| Contributors |
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| Preface |
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Part I General Preoperative, Intraoperative, and Postoperative Challenges |
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Section 1 Preoperative Care |
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1 Patient with Poor ASA Score |
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3 | (3) |
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6 | (3) |
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3 Patient with Ischemic Heart Disease |
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9 | (4) |
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4 Patient with Arrhythmias |
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13 | (4) |
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5 Patient with a Pacemaker or Implantable Defibrillator |
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17 | (3) |
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6 Patient with Complex Congenital Heart Disease (Fontan Circulation) |
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20 | (2) |
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22 | (3) |
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8 Patient with Respiratory Disease |
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25 | (3) |
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28 | (2) |
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10 Patient with Thyroid Disease |
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30 | (3) |
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11 Patient with Renal Disease |
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33 | (2) |
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12 Patient with Liver Disease |
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35 | (3) |
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13 Patient with Rheumatologic Diseases |
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38 | (3) |
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14 Patient with Hematologic Disorders |
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41 | (3) |
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15 Patient at High Risk of Venous Thrombosis |
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44 | (3) |
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16 Patient on Anticoagulant Therapy |
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47 | (3) |
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17 Patient on Steroid Therapy |
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50 | (4) |
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54 | (2) |
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19 Patient with a Psychiatric Condition |
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56 | (3) |
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20 Patient with Organ Transplant |
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59 | (2) |
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21 Patient with Hepatitis B or C |
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61 | (3) |
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64 | (3) |
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67 | (2) |
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24 Patient with Poor Nutritional Status |
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69 | (2) |
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25 Pregnant Patient Requiring Non-obstetric Surgery |
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71 | (6) |
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Section 2 Intraoperative Care |
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26 Transverse Incision on the Abdomen Inadequate for Surgery |
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77 | (2) |
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27 Previous Multiple Abdominal Scars |
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79 | (4) |
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28 Patient with Previous Mesh Incisional Hernia Repair Requiring a Laparotomy |
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83 | (3) |
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29 Patient with Previous Mesh Incisional Hernia Repair Requiring a Laparoscope |
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86 | (3) |
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30 Unexpected Pathology: Ovarian Cyst |
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89 | (3) |
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31 Unexpected Pathology: Abnormal Appearance of the Uterus |
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92 | (2) |
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32 Unexpected Pathology: Severe Pelvic Adhesions |
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94 | (3) |
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33 Unexpected Pathology: Abnormal Appearance of Bowel |
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97 | (3) |
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34 Unexpected Pathology: Retroperitoneal Mass |
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100 | (3) |
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103 | (3) |
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106 | (5) |
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37 Small and Large Bowel Injury |
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111 | (5) |
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38 Inferior Epigastric Vessel Injury |
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116 | (3) |
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39 Bleeding from Retracted Pedicular (Pelvic Sidewall) Vessels |
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119 | (2) |
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121 | (4) |
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125 | (2) |
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42 Lost Swab, Needle or Instrument |
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127 | (4) |
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Section 3 Postoperative Care |
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131 | (2) |
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44 Excessive Nausea and Vomiting after Surgery |
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133 | (3) |
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45 Excessive Abdominal Pain after Surgery |
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136 | (3) |
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46 Bowel Damage: Postoperative Presentation |
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139 | (3) |
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142 | (5) |
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147 | (3) |
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49 Late Wound Failure: Incisional Hernia |
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150 | (3) |
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153 | (3) |
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51 Management of Surgical Drains |
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156 | (3) |
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159 | (3) |
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53 Breathless Patient: Postoperative Pulmonary Complications |
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162 | (3) |
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54 Confused Postoperative Patient |
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165 | (2) |
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55 Patient with Poor Urine Output |
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167 | (3) |
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170 | (4) |
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174 | (3) |
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58 Cardiorespiratory Arrest |
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177 | (6) |
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Part II Operations and Challenges |
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Section 4 General and Minimal Access Gynecology |
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59 Difficulty in Dilating the Cervix: Cervical Stenosis and Cervical Closure |
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183 | (3) |
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186 | (3) |
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61 Surgical Uterine Evacuation: Excessive Bleeding |
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189 | (2) |
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62 Surgical Uterine Evacuation in a Woman with Multiple Fibroids |
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191 | (3) |
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63 Use of Excessive Distension Media at Hysteroscopy |
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194 | (3) |
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64 Hysteroscopy: Endometrial Resection and Ablation in the Abnormal Uterine Cavity |
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197 | (2) |
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65 Laparoscopy in a Pediatric Patient |
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199 | (3) |
