Laparoscopic Urogynaecology: Principles and Practice

Description:

Laparoscopic surgery for the treatment of disorders such as urinary incontinence and pelvic organ prolapse is evolving rapidly with few resources available for clinicians. This text will act as a gold standard reference in the field of laparoscopic urogynaecological surgery. The introductory section covers the basics of laparoscopy, including patient selection, surgical set up and the prevention and management of complications. Further sections focus on different “gold standard” techniques and the procedural steps needed to perform the surgery, including chapters on colposuspension, paravaginal repair, laparoscopic hysterectomy as well as apical suspensory surgery such as sacrocolpopexy and sacrohysteropexy. The final section includes debates and opinion pieces on newer techniques as well as discussion on the use of mesh in treating pelvic organ prolapse. There is also a section addressing the current rise in robotic surgery. The editors and contributors are all experts in the field, providing an authoritative and global view on techniques. Highly illustrated, with videos demonstrating the techniques, this is an eminently practical guide to the use of laparoscopy in urogynaecology.

Table of Contents:

Section 1: Basic Principles in Laparoscopic Urogynaecology

1 Patient Selection and Assessment for Laparoscopic Urogynaecology

2 Patient Counselling and the Consent Process for Laparoscopic Urogynaecology

3 Measuring Outcomes in Urogynaecologic Surgery

4 Surgical Set-up, Ergonomics, Entry Techniques, Port Placement and Instrumentation for Laparoscopic

5 Surgical Dissection and Mesh Attachment Techniques for Laparoscopic Sacrocolpopexy

6 Surgical Anatomy for Laparoscopic Urogynaecology

7 Learning Curve in Laparoscopic Urogynaecologic Surgery: Strategies to Optimize Training and Acquir

8 Prevention and Management of Complications in Laparoscopic Urogynaecologic Surgery

9 Mesh: Types and Indications for Use for Laparoscopic Urogynaecology

10 Medicolegal Issues in Laparoscopic Urogynaecology

Section 2: Procedureal Steps and Evidence

11 Total and Supracervical Laparoscopic Hysterectomy at Sacrocolpopexy: Procedure Steps and Evidence

12 Laparoscopic Sacrohysteropexy: Oxford Technique: Procedure Steps and Evidence

13 Laparoscopic Hysteropexy: Procedure Steps and Evidence

14 Laparoscopic Sacrocolpopexy: Procedure Steps and Evidence

15 Laparoscopic Native Tissue Repair: Procedure Steps and Evidence

16 Laparoscopic Pectopexy: Procedure Steps and Evidence

17 Laparoscopic Colposuspension: Procedure Steps and Evidence

18 Laparoscopic Paravaginal Repair: Procedure Steps and Evidence

19 Choice of Sacrocolpopexy Route Including Vaginal Mesh Attachment

20 Total Laparoscopic Hysterectomy: Procedure Steps and Evidence

21 Vaginal Hysterectomy and Ligamentopexy for Apical Prolapse: Procedure Steps and Evidence

22 Laparoscopic Ventral Rectopexy for Rectal Prolapse: Steps and Evidence

Section 3: Opinion and Debate

23 Hysterectomy versus Uterine Preservation in the Management of Uterine Prolapse

24 Laparoscopic Hysterectomy: Total or Subtotal Debate

25 Evidence-based Approach to Concomitant Incontinence Surgery at the Time of Sacrocolpopexy

26 Management of the Posterior Compartment in Laparoscopic Urogynaecology: Role of Rectopexy, Vagina

27 The Role of Meshes in the Treatment of Female Pelvic Organ Prolapse

Section 4: Robotic Surgery

28 The Rise of Robotic Surgery in Benign Gynaecology

29 Unique Advantages of Robotics in Urogynaecology

30 Troubleshooting for Robotic Laparoscopic Urogynaecological Surgery: Tips and Tricks

Index