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Fibroid Uterus : Surgical Challenges in Minimal Access Surgery - Rooma Sinha

Fibroid Uterus

Surgical Challenges in Minimal Access Surgery

By: Rooma Sinha (Editor), Arnold Advincula (Editor), Kurian Joseph (Editor)

Paperback | 1 August 2022 | Edition Number 1

At a Glance

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This book on fibroid uterus focuses on surgical challenges in minimal access surgery that a surgeon faces while treating this condition. This book explores the role of various imaging modalities in both diagnosis and planning of the treatment. Various surgical techniques, such as hysteroscopy, laparoscopy, and robotic are discussed which will help readers to understand the pros and cons of each one. Teaching practical tips from experts regarding these procedures, the book aims to help surgeons make clinical decisions while they choose surgical procedures for their patients in various clinical settings. The book highlights both the conservative (techniques of myomectomy) and hysterectomy by various methods for treating fibroids.

Key Features

  • How to use various imaging modalities for preoperative evaluation of fibroids
  • Issues in preoperative counseling and consent before surgery for fibroids
  • Overview of surgical treatment of fibroids
  • Individual chapters on practical tips by experts for various surgical techniques used for both myomectomy and hysterectomy
  • Discusses the controversy in morcellation and how to perform it safely
  • Covers the problem of parasitic fibroids that have increased in recent times
  • Discusses issues like breach in endometrial cavity during myomectomy, surgery for adenomyosis, uterine rupture and recurrence after myomectomy
  • When to call it a day and convert from laparoscopy to laparotomy
Industry Reviews

This book offers a discussion of the preoperative counseling, diagnosis, and management of fibroids by exploring various imaging modalities and surgical techniques including hysteroscopy, laparoscopy, and robotic surgery and provide a global overview of the evaluation of fibroids along with the surgical nuances in their treatment modalities. This book is suitable for any practicing obstetrics/gynecology generalists who may want to enhance their surgical skills in minimal access surgery for fibroids. This may include those who have a special interest in minimally invasive gynecologic surgery, surgical fellows, and obstetrics/gynecology residents. The authors of the book are well recognized in their fields. The contributors are primarily from India with some from Italy, Germany, Thailand, Switzerland, Australia, and Russia, with a few from the United States. The 22 chapters address issues such as challenges in obtaining proper informed preoperative consent, in the diagnosis of fibroids through various imaging modalities, and in the surgical treatment of fibroids with myomectomy via hysteroscopic, laparoscopic, and robotic approaches. It discusses the
surgical approach to cervical, broad ligament, and parasitic fibroids, includes chapters on how to manage secondary hemorrhage after myomectomy, and provides recommendations on when to convert from laparoscopy to laparotomy. It highlights both the conservative surgical approach with myomectomy and definitive surgery with hysterectomy through laparoscopy, along with a discussion of morcellation techniques. This book is valuable for its intended audience and meets its teaching objectives.

Lisa Chao, M.D.(University of Texas Southwestern Medical Center)

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