Atlas of Pelvic Anatomy and Gynecologic Surgery
- 5th Edition - December 8, 2020
- Authors: Michael S. Baggish, Mickey M. Karram
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 6 5 4 0 0 - 5
Combining detailed descriptions of pelvic anatomy with easy-to-follow instructions for gynecologic procedures, Atlas of Pelvic Anatomy and Gynecologic Surgery, 5th Edition, is a… Read more

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Request a sales quoteCombining detailed descriptions of pelvic anatomy with easy-to-follow instructions for gynecologic procedures, Atlas of Pelvic Anatomy and Gynecologic Surgery, 5th Edition, is a comprehensive, up-to-date atlas that reflects current practices in this fast-changing field. Pelvic anatomy and surgical operations are depicted through full-color anatomic drawings, correlative surgical artwork with step-by-step photographs, and computer-assisted hybrid photo illustrations. Complete coverage of both conventional and endoscopic surgeries helps you master the full spectrum of surgical procedures.
- Covers all frequently performed gynecologic operations including laparotomy, laparoscopic, robotic, hysteroscopic, vaginal, vulvar, and cystoscopic procedures.
- Includes expanded sections on gender reassignment surgery and vulvar and cervical surgery, as well as a new chapter devoted to laparoscopic techniques.
- Contains a revised anatomic section with updated figures, plus high-quality artwork and clinical photographs throughout—now entirely in full color.
- Features numerous videos of surgeries and cadaver dissection.
- Ideal for practicing obstetricians-gynecologists, obstetrics-gynecology residents, general surgeons, subspecialists, nurses, and medical students with an interest in gynecology.
- Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices.
OB/GYN Residents and Practitioners
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Editors
- Contributors
- Preface
- Acknowledgments
- Video Contents
- Principles of Pelvic Anatomy and Gynecologic Surgery
- SECTION 1. Pelvic Anatomy
- Chapter 1. Basic Pelvic Anatomy
- Chapter 2. Advanced Pelvic Anatomy
- Autonomic Nervous System
- Pelvic Plexus
- Sigmoid Colon
- Bladder and Pelvic Supports
- Chapter 3. Max Brödel’s Pelvic Anatomy
- SECTION 2. Basic Foundations for Gynecologic Surgery
- Chapter 4. Instrumentation
- Forceps
- Clamps
- Scissors
- Knives
- Retractors
- Needle Holders
- Dilators
- Curettes
- Suction Curettes
- Chapter 5. Suture Material, Suturing Techniques, and Knot Tying
- Suture Types
- Suture Selection
- Suture Techniques
- Knot Tying
- Surgeon’s Knot
- Instrument Tie
- Finishing a Continuous Stitch
- Chapter 6. Energy Devices
- Electrosurgery—Laser—Harmonic Scalpel
- Electrosurgery
- Laser Surgery
- Ultrasonic Surgery
- Chapter 7. Positioning and Nerve Injury
- Positioning the Patient
- Peripheral Nerve Injury
- Compartment Syndrome
- Abdominal Surgery
- SECTION 3. Anterior Abdominal Wall
- Chapter 8. Anatomy of the Lower Abdominal Wall
- Vessels
- Chapter 9. Abdominal Incisions
- Transverse Incisions
- Midline Incision
- Chapter 10. Intra-abdominal Pelvic Anatomy
- Uterine Support
- Pelvic Anatomy
- SECTION 4. Uterus
- Chapter 11. Dilatation and Curettage
- Suction Curettage
