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Friday, July 24, 2020 | History

2 edition of Abdominal operations by the vaginal route found in the catalog.

Abdominal operations by the vaginal route

Werner, Paul

Abdominal operations by the vaginal route

by Werner, Paul

  • 120 Want to read
  • 15 Currently reading

Published by Lippincott in Philadelphia .
Written in English

    Subjects:
  • Abdomen -- Surgery.,
  • Vagina.

  • Edition Notes

    Statement[by] Paul Werner and Julius Sederl. Translated by L.M. Szamek. With a forewrod by Richard W. Te Linde.
    ContributionsSederl, Julius, joint author.
    Classifications
    LC ClassificationsRD540 .W43
    The Physical Object
    Paginationvi, 165 p.
    Number of Pages165
    ID Numbers
    Open LibraryOL6227646M
    LC Control Number57014866
    OCLC/WorldCa2731481

    See what's new with book lending at the Internet Archive. A line drawing of the Internet Archive headquarters building façade. An illustration of a magnifying glass. An illustration of a magnifying glass. Full text of "The history and technique of the vaginal radical operation;". The book begins with pelvic and abdominal wall anatomy before detailing standard abdom-inal hysterectomy. There are then sections on myomectomy; although more on the problems of cervical fibroids would have are detailed sections on urinary tract, vaginal and vulvar surgery as well as abdominal operations for prolapse and incontinence.

    The vaginal route, if applicable, is the most preferred and commonly used surgical approach to perform a gynecologic surgery. The second preferred option is the endoscopic approach (laparoscopy and hysteroscopy). radical abdominal operations in cervical, uterine and ovarian cancer the Burch abdominal colposuspension (to treat urinary. Background The use of natural openings for abdominal surgery started at the beginning of the 21th century. A trans-Douglas endoscopic device has been designed to perform most of the intra-abdominal operations in women through the pouch of Douglas. The posterior vaginal vault is limited in size and could be damaged by an oversized instrument.

    The updated edition of Atlas of Pelvic Anatomy and Gynecologic Surgery richly illustrates pelvic anatomy and surgical operations through full-color anatomic drawings, correlative surgical artwork with step-by-step photographs, and computer-assisted hybrid photo illustrations. Covering a compendium of gynecologic operations, including major and minor procedures and approaches, the techniques. Despite convincing evidence that vaginal hysterectomy is preferable when either the vaginal or abdominal route is clinically appropriate, the only formal guideline available is the uterine-size guideline by ACOG, which suggests that vaginal hysterectomy is most appropriate in women with mobile uteri no larger than 12 weeks' gestational size.


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Abdominal operations by the vaginal route by Werner, Paul Download PDF EPUB FB2

Additional Physical Format: Online version: Werner, Paul. Abdominal operations by the vaginal route. Philadelphia, Lippincott Abdominal operations by the vaginal route book (OCoLC) This book is an excellent translation of the one published by the authors in This does not diminish its quality or value.

Werner continued to perform intricate vaginal operations almost until the time of his death. He was one of the foremost operators, not only in Europe but in the world. Full text Full text is available as a scanned copy of the original print version.

Get a printable copy (PDF file) of the complete article (K), or click on a page image below to browse page by page. Download PDF: Sorry, we are unable to provide the full text but you may find it at the following location(s): g (external link).

Patients in whom the vaginal route was successful included 94% of those with uterine weights exceeding g and 97% of those having risk factors often cited as reasons for selecting abdominal.

Hysterectomy via the vaginal route, a least invasive technique does minimize such effects. The objective of this study was to assess the usefulness and place of the vaginal route for hysterectomy in obese women and promote the concept that obesity should discourage the use of the abdominal route.

TOTAL ABDOMINAL AND VAGINAL HYSTERECTOMY, A COMPARISON* MICHAEL L. LEVENTHAL, M.D., AND MAURICE L. LAZARUS, M.D., CHICAGO, ILL. (From the Departments of Obstetrics and Gynecology, Northwestern University Medical School, and Michael Reese Hospital) NT THE early years of abdominal pelvic surgery, "hysterectomy" implied removal of the corpus uteri with the cervix left in.