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66 Safe Laparoscopic Entry in a Thin Patient |
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202 | (3) |
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67 Laparoscopy: Unable to Gain Entry |
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205 | (3) |
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208 | (2) |
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210 | (3) |
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70 Laparoscopy: Problems with Monopolar Diathermy |
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213 | (3) |
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71 Laparoscopy: Problems with Bipolar Diathermy |
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216 | (2) |
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72 Laparoscopy: Bladder Injury |
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218 | (3) |
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73 Laparoscopy: Ureteric Injury |
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221 | (3) |
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74 Bowel Injury During Laparoscopy: Intraoperative Presentation |
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224 | (3) |
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75 Bowel Injury After Laparoscopy: Late Presentation |
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227 | (3) |
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76 Blood Vessel Injury at Laparoscopy |
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230 | (3) |
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77 Laparoscopy for Large Ovarian Cyst |
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233 | (2) |
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78 Laparoscopy for an Ovarian Cyst in Pregnancy |
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235 | (3) |
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79 Laparoscopic Removal of Rectovaginal Endometriosis |
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238 | (4) |
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80 Laparoscopic Myomectomy |
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242 | (3) |
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81 Total Laparoscopic Hysterectomy |
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245 | (2) |
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82 Laparoscopic Hysterectomy for a Large Fibroid Uterus |
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247 | (3) |
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83 Laparoscopy: Difficulty in Tissue Retrieval |
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250 | (3) |
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84 Surgery for Cornual or Interstitial Pregnancy |
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253 | (3) |
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85 Surgery for Cervical Ectopic Pregnancy |
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256 | (3) |
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86 Surgery for Cesarean Scar Pregnancy |
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259 | (3) |
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87 Surgery for Adnexal Torsion |
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262 | (2) |
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88 Laparoscopic Appendectomy |
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264 | (3) |
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89 Laparoscopic Surgery: When to Convert to Laparotomy? |
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267 | (2) |
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90 Laparoscopy: Port-site Herniation |
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269 | (6) |
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Section 5 Reproductive Surgery |
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275 | (3) |
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92 Surgery for Intrauterine Adhesions |
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278 | (2) |
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93 Myomectomy: Breach of the Endometrial Cavity |
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280 | (2) |
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94 Myomectomy: Multiple Large Fibroids |
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282 | (2) |
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95 Myomectomy: Massive Intraoperative Hemorrhage |
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284 | (3) |
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287 | (2) |
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97 Surgery for Proximal Tubal Blockage |
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289 | (3) |
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98 Surgery for Distal Tubal Disease |
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292 | (3) |
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99 Reversal of Sterilization |
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295 | (4) |
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100 Surgery for Congenital Abnormalities of the Genital Tract |
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299 | (5) |
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101 Surgical Sperm Retrieval |
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304 | (5) |
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Section 6 Urogynecologic Surgery |
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102 Sling Procedures: Bladder Injury |
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309 | (2) |
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103 Sling Procedures: Urethral Injury |
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311 | (3) |
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104 Sling Procedures: Retropubic Hematoma |
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314 | (2) |
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105 Sling Procedures: Bowel Injury |
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316 | (2) |
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106 Sling Procedures: Voiding Dysfunction after Stress Urinary Incontinence Surgery |
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318 | (3) |
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107 Sling Procedures: Tape Erosion into the Bladder |
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321 | (2) |
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108 Sling Procedures: Sexual Dysfunction |
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323 | (2) |
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109 Sling Procedures: Persistent Urine Leakage |
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325 | (4) |
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Luis Manuel Espaillat-Rijo |
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110 Difficult Vaginal Hysterectomy |
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329 | (3) |
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111 Vaginal Hysterectomy: Difficulty in Entering the Posterior Pouch |
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332 | (3) |
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112 Salpingo-oophorectomy at the Time of Vaginal Hysterectomy |
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335 | (3) |
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113 Bladder Injury During Anterior Vaginal Repair or Vaginal Hysterectomy |
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338 | (3) |
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114 Difficult Sacrocolpopexy |
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341 | (4) |
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115 Difficult Sacrospinous Fixation |
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345 | (3) |
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116 Recurrent Pelvic Organ Prolapse |
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348 | (3) |
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351 | (2) |
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118 Uterine Suspension Procedures: Laparoscopic Hysteropexy |
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353 | (3) |
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119 Mesh Tape Exposure Following Tension-free Vaginal Tape |
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356 | (4) |
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120 Vaginal Vault Evisceration |
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360 | (2) |
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121 Complications in Laparoscopic Pelvic Floor Surgery |
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362 | (5) |
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122 Robotic Urogynecology Procedures |
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367 | (3) |
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123 Complications in Robotic Pelvic Floor Surgery |
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370 | (2) |
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372 | (3) |
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125 Vaginal Stricture After Pelvic Organ Prolapse Surgery |
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375 | (3) |