- Chapter 12. Foundations of Laparoscopy
- Chapter 13. Abdominal Hysterectomy
- Total Abdominal Hysterectomy With Bilateral Salpingo-oophorectomy
- Subtotal Hysterectomy
- Simple Abdominal Hysterectomy
- Laparoscopic Hysterectomy
- Chapter 14. Radical Hysterectomy
- Supplemental Anatomy for Radical Hysterectomy and Pelvic Lymphadenectomy
- Radical Hysterectomy and Pelvic Lymphadenectomy
- Chapter 15. Endometrial Carcinoma With Lymph Node Sampling
- Chapter 16. Myomectomy
- Chapter 17. Surgical Treatment of Unusual Myoma Conditions
- Chapter 18. Unification of Bicornuate Uterus
- SECTION 5. Abdominal Surgery During Pregnancy
- Chapter 19. Abdominal Cerclage of the Cervix Uteri
- Chapter 20. Cesarean Section
- Chapter 21. Cesarean Section Hysterectomy
- Chapter 22. Hypogastric Artery Ligation
- Chapter 23. Trophoblastic Disease
- SECTION 6. Adnexa
- Chapter 24. Ovarian Cystectomy and Cystotomy
- Chapter 25. Surgery for Pyosalpinx, Tubo-ovarian Abscess, and Pelvic Abscess
- Chapter 26. Adhesiolysis
- Chapter 27. Surgical Management of Pelvic Endometriosis
- Chapter 28. Surgical Management of Ectopic Pregnancy
- Linear Salpingostomy for Tubal Ectopic Pregnancy
- Cornual Excision and Salpingectomy for Cornual Ectopic Pregnancy
- Salpingectomy for Isthmic Ectopic Pregnancy
- Chapter 29. Surgical Management of Ovarian Residual and Remnant
- Chapter 30. Ovarian Tumor Debulking
- Chapter 31. Tuboplasty
- Fimbrioplasty (Hydrosalpinx)
- Midtubal Anastomosis
- Cornual Anastomosis
- Chapter 32. Tubal Sterilization
- Modified Irving Procedure
- Pomeroy Operation
- Fimbriectomy
- Simple Bilateral Partial Salpingectomy
- Uchida Operation
- Silastic Band Operation
- SECTION 7. Retropubic Space
- Chapter 33. Anatomy and Surgical Exposure of the Retropubic Space
- Surgical Exposure of the Retropubic Space
- Chapter 34. Retropubic Urethropexy for Stress Incontinence and Retropubic Paravaginal Repair
- Modified Burch Colposuspension
- Marshall-Marchetti-Krantz Procedure
- Retropubic Paravaginal Repair
- Retropubic Vesicourethrolysis
- SECTION 8. Retroperitoneum and Presacral Space
- Chapter 35. Anatomy of the Retroperitoneum and the Presacral Space
- Chapter 36. Identifying and Avoiding Ureteral Injury
- Exposing the Ureter
- Anatomic Relationships of Right and Left Ureters
- Chapter 37. Presacral Neurectomy
- Chapter 38. Uterosacral Nerve Transection
- Chapter 39. Lymph Node Sampling
- SECTION 9. Abdominal Operations for Enterocele and Vault Prolapse
- Chapter 40. Native Tissue Suture Repair of Vaginal Vault Prolapse: Laparoscopic, Robotic, and Open Abdominal Approaches
- Nonsupportive Obliterative Procedures of the Pelvic Cul-De-Sac
- Supportive Procedures of the Vaginal Apex
- Chapter 41. Abdominal Sacral Colpopexy and Colpohysteropexy
- Technique for Open Abdominal Sacral Colpopexy with Graft Placement
- Technique for Laparoscopic Sacral Colpopexy
- Modifications for Cervicosacropexy
- Technique for Abdominal Sacral Colpohysteropexy
- Cervical, Vaginal, Vulvar Surgery
- SECTION 10. Cervical Surgery
- Chapter 42. Anatomy of the Cervix
- Chapter 43. Colposcopy of the Cervix
- Chapter 44. Conization of the Cervix
- Cold-Knife Conization
- Laser Conization
- Conization During Pregnancy
