Περιγραφή
Gynecology is principally an operative specialty and the range of gynecologic procedures managed is constantly expanding due to improved instrumentation and minimally invasive techniques. Covering the entire spectrum of gynecologic surgery through a case-based, digestible format, procedures such as vaginal, transvaginal, hysteroscopic, laparoscopic, robotic, and abdominal procedures are included, as well as common surgical challenges and complications. For each case, a clinical vignette outlines the situation and the clinical context of the patient, followed by a comprehensive discussion of the evidence-based management approach and key teaching points. The decision to operate, contraindications, alternatives to surgery and preoperative counseling is discussed in detail along with the level of care needed for each case. Readers will improve their knowledge base of gynecologic surgery and gain multiple tools to overcome common surgical obstacles.
- The case-based format allows readers to select specific cases for review based on their clinical questions and concerns, enabling them to access relevant information quickly
- Clinical vignettes provide context to the cases and ground the information in real-world situations that may be encountered by readers
- Written and edited by experts in the field, this book builds on additional books published in collaboration with the Society for Academic Specialists in General Obstetrics and Gynecology, ensuring readers are presented with the most up to date advice and techniques
Περιεχόμενα
1. A 45-year-old P4 woman undergoing hysterectomy requests Oopherectomy Sarah Alhaddad Tout
2. A 40-year-old G0 developmentally delayed woman requires hysterectomy Amy Boone
3. A 45-year-old woman with possible penicillin allergy scheduled for hysterectomy Katherine Strafford
4. A 50-year-old woman with prior DVT undergoing hysterectomy Jacqueline Rohl
5. A 40-year-old woman with severe anemia scheduled for surgery refuses blood products Amanda H. Ritter
6. A 55-year-old woman enquires about your institution’s protocols for enhanced recovery after surgery Brett Worly
7. A 55 -year-old female with a 25-year smoking history and COPD is undergoing a robotic hysterectomy Randa Jalloul
8. A 48-year-old with adult-onset diabetes is undergoing a hysterectomy for recurrent simple hyperplasia William Po
9. A 10-year-old girl with a vulvar hematoma after playground injury Janeen L. Arbuckle
10. A 50-year-old woman with a discrete area of leukoplakia that on in-office punch biopsy showed VIN 3 Sarah M. Page-Ramsey
11. A 50-year-old woman with recurrent Bartholin’s gland cyst Shweta N. Patel
12. A 21-year-old woman with labial pain during exercise Christine Isaacs
13. A 33-year-old woman with localized vulvodynia without vaginismus Jonathan Schaffir
14. A 24-year-old woman with multiple large vulvar condylomata Celeste Ojeda Hemingway
15. A 70-year-old woman with vulvar Paget’s disease Erica Nelson
16. A 45-year-old Female with multicentric VIN Esther Fuchs
17. A 70-year-old woman with diabetes, exquisitely painful 2cm vulvar ulcerative lesion, and subcutaneous gas on CT scan Courtney Rhoades
18. A 14-year-old adolescent with cyclic pelvic pain and amenorrhea Geri D. Hewitt
19. A 40-year-old woman with a 3cm mass prolapsing through the cervix Tara J. Harris
20. A 35-year-old woman with a fetal demise at 20 weeks’ gestation Elissa T. Serapio
21. A 25-year-old woman with intrauterine embryonic demise and temperature of 39.2°C Susan Lasch
22. A 40-year-old G0 woman with endometrial intraepithelial neoplasia desiring hysterectomy Katherine M. Smith
23. A 35-year-old G3P3 woman with a 12-week uterus and a prior cesarean section who desires vaginal hysterectomy Angelina K. Gangestad
24. A 42-year-old G2P2 woman undergoing vaginal hysterectomy with difficulty entering the peritoneum Francine McLeod
25. A 28-year-old P0 woman with adenocarcinoma-in-situ has intraoperative bleeding during a cold-knife conization Seine Chiang
26. A 30-year-old G1 woman with suspected uterine perforation during suction dilation and curettage Michelle M. Isley
27. A 39-year-old P4 woman with recurrent HSIL after LEEP Mallory Kremer
28. A 34-year-old G2P1 woman with elevated B-hCG (>250 000) and concern for molar gestation Maria Shaker
29. A 35-year-old G3P2 woman with persistent bleeding after suction D&C Katherine Rivlin
30. A 70-year-old G0 woman with postmenopausal bleeding and severe vaginal atrophy Renee R. Eger
31. A 28-year-old G3P2 woman presents at eight weeks with a cervical ectopic pregnancy Jessica E. Murphy
32. A 45-year-old woman with leg weakness following a vaginal hysterectomy Genevieve A. Wolpert
33. A 45-year-old woman undergoes a transvaginal midurethral sling and is unable to void after the procedure Rachel A. Maassen
34. A 65-year-old woman presents with a symptomatic Stage 2 rectocele Christopher M. Morosky
35. A 55-year-old woman with stress urinary incontinence without uterine prolapse J. Chris Franka
36. A 45-year-old P2 woman undergoing vaginal hysterectomy who desires opportunistic salpingectomy Amy Markese
37. A 32-year-old G2P2 with bleeding from a 5cm vaginal laceration after sexual assault Robyn Gray-Puleo
38. A 50-year-old woman loses consciousness during an office hysteroscopy Isabel C. Green
39. A 44-year-old woman with intermenstrual spotting Dana Maria Scott
40. A 71-year-old G2P2 wom
