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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_759_Библиотеки_им_академика_М_И_Перельмана.pdf
X
- •Foreword
- •Preface
- •Acknowledgments
- •Introduction
- •Contents
- •Contributors
- •Risk Factors
- •Prevention
- •Chemoprophylaxis
- •Preoperative Chemoprophylaxis
- •Mechanical Prophylaxis
- •Early Mobilization
- •Extended Postoperative Chemoprophylaxis
- •Prophylactic IVC Filters
- •Diagnosis
- •Imaging
- •Treatment
- •Therapeutic Anticoagulation
- •Medication Options
- •IVC Filter Placement
- •References
- •1: Perioperative Venous Thromboembolism
- •Background
- •Epidemiology
- •Preoperative Considerations
- •Intraoperative Considerations
- •Postoperative Considerations
- •Future Directions
- •Thromboembolic Events
- •Prehabilitation
- •Immunonutrition
- •Summary
- •References
- •3: Frailty
- •Frailty
- •Assessing Frailty
- •Interventions Following Frailty Assessment
- •Conclusion
- •References
- •Introduction
- •(Neo)Adjuvant Therapy
- •Conclusions
- •References
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •Uterine Perforation
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •References
- •6: Hysterectomy
- •Introduction
- •Hemorrhage
- •Background
- •Prevention
- •Recognition
- •Management
- •Bladder Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Ureteral Injury
- •Background
- •Recognition
- •Management
- •Bowel Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •Urinary Tract Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Bowel Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Nerve Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Postoperative Considerations
- •Prolapse Recurrence
- •Conclusion
- •References
- •Prevention
- •Recognition
- •Management
- •References
- •7: Genital Tract Prolapse
- •Intraoperative Injuries
- •Vascular Injury
- •Background
- •Introduction
- •Injectable Therapy
- •An Overview
- •Complications
- •Retention
- •De Novo Irritative Voiding Symptoms
- •Mid-Urethral Slings (MUS)
- •An Overview
- •Tension-Free Vaginal Tape (TVT)
- •Transobturator Tape (TOT)
- •Single-Incision Slings (SIS)
- •Complications
- •Mesh Erosion
- •Bladder Injury
- •Pain
- •Voiding Dysfunction
- •De Novo Irritative Voiding Symptoms
- •Recurrent Incontinence
- •Pubovaginal Slings (PVS)
- •An Overview
- •Complications
- •Bladder Perforation
- •Urinary Retention
- •De Novo Irritative Voiding Symptoms
- •Recurrent Incontinence
- •Retropubic Suspensions
- •An Overview
- •Complications
- •Voiding Dysfunction
- •Recurrent Incontinence
- •Conclusions
- •References
- •9: Urethral Diverticulectomy
- •Diagnosis
- •Surgical Management
- •Complications Following Urethral Diverticulectomy
- •Stress Urinary Incontinence
- •De Novo SUI
- •Urethrovaginal Fistula
- •Urethral Stricture
- •Recurrent Urethral Diverticulum
- •Conclusions
- •References
- •10: Segmental or Total Female Urethrectomy
- •Meatotomy
- •Stress Urinary Incontinence (SUI) After Partial Urethrectomy
- •Pubovaginal Slings (PVSs)
- •Pubovaginal Sling Erosion
- •References
- •11: Transurethral Bladder Surgery
- •Introduction
- •Bladder Perforation
- •Cystitis: Infection/Urinary Tract Infection (UTI)
- •Summary
- •References
- •12: Partial Cystectomy
- •Introduction
- •Preoperative Workup
- •Surgical Technique
- •Complications
- •Oncological Outcomes
- •Conclusions
- •References
- •Introduction
- •Surgical Approach
- •Complications by Category
- •Genitourinary
- •Infection
- •Gastrointestinal
- •Cardiopulmonary
- •Bleeding/Thromboembolic
- •Neurological
- •Cerebrovascular Accident/Stroke
- •Delirium/Agitation
- •Miscellaneous
- •Lymphocele
- •Organ-Sparing Cystectomy (Uterus-, Fallopian Tube-, Ovary-Sparing)
- •Ovary Removal Risks (Bone Loss, Fracture Risk, Cardiac Events, Cognitive Decline, Mortality)
- •Vaginal Complications
- •References
- •14: Complications in Orthotopic Neobladders
- •Introduction
- •Early Postoperative Complications
- •Long-Term Complications
- •Conclusions
- •References
- •Introduction
- •Ileocecal Reservoirs
- •Colonic Reservoirs
- •Ileal Reservoirs
- •Conclusions
- •References
- •Introduction
- •Stoma-Related Complications
- •Parastomal Hernia
