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Table of Contents

1 Preoperative Care.- I. Preoperative Assessment.- II. Preoperative Routine Tests.- III. General Preadmission Preparation.- 2 Intraoperative Management.- I. Intraoperative Preparation.- II. Intraoperative Monitoring.- III. Incisions.- IV. Suture Material.- V. Wound Closure.- VI. Instrumentation.- 3 Postoperative Care.- I. Aim.- II. Postoperative Monitoring of Vital Signs.- III. Respiratory Therapy.- IV. Fluid and Electrolyte Balance.- V. Mobilization, Deep-Vein Thrombosis Prophylaxis, and Drain Management.- VI. Pain Relief.- VII. Catheter Management.- VIII. Gastrointestinal Tube Management.- IX. Bowel Management.- X. Parenteral and Enteral Nutrition.- XI. Diabetes Mellitus.- XII. Special Needs of Elderly Patients.- 4 Intraoperative Complications.- I. Introduction.- II. Prevention of Intraoperative Complications.- III. Hemorrhage.- IV. Urologic Trauma.- V. Gastrointestinal Trauma.- VI. Vaginal Surgical Injuries.- VII. Nerve Injury.- VIII. Splenic Trauma.- IX. Diaphragmatic Trauma.- 5 Postoperative Complications.- I. Acute Emergencies: Circulatory Complications.- II. Acute Emergencies: Respiratory Disorders.- III. Acute Emergencies: Renal Failure.- IV. Acute Emergencies: Septic Shock.- V. Acute Emergencies: Psychiatric and Central Nervous System Disorders.- VI. Acute Emergencies: Anaphylaxis.- VII. Specific Complications: Deep Venous Thrombosis.- VIII. Specific Complications: Pulmonary Embolus.- IX. Specific Complications: Postoperative Bleeding.- X. Specific Complications: Diffuse Intravascular Coagulation.- XI. Specific Complications: Hypovolemic Shock.- XII. Specific Complications: Ileus and Bowel Obstruction.- XIII. Specific Complications: Wound Infection.- XIV. Specific Complications: Wound Deshiscence.- XV. Specific Complications: Necrotizing Fasciitis.- XVI. Specific Complications: Intra-Abdominal or Pelvic Hematoma.- XVII. Specific Complications: Pelvic or Abdominal Abscess.- XVIII. Specific Complications: Peritonitis.- XIX. Specific Complications: Pseudomembranous Colitis.- XX. Specific Complications: Lymphocyst.- XXI. Specific Complications: Anastomotic Leak from Intestinal Tract.- XXII. Specific Complications: Urinary Fistula.- XXIII. Specific Complications: Ureteral Obstruction.- XXIV. Specific Complications: Urinary Infection.- XXV. Specific Complications: Neurologic Injuries.- XXVI. Specific Complications: Cautery of Chemical Burns.- 6 Principles of Surgical Nutrition.- I. Nutritional Assessment.- II. Preoperative Nutrition Support.- III. Nutrition Requirements.- IV. Routes of Administration.- V. Risks and Complications.- VI. Selected Diets.- VII. Specific Nutritional Problems.- 7 Surgery of the Uterus.- I. Dilatation and Curettage.- II. Suction Curettage.- III. Total Abdominal Hysterectomy.- IV. Modified Radical Hysterectomy.- V. Radical Hysterectomy.- VI. Myomectomy.- VII. Hysteroscopy.- VIII. Vaginal Hysterectomy.- IX. Congenital Anomalies.- X. Endometrial Biopsy.- XI. Cesarean Hysterectomy.- 8 Surgery of the Cervix.- I. Laser Vaporization and Cyrosurgery.- II. Cone Biopsy.- III. Trachelectomy/Excision of Cervical Stump.- IV. Radical Excision of Cervical Stump for Cancer.- V. Cerclage.- VI. Excision of Cervical Polyp.- VII. Cervical Stenosis/Atresia/Pyometra/ Hematometra.- 9 Surgery of the Fallopian Tubes.- I. Introduction.