图书简介
Gynecology is principally an operative specialty and the range of gynecologic procedures managed is constantly expanding due to improved instrumentation and minimally invasive techniques. Covering the entire spectrum of gynecologic surgery through a case-based, digestible format, procedures such as vaginal, transvaginal, hysteroscopic, laparoscopic, robotic, and abdominal procedures are included, as well as common surgical challenges and complications. For each case, a clinical vignette outlines the situation and the clinical context of the patient, followed by a comprehensive discussion of the evidence-based management approach and key teaching points. The decision to operate, contraindications, alternatives to surgery and preoperative counseling is discussed in detail along with the level of care needed for each case. Readers will improve their knowledge base of gynecologic surgery and gain multiple tools to overcome common surgical obstacles.
1. A 45-year-old P4 woman undergoing hysterectomy requests Oopherectomy Sarah Alhaddad Tout; 2. A 40-year-old G0 developmentally delayed woman requires hysterectomy Amy Boone; 3. A 45-year-old woman with possible penicillin allergy scheduled for hysterectomy Katherine Strafford; 4. A 50-year-old woman with prior DVT undergoing hysterectomy Jacqueline Rohl; 5. A 40-year-old woman with severe anemia scheduled for surgery refuses blood products Amanda H. Ritter; 6. A 55-year-old woman enquires about your institution’s protocols for enhanced recovery after surgery Brett Worly; 7. A 55 -year-old female with a 25-year smoking history and COPD is undergoing a robotic hysterectomy Randa Jalloul; 8. A 48-year-old with adult-onset diabetes is undergoing a hysterectomy for recurrent simple hyperplasia William Po; 9. A 10-year-old girl with a vulvar hematoma after playground injury Janeen L. Arbuckle; 10. A 50-year-old woman with a discrete area of leukoplakia that on in-office punch biopsy showed VIN 3 Sarah M. Page-Ramsey; 11. A 50-year-old woman with recurrent Bartholin’s gland cyst Shweta N. Patel; 12. A 21-year-old woman with labial pain during exercise Christine Isaacs; 13. A 33-year-old woman with localized vulvodynia without vaginismus Jonathan Schaffir; 14. A 24-year-old woman with multiple large vulvar condylomata Celeste Ojeda Hemingway; 15. A 70-year-old woman with vulvar Paget’s disease Erica Nelson; 16. A 45-year-old Female with multicentric VIN Esther Fuchs; 17. A 70-year-old woman with diabetes, exquisitely painful 2cm vulvar ulcerative lesion, and subcutaneous gas on CT scan Courtney Rhoades; 18. A 14-year-old adolescent with cyclic pelvic pain and amenorrhea Geri D. Hewitt; 19. A 40-year-old woman with a 3cm mass prolapsing through the cervix Tara J. Harris; 20. A 35-year-old woman with a fetal demise at 20 weeks’ gestation Elissa T. Serapio; 21. A 25-year-old woman with intrauterine embryonic demise and temperature of 39.2°C Susan Lasch; 22. A 40-year-old G0 woman with endometrial intraepithelial neoplasia desiring hysterectomy Katherine M. Smith; 23. A 35-year-old G3P3 woman with a 12-week uterus and a prior cesarean section who desires vaginal hysterectomy Angelina K. Gangestad; 24. A 42-year-old G2P2 woman undergoing vaginal hysterectomy with difficulty entering the peritoneum Francine McLeod; 25. A 28-year-old P0 woman with adenocarcinoma-in-situ has intraoperative bleeding during a cold-knife conization Seine Chiang; 26. A 30-year-old G1 woman with suspected uterine perforation during suction dilation and curettage Michelle M. Isley; 27. A 39-year-old P4 woman with recurrent HSIL after LEEP Mallory Kremer; 28. A 34-year-old G2P1 woman with elevated B-hCG (>250 000) and concern for molar gestation Maria Shaker; 29. A 35-year-old G3P2 woman with persistent bleeding after suction D
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