- •Stomal Stenosis
- •Ureterointestinal Stricture
- •Infection
- •Enterocutaneous Fistula
- •Anastomotic Leak
- •Conduit Necrosis
- •Metabolic Disturbances
- •Additional Thoughts
- •References
- •Background
- •Management
- •References
- •18: Ureteroscopy
- •Introduction
- •Intraoperative Complications
- •Ureteral Wall Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •Bleeding
- •Background
- •Prevention
- •Management
- •Early Postoperative Complications
- •Vascular Anomalies
- •Background
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •Ureteral Stent Discomfort
- •Premature Labor
- •Ureteral Stent Migration
- •Background
- •Prevention
- •Recognition
- •Management
- •Intravascular Stent Misplacement
- •Post-Obstructive Diuresis
- •Late Postoperative Complications
- •Ureteral Strictures
- •Background
- •Prevention
- •Recognition
- •Management
- •Neglected Stents
- •Background
- •Prevention
- •Recognition
- •Management
- •Conclusions
- •References
- •Introduction
- •Perforation
- •Background
- •Prevention
- •Recognition
- •Management
- •Bleeding
- •Background
- •Prevention
- •Recognition
- •Management
- •Abscesses
- •Background
- •Prevention
- •Recognition
- •Management
- •Strictures
- •Background
- •Prevention
- •Recognition
- •Management
- •Fecal Incontinence
- •Background
- •Prevention
- •Recognition
- •Management
- •Urinary Retention
- •Background
- •Prevention
- •Recognition
- •Management
- •References
- •Cryptoglandular Pathophysiology—Abscess
- •Fistula-in-Ano
- •Fistulotomy
- •Seton Placement
- •Fistula Plugs/Fibrin Glue
- •Endorectal Advancement Flap (ERAF)
- •Minimally Invasive Approaches
- •Mesenchymal Stem Cell (MSC) Therapy
- •Complex Advanced Fistula Therapy
- •Conclusions
- •References
- •21: Fecal Incontinence
- •Treatment
- •Anal Insertion Devices
- •Vaginal Bowel Control Systems
- •Bulking Agents
- •Radio-Frequency Tissue Remodeling (SECCA®)
- •Percutaneous Tibial Nerve Stimulation (PTNS)
- •Sacral Nerve Neuromodulation (SNM)
- •Surgical Sphincter Repair (Sphincteroplasty)
- •Ventral Mesh Rectopexy (VMR)
- •Other Treatments
- •References
- •General Background
- •Preoperative Procedural Considerations
- •General Abdominal Surgery Complications
- •Hemorrhagic Complications During Rectopexy
- •Mesh Complications
- •Discitis
- •Intra-Abdominal Collections/Seromas/Abscesses
- •Ureteral Injury
- •Bowel Obstruction
- •Anastomotic Leaks
- •Postoperative Pain
- •Perineal Surgery
- •Multicompartment Prolapse Repairs
- •Postoperative Constipation/Fecal Impaction
- •Conclusions
- •References
- •Background
- •Prevention
- •Recognition
- •Vascular Injury
- •Bowel Injury
- •Management
- •Major Vascular Injury
- •Carbon Dioxide Embolism
- •Bowel Injury
- •Background
- •Recognition
- •Incision Site Hernia
- •Background
- •Recognition
- •Respiratory Mechanics
- •Preoperative Evaluation
- •Positioning
- •Trendelenburg Complications
- •Cardiopulmonary
- •Ocular Complications
- •Peripheral Nerve Injury
- •References
- •Background
- •Diagnosis
- •Treatment
- •The General Surgical Approach
- •Nerve-Sparing Surgery
- •Bladder Endometriosis
- •Diagnosis
- •Treatment
- •Ureteral Endometriosis (UE)
- •Diagnosis
- •Treatment
- •Ureteral Complications
- •Diagnosis
- •Surgical Treatment
- •Shaving Excision
- •Laparoscopic Disk Excision
- •Segmental Resection
- •Bowel Complications
- •Conclusions
- •References
- •Introduction
- •Intraoperative Complications
- •Early Postoperative Complications
- •Surgical Site Infections
- •Late Postoperative Complications
- •Anastomotic/Pouch Fistulas
- •Infertility
- •Sexual Dysfunction
- •Unhealed Perineal Wound
- •Entrapped Ovary (Inclusion Cyst)
- •Summary
- •References
- •Introduction
- •Genitourinary Complications
- •Background
- •Prevention
- •Recognition
- •Management
- •Urinary Tract
- •Background
- •Prevention
- •Recognition
- •Management
- •Bladder Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Vascular Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Neurologic Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •References
- •27: Cesarean Section
- •Introduction
- •Postpartum Hemorrhage
- •Background
- •Prevention
- •Recognition
- •Management
