Clinical Problems, Injuries and Complications of Gynecologic and Obstetric Surgery

by Nichols, David H.; Delancey, John O. L.

• ISBN13: 9780683064971
• ISBN10: 0683064975
• Edition: 3rd
• Format: Hardcover
• Copyright: 1995-02-01
• Publisher: Williams & Wilkins

Summary

Massachusetts General Hospital, Boston. Third edition of a practical clinical reference on the prevention and prompt management of difficult situations in obstetrics/ gynecologic surgery. Previous edition 1988. Halftone illustrations. 77 contributors, 74 U.S.

Table of Contents

Preface	vii
Acknowledgments	ix
Contributors	xi
Section I. Laparotomy
Managing Unexpected Findings at Myomectomy: Adenomyosis and Multiple Small Leiomyomas	3	(6)
John O. L. Delancey
Huge Cervical Myomata	9	(5)
Celso-Ramon Garcia
Intraoperative Hemorrhage	14	(4)
Byron J. Masterson
Transabdominal Myomectomy-Broken Needle	18	(4)
L. Russell Malinak
James M. Wheeler
Greg Simolke
A Small Transverse Pfannenstiel Incision and a Large Pelvic Tumor	22	(2)
William E. Crisp
Panniculectomy as Incidental Procedure	24	(4)
Joseph H. Pratt
Symptomatic Genital Prolapse in a Patient Desiring More Children	28	(2)
David H. Nichols
Ruptured Tubo-Ovarian Abscess	30	(2)
Richard H. Schwarz
Ovarian Remnant Syndrome	32	(4)
Raymond A. Lee
Coexisting Genital Procidentia and Rectal Prolapse	36	(4)
M. Leon Tancer
The Missing Sponge	40	(2)
Charles E. Flowers, Jr.
Pending Evisceration After Laparotomy	42	(2)
Byron J. Masterson
Postoperative Septic Pelvic Thrombophlebitis	44	(8)
James L. Breen
Brian Casey
Postoperative Necrotizing Fasciitis	52	(5)
Raymond A. Lee
Dyspareunia After Radical Hysterectomy	57	(6)
Abe Mickal
Section II. Adnexal Surgery
Oophorectomy-Resection of Endometrioma with Discovery of a 5-cm Segment of Ureter in Wall of Specimen	63	(3)
David H. Nichols
Bilateral Ovarian Mature Cystic Teratomas in a Young Woman	66	(5)
James L. Breen
Julian E. De Lia
John T. Comerci, Jr.
Unilateral Pelvic Abscess Following Removal of Intrauterine Device	71	(8)
Abe Mickal
Bilateral Chronic and Symptomatic Salpingitis: Should Hysterectomy Be Performed?	79	(6)
Howard W. Jones, Jr.
Section III. Laparoscopic and Fertility Surgery
Inability to Insufflate the Peritoneal Cavity at the Time of Laparoscopy	85	(5)
John O. L. Delancey
William W. Hurd
Arrhythmia and Drop in Blood Pressure During Inspiration with the Veress Needle	90	(4)
William W. Hurd
Injuries to Abdominal Wall Blood Vessels at Laparoscopy	94	(4)
William W. Hurd
Laparoscopy with Unexpected Viscus Penetration	98	(2)
Alan H. DeCherney
Cystic Adnexal Mass	100	(4)
William D. Schlaff
Ectopic Pregnancy in an Infertility Patient with Coexistent Chronic Pelvic Inflammatory Disease	104	(5)
Celso-Ramon Garcia
Phillip C. Galle
Missing Needle	109	(2)
Ray V. Haning, Jr.
Laparoscopic Hysterectomy-Ureter Transected	111	(6)
Harry Reich
Sheila E. Buchbinder
Endometriosis of the Rectovaginal Septum in an Infertility Patient with Rectal Penetration at the Time of Surgery	117	(6)
John J. Mikuta
Section IV. Endoscopic Surgery
Hysteroscopy-Hysteroscopic Resection of Intrauterine Septum Progresses to Perforation of the Uterine Fundus	123	(3)
John F. Randolph, Jr.