- Loop Electrical Excision Conization
- Loop Electrical Excision by Selective Double-Excision (“Top Hat”) Technique
- Combination Conization
- Chapter 45. Cervical Polypectomy
- Chapter 46. Relief of Cervical Stenosis
- Chapter 47. Cervical Cerclage
- Chapter 48. Cervical Stump Excision (Trachelectomy)
- SECTION 11. Vaginal Surgery
- Chapter 49. Anatomy of the Vagina
- Lower Third
- Middle Third
- Upper Third
- Chapter 50. Anatomy of the Support of the Anterior and Posterior Vaginal Walls
- Surgical Anatomy of the Posterior Vaginal Wall
- Surgical Anatomy of the Anterior Vaginal Wall
- Chapter 51. Vaginal Hysterectomy
- Simple Vaginal Hysterectomy
- Difficult Vaginal Hysterectomy
- Chapter 52. Native Tissue Vaginal Repair of Cystocele, Rectocele, and Enterocele
- Anterior Vaginal Wall Prolapse
- Posterior Vaginal Wall Defects
- Chapter 53. Vaginal Native Tissue Suture Repair of Vaginal Vault Prolapse
- Sacrospinous Ligament Suspension
- Iliococcygeus Fascia Suspension
- High Uterosacral Ligament Suspension
- Chapter 54. Obliterative Procedures for the Correction of Pelvic Organ Prolapse
- Obliterative Procedures
- Chapter 55. Synthetic Midurethral Slings for the Correction of Stress Incontinence
- Retropubic Synthetic Midurethral Slings
- Transobturator Synthetic Midurethral Slings
- Single-Incision Midurethral Slings
- Surgical Management of Postoperative Voiding Dysfunction
- Chapter 56. Avoiding and Managing Synthetic Mesh Complications After Surgeries for Urinary Incontinence and Pelvic Organ Prolapse
- Mesh-Related Complications After Sacrocolpopexy
- Mesh Complications After Synthetic Midurethral Slings
- Complications After Transvaginal Mesh Placement for Pelvic Organ Prolapse
- Chapter 57. Pubovaginal Slings for the Correction of Stress Incontinence
- Managing Postoperative Voiding Dysfunction
- Chapter 58. Benign Lesions of the Vaginal Wall
- Biopsies
- Cysts
- Ulcers
- Solid Masses
- Chapter 59. Congenital Vaginal Abnormalities
- Labial Fusion/Agglutination
- Imperforate Hymen
- Vaginal Agenesis
- Transverse Vaginal Septum
- Longitudinal Vaginal Septum
- Obstructed Hemivagina
- Bladder Exstrophy
- Chapter 60. Iatrogenic Vaginal Constriction
- Incisions
- Z-Plasty
- Free Skin Grafts
- Xenografts
- Perineal Flaps
- Abdominal Flaps
- Chapter 61. Vaginectomy
- Excision
- Carbon Dioxide Laser
- SECTION 12. Vulvar and Perineal Surgery
- Chapter 62. Vulvar and Perineal Anatomy
- Chapter 63. Atlas of Vulvar Disorders
- Part 1
- Embryonic
- Infections
- Noninfective Inflammatory Lesions
- Lichenification Disorders
- Hyperplastic Vulvitis
- Cystic Lesions
- Bullous-Ulcerative Lesions, Including Tubercular Lesions
- Intraepithelial and Invasive Neoplasia
- Blood Vascular Lesions
- Sampling Techniques
- PART 2
- Chapter 64. Bartholin Duct Cyst and Abscess
- Chapter 65. Surgery for Vulvar Vestibulitis Syndrome (Vulvodynia)
- Simple Vestibulectomy
- Vestibulectomy With Radical Bartholin Gland Excision
- Chapter 66. Wide Excision With or Without Skin Graft
- Chapter 67. Laser Excision and Vaporization
- Laser Excision by Thin Section
- Laser Vaporization
- Chapter 68. Anatomy of the Groin and Femoral Triangle
- Chapter 69. Vulvectomy
- Simple Vulvectomy
- Radical Vulvectomy
- Chapter 70. Radical Vulvectomy With Tunnel Groin Dissection
