By Tito Lopes, Nick M. Spirtos, Raj Naik, John M. Monaghan(auth.)
- company favorite for gynaecological surgical perform considering 1911, greatly revised via top gynaecological surgeons
- offering info on reconstructive surgical procedure, anaesthesia, info know-how and audit, problems and caliber
- concentrating on the main quite often played techniques with emphasis on evidence-based selection making and the expanding use of laparoscopy in diagnostic and surgeries
Chapter 1 advent and Prologue (pages 1–6):
Chapter 2 instruction for surgical procedure (pages 7–14):
Chapter three tools, Operative fabrics and easy Surgical thoughts (pages 15–30):
Chapter four beginning and shutting the belly hollow space (pages 31–41):
Chapter five The Laparoscopic process in Gynaecology (pages 42–51):
Chapter 6 Postoperative Care and problems (pages 52–55):
Chapter 7 Operations at the Vulva (pages 57–65):
Chapter eight Operations at the Vagina (pages 66–80):
Chapter nine Operations at the Cervix (pages 81–98):
Chapter 10 Operations at the Uterine hollow space (pages 99–104):
Chapter eleven Operations at the Uterus (pages 105–120):
Chapter 12 Uterine Fibroids (pages 121–124):
Chapter thirteen Operations at the Fallopian Tubes (pages 125–130):
Chapter 14 Operations at the Ovaries (pages 131–135):
Chapter 15 Caesarean part (pages 136–145):
Chapter sixteen Operations for Pelvic Organ Prolapse (pages 147–160):
Chapter 17 Operations for Urinary Incontinence (pages 161–174):
Chapter 18 Operations for the Correction of Urinary Fistulae (pages 175–180):
Chapter 19 surgical procedure for Carcinoma of the Vulva (pages 181–189):
Chapter 20 Vaginal melanoma surgical procedure (pages 190–191):
Chapter 21 Cervical melanoma (pages 192–215):
Chapter 22 Uterine melanoma (pages 216–218):
Chapter 23 Ovarian melanoma (pages 219–221):
Chapter 24 Exenterative surgical procedure (pages 222–230):
Chapter 25 Vascular surgical procedure: purposes in Gynaecology and Gynaecological Oncology (pages 231–234):
Chapter 26 Urinary Tract (pages 235–249):
Chapter 27 Operations at the Intestinal Tract for the Gynaecologist (pages 250–259):
Chapter 28 Reconstructive techniques (pages 260–262):
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Extra resources for Bonney's Gynaecological Surgery, Eleventh Edition
4 Incising the peritoneum. the fold of peritoneum between finger and thumb to make sure there is no bowel included and then makes a short incision in the peritoneum (Fig. 4). As air enters the cavity of the abdomen the bowel falls away from the abdominal wall and the surgeon can now lengthen the incision under direct vision. If it is clear that there are extensive adhesions beneath the peritoneum then it is prudent to move to another part of the incision and enter the abdominal cavity away from the adhesions.
Current passes through the tissue with resultant dehydration and, ultimately, coagulation. This can be modulated by the temperature and area of contact because, when the electrode contacts the tissues, they do not vaporize as the concentration of the current is markedly reduced. Even though there have been great advances in generator technology, particularly the development of return electrode technology, there still can be burns associated with the use of monopolar current, most frequently at the return pad site.
The table should be adjusted for the surgeon’s requirements to provide a comfortable operating 31 BONNEY’S GYNAECOLOGICAL SURGERY position and the very best access to the operative field. The editors’ use varying degrees of head-down tilt for most abdominal procedures; this allows the bowel to be easily packed out of the pelvic field and ensures minimal blood pooling in the lower limbs. However, it does make for poor visibility for the scrub nurse and second assistant and means that special care has to be taken to ensure that the patient does not slide off the operating table.