Hysteroscopy-400-Pound Patient with Uncontrollable Genital Hemorrhage-Emergency Care? Long-Term Care? Endometrial Ablation? Hysterectomy?	126	(5)
James A. Roberts
Section V. Vaginal Surgery
Abbe-McIndoe Procedure with Rectal Penetration	131	(6)
John D. Thompson
Postoperative Vaginal Fibrosis and Contracture Following Abbe-McIndoe Procedure	137	(2)
David H. Nichols
Inability to Find an Enterocele That Was Suspected Preoperatively	139	(5)
John O. L. DeLancey
Prolapse Subsequent to Le Fort Partial Colpocleisis	144	(3)
John O. L. DeLancey
Uterovaginal Prolapse That Is Difficult or Impossible to Reduce	147	(5)
John O. L. DeLancey
Genital Prolapse with Unsuspected Ventral Fixation	152	(6)
John H. Isaacs
Vaginal Hysterectomy with Intrapelvic Adhesions	158	(6)
J. George Moore
Management Challenges in Postmenopausal Bleeding	164	(3)
Michael P. Hopkins
Fallopian Tube Prolapse Following Hysterectomy	167	(3)
W. Glenn Hurt
Procidentia with Adenocarcinoma of the Endometrium	170	(4)
William A. Cliby
Karl C. Podratz
Injury to the Femoral Nerve During Laparotomy	174	(5)
Susan I. Salzberg
John O. L. DeLancey
Evisceration One Year After Vaginal Hysterectomy Without Colporrhaphy	179	(3)
David H. Nichols
Dyspareunia Following Acquired Vaginal Atresia	182	(4)
Tommy N. Evans
Genital Prolapse in a Patient with Poor Cardinal-Uterosacral Ligaments	186	(7)
David H. Nichols
Recurrent Genital Prolapse Following Sacrospinous Vaginal Vault Suspension	193	(4)
Fred S. Miyazaki
Massive Eversion of a Shortened Vagina	197	(3)
George W. Morley
Enterocele, Vaginal Vault Prolapse, and Cystocele Following Vesicourethral Pin-up Operation	200	(3)
David H. Nichols
Kathleen Martin
Vaginal Evisceration Following Pelvic Surgery	203	(11)
Clifford R. Wheeless, Jr.
Transvaginal Oophorectomy and Salpingo-Oophorectomy	214	(4)
David H. Nichols
Anterior Vaginal Wall Prolapse After Cystectomy	218	(4)
William J. Hoskins
Posterior Colporrhaphy---Lost Needle	222	(4)
Robert F. Porges
Mass in the Lateral Wall of the Vagina	226	(6)
Winfred L. Wiser
Wolffian Duct Cyst at the Vaginal Vault	232	(5)
Ricardo M. Azziz
Lisa A. Peacock
John A. Rock
Retroperitoneal Postoperative Hemorrhage	237	(5)
R. Clay Burchell
Bleeding Three Hours Following Vaginal Hysterectomy	242	(3)
George W. Mitchell, Jr.
Fred M. Massey
Unanticipated Spontaneous Vaginal Hemorrhage Following Straining at Stool on Tenth Postoperative Day	245	(2)
David H. Nichols
Recurrent Protrusion of Anterior Vaginal Wall with Vault Eversion, Paravaginal Defects, and Thin Vaginal Epithelium	247	(8)
Bobby L. Shull
Section VI. Urinary Tract Problems and Injuries
Accidental Cystotomy During Vaginal Hysterectomy	255	(11)
John D. Thompson
Urine Leakage Through Vagina After Vaginal Hysterectomy and Anterior Colporrhaphy	266	(3)
Richard E. Symmonds
Vesicovaginal Fistula Following Total Abdominal Hysterectomy	269	(9)
John D. Thompson
Unrecognized Clamping of Ureter at Hysterectomy	278	(3)
Richard E. Symmonds
Unilateral Postoperative Ureteral Obstruction	281	(3)
David H. Nichols
Stitch Penetration of Bladder at Vaginal Hysterectomy and Repair	284	(3)
George W. Mitchell, Jr.
Fred M. Massey
Bladder Management at Postpartum Hysterectomy	287	(5)
R. Clay Burchell
Large Uterine Leiomyomas and Stress Urinary Incontinence	292	(16)
Anne K. Wiskind
John D. Thompson
