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Shirish S. Sheth - Vaginal Hysterectomy

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Advances in laparoscopic technology have led to new interest in the vaginal approach to hysterectomy, which has many proven benefits for patients. The authors here caution that this technology helps in only a percentage of cases. Experts explain the indications and contra-indications for the vaginal approach, discuss preoperative assessment procedures and offer an evidence-based elucidation of vaginal hysterectomy. With a full profile of the potential complications, morbidity and mortality associated with the vaginal approach, Vaginal Hysterectomy provides a well-balanced appraisal. It is an essential text for practicing gynecologists, surgeons, consultants and postgraduates.

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Cover

title Vaginal Hysterectomy author Sheth Shirish S Studd John - photo 1
title:Vaginal Hysterectomy
author:Sheth, Shirish S.; Studd, John.
publisher:Taylor & Francis Routledge
isbn10 | asin:1901865436
print isbn13:9781901865431
ebook isbn13:9780203450086
language:English
subjectHysterectomy, Vaginal, Vaginal hysterectomy.
publication date:2002
lcc:RG391.V34 2002eb
ddc:618.1453
subject:Hysterectomy, Vaginal, Vaginal hysterectomy.

Page i

Vaginal Hysterectomy

Page ii

This page intentionally left blank.

Page iii

Vaginal Hysterectomy

Edited by

Shirish S. Sheth, MD, FRCOG, FACS, FICS, FICOG, FCPS, FAMS, FSOGC

Consultant Gynaecologist, Breach Candy Hospital and Research Centre and Sir Hurkisondas Nurottamdas Hospital, Mumbai, India

Hon. Professor, Obstetrician and Gynaecologist, King Edward VII Memorial Hospital and Seth G.S. Medical College, Mumbai, India

President, International Federation of Gynaecology and Obstetrics (FIGO)

and

John Studd, DSc, MD, FRCOG

Professor of Gynaecology, Imperial College School of Medicine
Consultant Gynaecologist, Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital, London, UK

Picture 2

Page iv

2002 Isis Medical Media, a member of the Taylor & Francis group

The Livery House
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First published 2002

This edition published in the Taylor & Francis e-Library, 2003.

All rights reserved. No part of this publication
may be reproduced, stored in a retrieval system,
or transmitted in any form or by any means, electronic,
mechanical, photocopying, recording or otherwise
without the prior permission of the copyright owner.

The Authors have asserted their right under the
Copyright, Designs and Patents Act, 1988,
to be identified as the Authors of this work.

British Library Cataloguing in Publication Data.
A catalogue record for this title is available from
the British Library.

ISBN 0-203-42002-0 Master e-book ISBN

ISBN 0-203-45008-6 (OEB Format)

ISBN 1 901865 43 6 (Print Edition)

Sheth, S. (Shirish)
Vaginal Hysterectomy
Shirish Sheth and John Studd (eds)

Always refer to the manufacturers Prescribing
Information before prescribing drugs cited in this book.

Medical Artist

Anna-Maria Dutto

Page layout and design

J&L Composition Ltd, Filey, UK

Image reproduction

Bright Arts Graphics Pte Ltd., Singapore

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Page v

Contents

List of Contributors

vii

Introduction
Shirish Sheth and John Studd

ix

The history of vaginal hysterectomy
C. Sutton

Indications and contraindications
D.K. Quinlan

Preoperative assessment
S.S. Sheth

Access to vesicouterine and rectouterine pouches
G.N. Allahbadia and S.S. Sheth

Vaginal hysterectomy for genital prolapse
P. B. PaiDhungat and G.N.Allahbadia

Simplified technique of vaginal hysterectomy
M.A. Pelosi II and M.A. Pelosi III

The nulliparous patient
S.S. Sheth

Uterine fibroids
S.S. Sheth

Uterine debulking at vaginal hysterectomy
M.A. Pelosi II and M.A. Pelosi III

Use of gonadotrophin-releasing hormone agonist before hysterectomy
T.E. Snyder and T.G. Stovall

Hysterectomy after previous abdominopelvic surgery
S.S. Sheth and G.Allahbadia

Contraindicated abdominal route
S.S. Sheth

The place of prophylactic oophorectomy at hysterectomy
J.F. Magrina

Oophorectomy
S.S. Sheth

Adnexal pathology
S.S. Sheth

Subtotal vaginal hysterectomy
T. Miskry and A. Magos

Page vi

The difficult vaginal hysterectomy
S.R. Kovac

Hysterectomy on high-risk women
K.P. Paghdiwalla and S.S. Sheth

Malignancy related to vaginal hysterectomy and laparoscopically assisted vaginal hysterectomy
J.M. Monaghan

Technical minutiae of vaginal hysterectomy
D.K.Tank and J.D.Tank

Newer perspectives
S.S. Sheth

Associated urethral sphincter incompetence
C.F.I. Jabs and S.L. Stanton

Associated non-gynaecological surgery
S.K. Bhansali and S.S. Sheth

Opportunity to initiate prophylaxis
H.K. Basu

Place of sacrospinous colpopexy at vaginal hysterectomy
M. Hefni

Hysterectomy and hormone replacement therapy
G. Khastgir and J.W.W. Studd

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