Laparoscopic Anatomy of the Pelvic Floor

Description:

Gynaecological surgery has made tremendous strides in the last 30 years, due to advances in medical imaging, operative laparoscopy, and new types of prosthesis. Reconstructive plastic surgery of pelvic organ prolapse and of urinary incontinence have benefited from these developments. The laparoscopic sacropopexy and laparoscopic lateral suspension with meshes are two excellent examples. In order to successfully perform these operations, detailed knowledge of the anatomy of the pelvic floor as “seen from above”, i.e., from the abdominal view, is an invaluable asset. Achieving perfect knowledge of the anatomical details is now possible, thanks to laparoscopy. With the aid of laparoscopy, following subperitoneal dissections, reconstructive surgery of the pelvic floor can be made substantially more precise, more exact, and also more anatomical. This atlas will allow gynaecologic surgeons to deepen and improve their anatomical expertise, with the aid of laparoscopy. It also describes in detail the most common laparoscopic operative techniques. The book represents a new and unique approach to anatomy studied in the living, and supplements the main content with a wealth of straightforward and clearly explained photographs.

Table of Contents:

Part I. Traditional Anatomy of the Pelvic Floor

1. Introduction

2. The Muscles

3. The Fascias

4. The Ligaments

5. The Attachment Sites for the Surgeon

Part II. Laparoscopic Normal Anatomy of the Pelvic Floor Seen By Transperitoneal Vision

6. Ventrolateral Abdominal Wall

7. Lateral Anatomy

8. Landmarks of the Ureter

9. Dorsal and Lateral Anatomy of the Pelvis

10. Promontory Area

Part III. Laparoscopic Normal Retroperitoneal Anatomy of the Pelvic Floor Seen After Peritoneal Incision

11. Prevesical Space, Cooper’s Ligament, Paravesical Space, Arcus Tendineus Fascia Pelvis

12. The Vesicovaginal Space

13. The Dorsolateral Dissection of the Uterine Artery

14. The Rectovaginal Septum

15. The Pararectal Space

Part IV. Laparoscopic Anatomy of the Pelvic Floor in Case of Genital Prolapse Seen By Clinical Examination and Transperitoneal Vision

16. Cystocele

17. External Aspects of Exteriorized Apical Prolapse and Rectocele

18. External Aspects of Vaginal Vault Prolapse

19. External Aspects of Enterocele

Part V. Laparoscopic Anatomy of the Pelvic Floor in Women with a Genital Prolapse Seen After Peritoneal Incision

20. Laparoscopic Aspects of Urethro-Cystocele

21. Laparoscopic Aspects of Prolapses of Anterior, Median and Posterior Compartments

Part VI. Laparoscopic Lateral Suspension with Meshes to Treat Genital Prolapse (LLS)

22. Techniques of Laparoscopic Lateral Suspension with Uterus Preservation

23. Final Evaluation of the Correct Technique of Laparoscopic Lateral Suspension

24. Optional Treatment of the Posterior Compartment and Techniques of Laparoscopic Lateral Suspension for Vaginal Vault Prolapse

25. Lateral Suspension: Focus on

Part VII. Laparoscopic Sacrocolpopexy to Treat Genital Prolapse (SCP)

26. Techniques of Laparoscopic Sacrocolpopexy (SCP) to Treat Genital Prolapse, With or Without Preservation of the Uterus

27. Sacrocolpopexy: Focus on