Abdominoperineal Excision of the Rectum

Jan 12, 2019 by in GYNECOLOGY Comments Off on Abdominoperineal Excision of the Rectum

INTRODUCTION Print Section Listen The oncologic removal of the rectum often requires both an abdominal and a perineal approach. During the abdominal portion of the procedure, the superior rectal vessels…

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Incontinent Urinary Diversions

Jan 12, 2019 by in GYNECOLOGY Comments Off on Incontinent Urinary Diversions

BACKGROUND Print Section Listen Urinary diversion, defined as rerouting of urine from a normal intact urinary tract, can be classified as either incontinent or continent. Incontinent diversion allows for the…

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Ileal Pouch Anal Anastomosis

Jan 12, 2019 by in GYNECOLOGY Comments Off on Ileal Pouch Anal Anastomosis

BACKGROUND Print Section Listen The ileal pouch anal anastomosis (IPAA) procedure, also known as ileoanal anastomosis or restorative proctocolectomy, was developed in the 1970s by Sir Alan Parks in London….

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Continent Diversions

Jan 12, 2019 by in GYNECOLOGY Comments Off on Continent Diversions

BACKGROUND Print Section Listen Urinary diversion following cystectomy remains one of the great challenges of radical pelvic surgery because an equivalent replacement for the native bladder has yet to be…

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Radical Cystectomy

Jan 12, 2019 by in GYNECOLOGY Comments Off on Radical Cystectomy

BACKGROUND Print Section Listen Initial reports of cystectomy are attributed to Bardenheuer et al of Cologne in 1887, with the first female cystectomy being performed by Pawlik in Czechoslovakia around…

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Surgical Anatomy and Instrumentation

Jan 12, 2019 by in GYNECOLOGY Comments Off on Surgical Anatomy and Instrumentation

SURGICAL ANATOMY Print Section Listen The complexities of radical extirpative surgery for locally advanced and recurrent pelvic cancer and the associated procedures necessary for successful functional and cosmetic reconstruction require…

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