Bladder Operations
Bladder Operations Kenneth D. Hatch GENERAL PRINCIPLES Definition A vesicovaginal fistula is an abnormal connection between the bladder and the vagina. It occurs most often after pelvic surgery but may…
Bowel Fistula
Bowel Fistula Kenneth D. Hatch GENERAL PRINCIPLES Definition A fistula occurs when bowel contents exit through the abdominal wall, vagina, bladder, or uterus. They occur most commonly from surgery but…
Bowel Obstruction
Bowel Obstruction Kenneth D. Hatch GENERAL PRINCIPLES Definition Obstruction of the bowel is divided into two categories: adynamic ileus and mechanical obstruction. After laparotomy, the small bowel normally undergoes paralytic…
Early-Stage Ovarian Cancer
Early-Stage Ovarian Cancer Kenneth D. Hatch GENERAL PRINCIPLES Definition Early-stage ovarian cancer is stage I A, B, C or stage II A, B after adequate surgical staging has been performed….
Ovarian Cancer Resection and Debulking in the Lower Abdomen
Ovarian Cancer Resection and Debulking in the Lower Abdomen Kenneth D. Hatch GENERAL PRINCIPLES Optimal cytoreductive surgery (CRS) can be performed in 70% to 90% of the cases of ovarian…
Ovarian Cancer Resection and Debulking in the Upper Abdomen
Ovarian Cancer Resection and Debulking in the Upper Abdomen Robert W. Holloway Walter Gotlieb David Cibula Kenneth D. Hatch GENERAL PRINCIPLES Outcome survival analyses of patients with stage III and…
Low Rectal Anastomosis
Low Rectal Anastomosis Kenneth D. Hatch GENERAL PRINCIPLES Rectosigmoid resection and anastomosis is indicated for tumor-reductive surgery in ovarian cancer, pelvic exenteration, and rarely for radiation-induced hemorrhagic proctitis. The procedure…
Pelvic Exenteration
Pelvic Exenteration Kenneth D. Hatch GENERAL PRINCIPLES Definition Pelvic exenteration refers to the radical resection of the uterus, tubes, ovaries, cervix, and vagina, along with the bladder and ureters, and…
Urinary Diversion
Urinary Diversion Kenneth D. Hatch GENERAL PRINCIPLES Permanent urinary diversion is necessary when the bladder is removed for treatment of cancer or if there is injury to the lower urinary…
Robotic Nerve-Sparing Radical Hysterectomy
Robotic Nerve-Sparing Radical Hysterectomy Javier F. Magrina Paul M. Magtibay GENERAL PRINCIPLES Definition Robotic nerve-sparing radical hysterectomy is viewed by an increasing proportion of gynecologic oncologists as a preferable surgical…