Urinary Stress Incontinence in a Young Patient Who Wants More Children	308	(3)
W. Glenn Hurt
Inability to Void Following Vesicourethral Sling Procedure	311	(4)
David H. Nichols
Suburethral Sling Rejection	315	(3)
Stephen B. Young
Persistent Stress Urinary Incontinence After Retropublic Sling Procedure: Pharmacologic Management	318	(4)
Michael P. Aronson
Inability to Void Four Months After Needle Suspension Surgery	322	(7)
Edward J. McGuire
Section VII. Intestinal Problems and Injuries
Right Lower Quadrant Pelvic Abscess	329	(2)
Leslie W. Ottinger
Injury to Bowel During Pelvic Surgery	331	(6)
George W. Mitchell, Jr.
Fred M. Massey
Unexpected Clamping of Small Bowel During Hysterectomy	337	(4)
John H. Isaacs
Rectovaginal Fistula	341	(6)
John J. Mikuta
Section VIII. Pelvic Cancer Surgery
Carcinoma of the Vulva with Coexistent Genital Prolapse	347	(2)
George W. Morley
Carcinoma of the Vulva with Coexistent Genital Prolapse-A Contrasting View	349	(6)
Augusto G. Ferrari
Luigi Frigerio
Radical Vulvectomy-One Node Positive	355	(3)
Philip J. DiSaia
Carcinoma of the Vulva with Postoperative Inguinal Wound Breakdown	358	(6)
George W. Morley
Vulvar Paget's Disease Involving Anal Skin	364	(5)
John H. Isaacs
Vaginal Hysterectomy for a Patient with Microinvasive Carcinoma of the Cervix and Symptomatic Pelvic Relaxation	369	(3)
George W. Morley
Microinvasive Cancer of the Cervix in Pregnancy	372	(2)
Philip J. DiSaia
Unexpected Uterine Malignant Tumor (Adenocarcinoma or Endometrial Sarcoma) Found When the Uterus Was Opened in the Operating Room	374	(2)
John J. Mikuta
Undiagnosed Invasive Squamous Cell Carcinoma in Hysterectomy Specimen	376	(4)
Henry C. McDuff
Trauma to the Vena Cava During Para-Aortic Node Dissection	380	(4)
Jerome L. Belinson
Myomectomy with Unexpected Leiomyosarcoma	384	(4)
Arlan B. Fuller, Jr.
Unexpected Carcinoma of the Ovary Reported by Pathology Five Days Following Unilateral Salpingo-Oophorectomy for Presumed Endometrial Cyst	388	(6)
Denis Cavanagh
Donald E. Marsden
Nonresectable Adenocarcinoma of Ovary Which Shrinks During Chemotherapy	394	(5)
William T. Creasman
Section IX. Problems of Minor Gynecologic Surgery
Perforation of Uterus at Dilatation and Curettage	399	(4)
John C. Lathrop
Pelvic Mass Following Conization	403	(6)
Barrie Anderson
Section X. Obstetric Surgery
Disruption of a Fourth-Degree Laceration	409	(4)
John O. L. DeLancey
Postpartum Rectovaginal Fistula---When to Repair? Future Delivery-Vaginal or Cesarean?	413	(6)
Bruce H. Drukker
Section XI. Medical, Endocrine, and Miscellaneous Problems
The HIV-Positive Patient's Right of Confidentiality in Surgery	419	(3)
Thomas E. Elkins
Douglas Brown
Procidentia in an Elderly Multipara	422	(2)
J. George Moore
Surgical Patient with History of Previous Thrombophlebitis	424	(3)
Robert E. Rogers
Hysterectomy in Morbidly Obese Patients	427	(5)
Donald G. Gallup
Compartment Syndrome	432	(2)
David H. Nichols
Adnexal Abscess After Vaginal Hysterectomy	434	(2)
David H. Nichols
Psychiatric Consequences of Gynecologic Surgery	436	(5)
Andrew E. Slaby
Genital Injuries Following Sexual Assault	441	(4)
David Muram
Medicolegal Complications Consequent to Unauthorized Surgery	445	(4)
David Landel Nichols
John W. Caldwell
Index	449