant Obstetrician and Urogynaecologist at North Middlesex University Hospital London and Associate Professor at St George’s International School of Medicine. He is the senior organiser of the RCOG Masterclass in Management of Massive Obstetric Haemorrhage and senior founder trustee of Haemorrhage After Childbirth Foundation.

Abha Govind is a consultant Obstetrician and Gynaecologist at North Middlesex University Hospital London, an Honorary Senior Lecturer at University College London, and Associate Professor at St George’s International School of Medicine. She has been MRCOG part 2 examiner, Faculty trainer for DFSRH, deanery ATSM preceptor and lead for maternity risk management.

Wasim Lodhi is a consultant Obstetrician and Gynaecologist at North Middlesex University Hospital London, an Honorary Senior Lecturer at University College London Medical School, and Associate Professor at St George’s International School of Medicine. With a special interest in outpatient operative hysteroscopy, he is a co-organiser of the RCOG Masterclass in Massive Obstetric Haemorrhage and is a founder trustee of Haemorrhage After Childbirth Foundation.

Contributors vi

Foreword vii

Editors’ Biographies ix

Acknowledgements xi

About the Companion Website xii

Part I Basic 1

1 Consent 3
Abha Govind

2 WHO Surgical Safety Checklist 10
Sophie Relph and Wai Yoong

3 Understanding Human Factors (Non-technical Skills) in Obstetrics and Gynaecology 15
Wai Yoong, Mark Ponnusamy, Roberto De Martino, and Maud Nauta

4 Surgical Instruments 25
Christina Neophytou, Rajvinder Khasriya, and Wai Yoong

5 Surgical Positioning 34
Ciara MacKenzie, Rosalind Aughwane, Wasim Lodhi, and Wai Yoong

6 Sutures and Needles 37
Rosalind Aughwane, Ciara MacKenzie, Wasim Lodhi, and Wai Yoong

Part II Obstetrics 41

7 Assisted Vaginal Delivery 43
Natasha Barbaneagra, Katie Andersen, and Wasim Lodhi

8 Caesarean Section 49
Sayantana Das and Abha Govind

9 Uterine Compression Sutures for Uterine Atony 52
Wai Yoong and Wasim Lodhi

10 Cervical Cerclage 57
Joan Baqer, Dhanuson Dharmasena, and Wai Yoong

Part III Gynaecology, 63

11 Total Abdominal Hysterectomy 65
Abha Govind

12 Open Myomectomy 70
Abha Govind

13 Hysteroscopic Resection of Fibroids 74
Sayantana Das and Wasim Lodhi

14 Diagnostic Laparoscopy 78
Charlotte Austen and Abha Govind

15 Operative Laparoscopy 82
Charlotte Austen and Abha Govind

16 Laparoscopic Salpingectomy for Ectopic Pregnancy 85
Wasim Lodhi

17 Surgery for Vagina Prolapse Using Native Tissue 88
Wai Yoong

18 Vaginal Hysterectomy for Prolapse 91
Jane Ding and Wai Yoong

19 Manchester Repair (Fothergill’s Operation) for Cervical Prolapse 95
Dhanuson Dharmasena and Wai Yoong

20 Cone Biopsy 99
Jane Ding and Wai Yoong

21 Rigid Cystoscopy 102
Wai Yoong

22 Manual Vacuum Aspiration and Surgical Management of Miscarriage 105
Abha Govind and Beena Subba

23 Female Sterilisation: The Laparoscopic and Hysteroscopic Approaches 109
Abha Govind

Index 114

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