- Chapter 71. Vulvar Hematoma
- Chapter 72. Correction of Clitoral Phimosis
- Chapter 73. Hymenotomy (Hymenectomy)
- Chapter 74. Plastic Repair of the Perineum (Perineorrhaphy)
- Chapter 75. Benign Lesions of the Groin and the Canal of Nuck
- Hidradenitis and Other Groin Lesions
- Lesions of the Canal of Nuck
- Chapter 76. Surgery for Other Benign Lesions of the Vulva
- Inclusion Cyst
- Hidradenoma
- Labial Fusion
- Draining Vulvar Lesions
- Vulvar Hemangiomas and Varicosities
- Lymphangioma
- Condyloma Acuminata
- Chapter 77. Therapeutic Injection
- Alcohol Injection
- Dexamethasone Injection
- Chapter 78. Episiotomy
- Mediolateral Episiotomy
- Midline Episiotomy
- Repair of Third-Degree Laceration
- Repair of Fourth-Degree Laceration
- Other Related Gynecologic Surgery
- SECTION 13. Surgical Procedures Performed on the Lower Urinary Tract
- Chapter 79. Anatomy of the Urethra
- Chapter 80. Surgical Repair of Urethral Prolapse
- Chapter 81. Repair of Urethrovaginal Fistula
- Chapter 82. Repair of Suburethral Diverticulum
- Chapter 83. Martius Fat Pad Transposition and Urethral Reconstruction
- Martius Fat Pad Transposition
- Urethral Reconstruction
- Chapter 84. Surgical Anatomy of the Bladder and Pelvic Ureter
- Chapter 85. Suprapubic Catheter Placement
- Chapter 86. Repair of Advertent and Inadvertent Cystotomy
- Opening and Closing the Bladder
- Repair of Bladder Lacerations
- Chapter 87. Abdominal Repair of Vesicovaginal and Vesicouterine Fistula
- Abdominal Repair of Vesicovaginal Fistula
- Repair of Vesicouterine Fistula
- Chapter 88. Vaginal Repair of Vesicovaginal Fistula
- Chapter 89. Managing Ureteral Injury During Pelvic Surgery
- Ureterotomy and Catheterization
- Ureteroureterostomy
- Ureteroneocystostomy
- Ureteroneocystostomy With Bladder Extension
- Boari-Ocherblad Flap
- Chapter 90. Surgical Management of Refractory Overactive Bladder and Detrusor Compliance Abnormalities
- Evaluation of Patients
- General Introduction to Three Modalities
- Surgical Techniques
- SECTION 14. Bowel Surgery
- Chapter 91. Intestinal Surgery
- Anatomy of the Small and Large Intestine
- Chapter 92. Small Bowel Repair/Resection
- Chapter 93. Closure of a Simple Transmural Injury to the Small Intestine
- Chapter 94. Meckel’s Diverticulum
- Chapter 95. Appendectomy
- Chapter 96. Colon Repair/Colostomy Creation
- Large Bowel Preparation
- Chapter 97. Repair of Primary and Recurrent Rectovaginal Fistulas
- Transvaginal Repair of Primary Rectovaginal Fistula
- Transanal Endorectal Advancement Flap Procedure
- Transvaginal Repair of Recurrent Rectovaginal Fistula
- Chapter 98. Anal Sphincter Repair and Perineal Reconstruction
- Anatomy of the Rectum and Anal Sphincters
- Repair of the Anal Sphincter
- Chapter 99. Transperineal Repair of Rectal Prolapse
- Perineal Proctectomy (Altemeier Repair)
- SECTION 15. Cosmetic and Gender Reassignment Surgery
- Chapter 100. Surgery for Labial Hypertrophy
- Chapter 101. Vaginoplasty, Perineal Reconstruction, and the Use of Energy Sources in the Vaginal Canal and on the Skin of the Vulva
- Chapter 102. Gender Affirmation Surgery (Vaginoplasty) for the Transgender Woman
- Introduction
- Preoperative Considerations
- Vaginoplasty Technique
