Excision of Vaginal Cysts

Apr 9, 2017 by in GYNECOLOGY Comments Off on Excision of Vaginal Cysts

Fig. 14.1 Bartholin gland and Skene/paraurethral gland duct openings within the vagina The Vagina The formation of the vagina starts with the development of two solid sinovaginal bulbs in the…

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Instrumentation for Female Pelvic Surgery

Apr 9, 2017 by in GYNECOLOGY Comments Off on Instrumentation for Female Pelvic Surgery

Open surgery Catheters Diluted indigo carmine solution Yellofin® Stirrups (Allen Medical Systems, Hill-Rom Company, Batesville, IN) Cystoscope Weighted vaginal speculum Uterine tenaculum Allis forceps DeBakey forceps Metzenbaum scissors Mayo scissors…

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Anatomy of the Female Genitourinary Tract

Apr 9, 2017 by in GYNECOLOGY Comments Off on Anatomy of the Female Genitourinary Tract

Fig. 1.1 Embryology of abdominal wall musculature Anatomy The first layer encountered just deep to the skin and subcutaneous tissues of the anterior abdominal wall is a fascial plane consisting…

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Transvaginal Prolapse Repair

Apr 9, 2017 by in GYNECOLOGY Comments Off on Transvaginal Prolapse Repair

Fig. 5.1 POP-Q exam. Aa point A anterior, Ap point A posterior, Ba point B anterior, Bp point B posterior, C cervix or vaginal cuff, D posterior fornix (if cervix…

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Surgical Therapy for Fecal Incontinence

Apr 9, 2017 by in GYNECOLOGY Comments Off on Surgical Therapy for Fecal Incontinence

Fig. 16.1 Anatomy of pudendal nerve This test employs a disposable electrode that is placed around the gloved fingertip and inserted into the rectum (Fig. 16.2). Transrectal stimulation of the…

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Construction of the Neovagina

Apr 9, 2017 by in GYNECOLOGY Comments Off on Construction of the Neovagina

Fig. 18.1 Vaginal dilators. Vaginal dilators come in variable lengths and sizes (Used with permission from Ridgeway BR, Attaran M. Embryology and Congenital Anomalies of the Urinary Tract, Rectum, and…

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Repair of Urethral Diverticula

Apr 9, 2017 by in GYNECOLOGY Comments Off on Repair of Urethral Diverticula

Fig. 11.1 Representative anatomy of the mid urethra in a coronal plane (Used with permission from Rovner ES. Urethral diverticula. In: Female Urology, 3rd ed. Edited by Raz S, Rodriguez…

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Vaginal Fistula Repairs

Apr 9, 2017 by in GYNECOLOGY Comments Off on Vaginal Fistula Repairs

Fig. 10.1 The peritoneum is located near a post hysterectomy vesicovaginal fistula (Copyright © Shlomo Raz, MD) Fig. 10.2 Martius flap based on its inferior pedicle, posterior labial branches of…

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Obliterative Vaginal Procedures

Apr 9, 2017 by in GYNECOLOGY Comments Off on Obliterative Vaginal Procedures

Fig. 6.1 Stage 4 vaginal vault prolapse Some type of preoperative evaluation for stress urinary incontinence (SUI), even in patients that report continence, is recommended due to the high rate…

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