The wave of enthusiasm which spread over the continent of Europe when more extensive operative pro- cedures by the abdominal route were first advocated seems to be gradually subsiding, and if conclusions can be drawn from recent discussions a reactionary current has begun to flow in favour of a more extensive operation by the vaginal route.

Despite well-documented benefits of vaginal hysterectomy in terms of lower complication rates, shorter hospital stay and convalescence, and better quality of life, therefore, vaginal hysterectomy is preferred when either vaginal or abdominal route is clinically appropriate, the only formal guideline available is the uterine size guide line by.

vaginal route and dissuade surgeons from the use of the abdominal route or laparoscopy (17). Vaginal hysterectomy provides several advantages as it is pos-sible to combine this with perineal surgery.

It may even apply to select cases of endometrial cancer. The vaginal route will. The vaginal route was used in cases ( per cent) and the abdominal route in 34 cases ( per ce nt). Tn 4 patients only pelvic exenteration and in 8 only exploratory laparotomy was performed.

The surgical mortality was per cent (11 dea ths among operations). Introduction. Hysterectomy is one of the most commonly performed major operations. Despite convincing evidence that vaginal hysterectomy is preferable when either vaginal or abdominal route is clinically appropriate, the only formal guideline available is the uterine size guideline by ACOG which suggest that the vaginal route is the most appropriate in women with mobile uteri no larger than   Comment cases, presented previous multiple abdominal surgeries would have made the standard abdominal.

cystectomy very difficult. Therefore, the vaginal route was chosen and, as illustrated, obviated a difficult transabdolninal procedure with all its potential complications including bowel injury, excessive bleeding, and prolonged ileus.

Hysterectomies were performed by the abdominal route in 55 (%) and by the vaginal route in 60 (%) of the patients. A total of 29 physicians performed the hysterectomies. PANHYSTERECTOMY CLINICAL ANALYSIS OF CASES FROM THE VAGINAL AND THE ABDOMINAL APPROACH* J.

THORNWELL WITHERSPOON, M.D. AND VIRGINIA W. BUTLER, M.S. NEW ORLEANS PANHYSTERECTOMY, which can of the uterus rather than to anatomic be done either through the vagina extirpation.

or the abdomen, is one of the few The annals of hysterectomy in this major operations. The ratio of abdominal operations to vaginal operations iswhich probably reflects surgeon's experience and practice styles, the absence of clear guidelines for selecting a surgical route.

Worldwide, vaginal route is the gynaecologist's route of surgery. However, abdominal route is the favoured route of hysterectomy in Nigeria inspite of the advantages of vaginal route. A separate randomized, prospective study by Maher et al 5 compared abdominal sacral colpopexy (n=47) and vaginal sacrospinous ligament fixation (n=48) for stage II to IV vault prolapse.

After a mean follow-up of 2 years, subjective and objective success rates did not differ significantly between the 2 routes. Why is the abdominal route more. An illustration of an open book. Books. An illustration of two cells of a film strip. Video. An illustration of an audio speaker.

Audio. An illustration of a " floppy disk. Software An illustration of two photographs. Full text of "Vaginal celiotomy" See other formats. There were 95 cases of previous abdominal operations and 30 cases of previous gynecological operations (19 vaginal and 11 abdominal).

The most frequent previously performed vaginal. Vaginal operations are even older than the introduction of anesthesia. Scholars assume that the first successful vaginal hysterectomy was performed in by Johann Nepomuk Sauter ().

Joseph Claude Recamier () followed inand Bernhard Rudolf Langenbeck () performed the operation nineteen years later.Vaginal hysterectomy is a least invasive and the choicest route when hysterectomy is possible by recourse to all the three available techniques.

However in obese women, the common method is by the more invasive abdominal or laparoscopic route, with attendant morbidity. Vaginal hysterectomy was reviewed in morbidly obese women (body mass index, BMI≥40) and compared with 50 .In the retrospective analysis of hysterectomies, we determined that 29% were vaginal, 43% abdominal, and 28% laparoscopic (mostly LAVH).

In the following years, LAVH allowed the conversion of a significant number of abdominal or laparoscopic hysterectomies to a vaginal route, showing that the vaginal approach was possible in most of cases.