- II. Reconstructive Surgical Techniques.- III. Extirpative Surgical Techniques.- 10 Surgery of the Ovaries.- I. Ovarian Cystectomy.- II. Oophorectomy.- III. Transposition of Ovaries.- IV. Ovarian Cancer Debulking.- V. Second-Look Laparotomy.- 11 Surgery of the Vagina.- I. Cystocele Repair.- II. Enterocele Repair.- III. Rectocele Repair.- IV. Vaginal Stenosis and Introital Stenosis.- V. Imperforate Hymen.- VI. Vaginal Agenesis: The Mclndoe Procedure.- VII. Vaginal Septa.- VIII. Vaginal Reconstruction (Postoperatively).- 12 Surgery of the Vulva.- I. Bartholin’s Duct Cyst/Abscess.- II. Vulval Biopsy.- III. Hemivulvectomy.- IV. Simple Vulvectomy.- V. Radical Vulvectomy.- VI. Basset’s Operation: En Bloc Radical Vulvectomy with Bilateral Inguinofemoral Lymphadenectomy.- VII. Skinning Vulvectomy.- VIII. Laser Vaporization.- 13 Surgery of the Anus and Rectum.- Repair of Fourth-degree Perineal Tear and Anal Incontinence.- 14 Surgery of the Urethra.- I. Diverticulum of the Female Urethra.- II. Slough of the Floor of the Urethra.- 15 Urinary Fistulas.- I. Urethrovaginal Fistula.- II. Vesicovaginal Fistula.- III. Ureterovaginal Fistula.- IV. Vesticouterine and Ureterouterine Fistulas.- V. Ectopic Ureter.- VI. Urinary Fistulas in the Irradiated Patient.- 16 Intestinal Fistula.- I. Introduction.- II. Ileovaginal, Ileoperineal, and Ileoabdominal Fistulas.- III. Rectovaginal Fistula.- IV. Sigmoidovaginal/Sigmoidovesical Fistulas.- 17 Pelvic Exenteration.- 18 Radiation Injury to the Intestinal Tract.- I. Introduction.- II. Surgical Treatment.- 19 Urinary Incontinence.- I. Anterior Colporrhaphy.- II. Marshall-Marchetti-Krantz Operation.- III. Paravaginal Defect Repair.- IV. Special Problems of Patients with Recurrent Incontinence.- 20 Endometriosis.- I. Introduction.- II. Conservative Surgery for Endometriosis.- III. Definitive Surgery for Endometriosis.- IV. Ureteral Obstruction in Endometriosis.- V. Intestinal Obstruction in Endometriosis.- VI. Endometriosis of the Cul-de-Sac.- 21 Stomas.- I. Ileal Conduit.- II. Sigmoid Conduit.- III. Transverse Colon Conduit.- IV. Continent Urinary Stoma.- V. Colostomy.- VI. Ileostomy and Jejunostomy.- VII. Gastrostomy.- VIII. Closure of Colostomy or Ileostomy.- 22 Retroperitoneal Surgery.- I. Introduction.- II. Pelvic Lymph Node Dissection.- III. Aortic Lymph Node Dissection.- IV. Para-aortic Lymph Node Sampling.- V. Ovarian Remnant Syndrome.- VI. Presacral Neurectomy.- VII. Presacral Tumors.- 23 Plastic Surgical Procedures.- I. Introduction.- II. Skin Flaps.- III. Myocutaneous Flaps.- IV. Omental Grafts.- V. Skin Flaps, Myocutaneous Flaps, and Omental Grafts: Postoperative Management and Complications.- VI. Skin Grafts.- VII. Abdominoplasty.- 24 Miscellaneous Procedures.- I. Introduction.- II. Appendectomy.- III. Right Hemicolectomy.- IV. Transverse Colectomy.- V. Left Hemicolectomy.- VI. Anterior Resection of Sigmoid/Rectosigmoid.- VII. Splenectomy.- VIII. Nephrectomy.- IX. Cystectomy.- X. Liver Biopsy/Wedge Resection.- XI. Fine Needle Aspiration.- XII. Trucut Needle Biopsy.- XIII. Inguinal Lymph Node Biopsy.- XIV. Inguinofemoral Lymphadenectomy.- XV. Supraclavicular Lymph Node Biopsy.- XVI. Paracentesis Abdominus.- XVII. Thoracentesis.- XVIII. Insertion of Peritoneal Catheter.- XIX. Perineal Hernia.- XX. Ventral Hernia.- XXI. Umbilical Hernia.- Source of Redrawn Figures.