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126 Urethral Diverticula and Other Periurethral Masses |
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378 | (4) |
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127 Vesicovaginal Fistulae |
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382 | (4) |
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128 Urethrovaginal Fistulae |
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386 | (3) |
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129 Rectovaginal Fistulae |
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389 | (3) |
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130 Secondary Anal Sphincter Repair |
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392 | (7) |
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Section 7 Gynecologic Oncology |
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131 Large Loop Excision of the Transformation Zone |
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399 | (2) |
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401 | (2) |
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133 Staging Procedures: Examination Under Anesthesia, Cystoscopy, Sigmoidoscopy, and Biopsy Techniques |
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403 | (3) |
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134 Radicality of Surgery for Cervical Cancer |
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406 | (2) |
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135 Pelvic and Para-aortic Lymphadenectomy in Gynecologic Cancers |
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408 | (4) |
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136 Trachelectomy for Treatment of Cervical Cancer |
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412 | (2) |
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137 Laparoscopic Radical Surgery for Cervical Cancer |
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414 | (2) |
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138 Groin and Retroperitoneal Lymphocele |
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416 | (2) |
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139 Laparotomy for a Pelvic Mass of Uncertain Nature |
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418 | (2) |
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140 Gynecologic Cancer Extending to the Bowel |
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420 | (3) |
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141 Omental Procedures: Supracolic Omentectomy, Infracolic Omentectomy, and Omental Biopsy |
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423 | (2) |
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142 Diaphragmatic Surgery in Advanced Ovarian Cancer |
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425 | (3) |
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143 Fine-needle Aspiration Biopsy of Superficial Groin Lymph Node |
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428 | (3) |
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144 Vulval Surgery: Wide Local Excision and Vulvectomy |
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431 | (2) |
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145 Sentinel Node Biopsy in Gynecologic Cancer |
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433 | (2) |
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146 Groin Lymphadenectomy |
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435 | (3) |
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147 Plastic Surgical Techniques in Vulval or Perineal Procedures |
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438 | (3) |
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441 | (2) |
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443 | (3) |
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446 | (3) |
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151 Gynecologic Cancer and Concurrent Pregnancy |
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449 | (6) |
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Section 8 Obstetric Surgery |
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152 Ovarian Cyst Identified at Cesarean Section |
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455 | (2) |
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153 Laparoscopy in Pregnancy |
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457 | (2) |
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459 | (4) |
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155 Cesarean Section in a Woman with Fibroids |
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463 | (2) |
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156 Cesarean Section at the Limits of Viability |
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465 | (3) |
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157 Difficult Delivery of the Fetal Head During Cesarean Section |
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468 | (2) |
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158 Surgical Management of Massive Obstetric Hemorrhage from the Uterus, Cervix, or Vagina |
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470 | (5) |
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159 Surgical Management of Placenta Praevia |
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475 | (4) |
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160 Surgical Management of Placenta Accreta |
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479 | (3) |
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161 Surgical Management Options for Shoulder Dystocia: Zavanelli Maneuver, Abdominal Rescue, Symphysiotomy, and Cleidotomy |
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482 | (3) |
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485 | (3) |
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163 Episiotomy and Second-degree Tear |
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488 | (2) |
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164 Obstetric Anal Sphincter Tear |
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490 | (3) |
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165 Pregnancy and Female Genital Mutilation |
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493 | (3) |
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166 Destructive Operations on a Dead Fetus |
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496 | (3) |
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167 Development of a Basic Obstetric Theater Facility in a Low-resource Setting |
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499 | (6) |
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505 | (2) |
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169 Major Surgery in a Jehovah's Witness Patient |
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507 | (2) |
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170 Termination of Pregnancy at Advanced Gestation |
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509 | (2) |
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171 Cervical Fibroids: Techniques for Myomectomy and Hysterectomy |
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511 | (3) |
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172 Hysterectomy for Broad Ligament Fibroids |
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514 | (2) |
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173 Hysterectomy for a Double Uterus |
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516 | (2) |
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174 Cervical Stump Excision |
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518 | (2) |
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175 Surgery for Ovarian Remnant |
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520 | (2) |
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176 Surgery for Missing Intrauterine Contraceptive Device |
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522 | (3) |
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177 Management of Imperforate Hymen, Transverse and other Vaginal Septa |
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525 | (3) |
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178 Benign Lesions in the Groin and Vulva |
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528 | (3) |
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179 Cystic Structure in the Upper Vagina |
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531 | (2) |
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180 Adnexal Masses in Infants and Children |
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533 | (3) |
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181 Nerve Injuries Associated with Gynecologic and Obstetric Surgery |
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536 | (4) |
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540 | (2) |
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183 Dealing with Complaints |
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542 | (2) |
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184 Dealing with Litigation |
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544 | (3) |
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| Index |
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547 | |
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