Download An Atlas of Gynecologic Oncology, Third Edition: by J. Richard Smith, Giuseppe Del Priore, Robert L. Coleman, PDF

By J. Richard Smith, Giuseppe Del Priore, Robert L. Coleman, Visit Amazon's John M. Monaghan Page, search results, Learn about Author Central, John M. Monaghan,

ISBN-10: 0415450594

ISBN-13: 9780415450591

Absolutely up to date and revised, the second one variation of An Atlas of Gynecologic Oncology provides an entire description of the investigative and surgeries conducted by means of the gynecologic oncologist. Key good points of this crucial textual content include:a sensible consultant to more than a few operative and investigative procedurescontributions from foreign opinion leaders over 450 color illustrations

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Extra info for An Atlas of Gynecologic Oncology, Third Edition: Investigation and Surgery

Sample text

The choice of abdominal incisions is dependent primarily on issues related to access to the pelvis and upper abdomen. Transverse incisions provide excellent exposure to the pelvis while minimizing the cosmetic side effects of pelvic surgery when laparoscopy is not feasible. In addition, many studies including a recent Cochrane review have found that, when compared to vertical incisions, transverse incisions are associated with less pain, less compromise of pulmonary function, and lower rates of dehiscence and hernia formation.

Tapes such as Steri-strips are placed across the wound following removal of staples to reduce tension on the skin edges. Alternatives to standard staples for large wounds or those under mild tension are subcuticular stitches or use of co-polymer subcutaneous staples that are absorbed over several months and therefore do not need to be removed. For smaller incisions, dermal glues provide fast closure with good cosmeses. The role of surgical preparation and technique in the development of wound complications has been extensively studied.

Pain, secondary to cancer or postoperatively, can be controlled in the pelvis by regional anesthetic blockade of the dorsal nerve roots of T10, T11, and T12 to the uterus tubes and ovary, and S2, S3, and S4 to the remaining genital structures (see chapter 35). The sympathetic trunk and the hypogastric nerves are responsible for the sympathetic innervation of the pelvis. Both lumbar trunks run across the medial origin of the iliopsoas muscle and ventrally to the lumbar veins. Injury to the sympathetic trunk can cause homolateral vasodilatation postoperatively: a feeling of hyperthermia in the lower extremity.

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