- Postoperative Care and Considerations
- Outcomes
- SECTION 16. The Breast
- Chapter 103. The Breast
- Anatomy of the Female Breast
- Clinical Breast Examination
- Fine-Needle Aspiration
- Endoscopy and Endoscopic Surgery
- SECTION 17. Hysteroscopy
- Chapter 104. Hysteroscopic Instrumentation
- Chapter 105. Removal of Uterine Septum
- Chapter 106. Ablation Techniques
- Chapter 107. Minimally Invasive Nonhysteroscopic Endometrial Ablation
- Complications
- Chapter 108. Resection of Submucous Myoma
- Chapter 109. Complications of Hysteroscopy
- SECTION 18. Laparoscopy
- Chapter 110. Pelvic Anatomy From the Laparoscopic View
- Chapter 111. The Operating Room Suite and Instrumentation
- Laparoscopy Tower
- Laparoscopic Instrument Table
- Vaginal Instrument Table
- Chapter 112. Trocar Placement
- Anatomic Sites for Access
- Choosing the Suitable Anatomic Site for Access
- General Principles for Primary Access to the Peritoneal Cavity
- Techniques for Access
- Choosing a Technique for Abdominal Cavity Access
- Complications (see Chapter 119)
- Accessory Trocar Insertion
- Conclusion
- Chapter 113. Diagnostic Laparoscopy
- Standard Diagnostic Laparoscopy
- Microlaparoscopy
- Chapter 114. Laparoscopic Hysterectomy
- Single-Port Laparoscopic Hysterectomy
- Chapter 115. Laparoscopic Adnexal Surgery
- Ovarian Cystectomy
- Salpingo-Oophorectomy
- Ectopic Pregnancy
- Tubal Ligation
- Tuboplasty
- Chapter 116. Laparoscopic Surgery for Stress Urinary Incontinence (Burch Colposuspension)
- Chapter 117. Laparoscopic Surgery for Pelvic Organ Prolapse
- Laparoscopic Sacral Colpopexy
- Laparoscopic Uterosacral Ligament Plication and Shortening
- Chapter 118. Robotic Surgery in Gynecology
- Comparison of Laparoscopy and Robotics Technology
- da Vinci Surgical System
- Applications in Gynecology
- Robotic Simple Hysterectomy
- Robotic Column Location
- Trocar Position
- Robotic Instrumentation
- Assistant and Scrub Nurse Roles
- Technique
- Division of Pelvic Peritoneum and Round Ligament
- Division of Uterine Vessels
- Bladder Mobilization: Dissection of the Vesicovaginal Space
- Division of Cardinal Ligaments
- Colpotomy
- Removal of Uterus
- Cuff Closure
- Conclusions
- Chapter 119. Major Complications Associated With Laparoscopic Surgery
- Vascular and Intestinal Injury
- Laparoscopic Approach
- Operative Procedure
- Ureteral Injury
- SECTION 19. Cystourethroscopy
- Chapter 120. Cystourethroscopy
- Instrumentation
- Indications and Techniques
- Urethroscopy (Normal and Abnormal Findings)
- Cystoscopy (Normal and Abnormal Findings)
- Operative Cystoscopy
- Suprapubic Telescopy
- Surgery for Transgender Conditions
- SECTION 20. Surgery for Transgender Conditions
- Chapter 121. Surgery for Transgender Conditions
- Index
- No. of pages: 1456
- Language: English
- Edition: 5
- Published: December 8, 2020
- Imprint: Elsevier
- Hardback ISBN: 9780323654005
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Michael S. Baggish
Affiliations and expertise
Professor of Obstetrics & Gynecology,University of San Francisco,San Francisco, CAMK
Mickey M. Karram
Affiliations and expertise
Director of Urogynecology,The Christ Hospital,Clinical Professor of Obstetrics & Gynecology ,University of Cincinnati,Cincinnati, OH