Description
Posterior Pelvic Floor Abnormalities, by Tracy Hull, MD, is the ideal way to enhance your surgical skills in this key area of gynecology, obstetrics, and urology. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, detailed discussions and illustrations, case studies, and video footage clarify how to most effectively perform a variety of procedures and manage complications. Supplemental video presentations take you step by step through procedures including laparoscopic resection rectopexy, episioproctotomy, defecography with sigmoidocele, and more.- Case-based presentations and videos, narrated by the authors, take you step-by-step through a variety of procedures including laparoscopic resection rectopexy, episioproctotomy, defecography with sigmoidocele, ultrasound, and more.- Highly illustrated, quick-reference chapters discuss all of the possible diagnoses for which each procedure is indicated.- Case studies describe the clinical history surrounding each case featured in the videos.An overview of how the entire pelvis functions as a unit helps illustrate the importance of a multidisciplinary, team approach in diagnosing and treating abnormalities.
Table of Contents
- Anatomy and Physiology of the Pelvic Digestive Organs- Common Tests for Evaluating the Posterior Pelvic Floor- Evaluation and Treatment of Fecal Incontinence- Anorectovaginal Fistula- Difficult Evacuation- Surgical Treatment of Rectal Prolapse in Adults- Sacral Nerve Stimulation for Posterior Pelvic Floor Abnormalities- The Pelvic Floor Center: A multidisciplinary Approach to Pelvic Floor DysfunctionVideo2-1. Local Examination to Evaluate the Perineum and Anal Sphincters2-2. Endoanal Ultrasound for Evaluation of Anal Sphincter Muscles2-3. Normal Defecography Demonstrating Landmark Features and Anatomy2-4. Defecography Demonstrating a Rectocele and Enterocele2-5. Dynamic MRI Demonstrating Pelvic Floor Descent3-1. Overlapping Sphincter Repair Done in a Prone Position3-2. End-to-End Sphincter Repair Done in Dorsal Lithotomy Position3-3. Placement of an Artificial Bowel Sphincter4-1 Transanal Repair of Recurrent Rectovaginal Fistula with Rectal Advancement Flap4-2. Rectal Sleeve Advancement Flap4-3. Transperineal Repair of Recurrent Rectovaginal Fistula4-4. Episioproctotomy4-5. Rectovaginal Fistula Plug Repair4-6. Martius Graft Interposition for Repair of Complex Rectovaginal Fistula5-1 Defecography Demonstrating an Enterocele5-2. Defecography Demonstrating a Sigmoidocele5-3 Defect-Specific Rectocele Repair with Enterocele Repair and Vault Suspension5-4. Vaginal Enterocele Repair with Rectocele Repair5-5. Graft-Augmented Rectocele Repair5-6 STARR Procedure6-1. Delorme's Procedure6-2. Altemeier Procedure6-3. Laparoscopic Suture Rectopexy6-4. Laparoscopic Resection Rectoplexy7-1. Technique for Placement of Preliminary Nerve Evaluation (PNE) in an Office Setting Under Local Anesthesia7-2. Technique for Stage I Implant Under Fluoroscopy7-3. Total System Implantation8-1. Examination of a Patient with a Large Rectocele and Rectal Prolapse8-2. Laparoscopic Sacrocolporectopexy