- •Unintended Hysterotomy Extension
- •Background
- •Prevention
- •Recognition
- •Management
- •Uterine Scar Dehiscence
- •Background
- •Prevention
- •Recognition
- •Management
- •Uterine Inversion
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •Post-Cesarean Infection
- •Background
- •Prevention
- •Recognition
- •Management
- •References
- •28: Management of Ectopic Pregnancy and Surgical Considerations
- •Background
- •Tubal Ectopic Pregnancy
- •Prevention
- •Laparoscopy Versus Laparotomy
- •Recognition
- •Massive Hemorrhage, Hemodynamic Instability
- •Nondiagnostic Laparoscopy
- •Management
- •Hemoperitoneum
- •Nontubal Ectopic Pregnancy
- •Prevention
- •Recognition
- •Management
- •Interstitial
- •Ovarian
- •References
- •29: Surgical Abortion
- •Introduction
- •Hemorrhage
- •Uterine Atony
- •Background
- •Prevention
- •Recognition
- •Management
- •Abnormal Placentation
- •Background
- •Prevention
- •Acute Coagulopathy
- •Background
- •Prevention
- •Recognition
- •Management
- •Cervical Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Uterine Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Infection
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Conclusions
- •References
- •30: Cesarean Hysterectomy
- •Introduction
- •Obstetric Hemorrhage
- •Background
- •Prevention
- •Recognition
- •Management
- •Surgical Site Infection
- •Background
- •Prevention
- •Recognition
- •Management
- •Massive Obstetric Hemorrhage
- •Background
- •Prevention
- •Recognition
- •Management
- •Disseminated Intravascular Coagulopathy (DIC)
- •Background
- •Prevention
- •Recognition
- •Management
- •Urologic Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •References
- •31: Inguinal Lymphadenectomy, Radical Vulvectomy
- •References
- •Introduction
- •Vascular Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Lymphedema
- •Background
- •Prevention
- •Recognition
- •Management
- •Nerve Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Ureteral Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •Duodenum
- •Background
- •Prevention
- •Recognition
- •Management
- •Arterial Embolization
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Management
- •References
- •33: Radical Hysterectomy
- •Introduction
- •Ureteral Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Bladder Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Rectal Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Bladder Dysfunction
- •Background
- •Prevention
- •Recognition
- •Management
- •Colorectal Dysfunction
- •Background
- •Prevention
- •Recognition
- •Management
- •Surgical Site Infection
- •Background
- •Prevention
- •Recognition
- •Management
- •Sexual Dysfunction
- •Background
- •Prevention
- •Recognition
- •Management
- •References
- •Vascular Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Post-Operative Bleeding/Hematoma
- •Background
- •Prevention
- •Recognition
- •Management
- •Urinary Tract Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Anastomotic Leak
- •Background
- •Prevention
- •Recognition
- •Management
- •Bowel Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Anastomotic Bleeding
- •Background
- •Prevention
- •Recognition
- •Management
- •Anastomotic Stricture
- •Background
- •Prevention
- •Recognition
- •Management
- •References
- •35: Anal Cancer
- •Introduction
- •Perineal Wound Infection/Dehiscence
- •Background
- •Prevention
- •Recognition
- •Management
- •Acute
- •Chronic
- •Pelvic Fluid Collections/Abscesses/Organ Space Infections
- •Background
- •Prevention
- •Recognition
- •Management
- •Perineal Hernia
- •Background
- •Prevention
- •Recognition
- •Management
- •Small Bowel Obstruction
- •Background
- •Prevention
- •Recognition
- •Management
- •Large Bowel Obstruction
- •Background
- •Prevention
- •Recognition
- •Management
- •Fecal Incontinence
- •Background
- •Prevention
- •Recognition
- •Management
- •Rectovaginal Fistula
- •Background
- •Prevention
- •Recognition
- •Management
- •Radiation Enteritis
- •Background
- •Prevention
- •Recognition
- •Management
- •Sigmoid Stricture Formation
- •Background
- •Prevention
- •Recognition
- •Management
- •Conclusion
- •References
- •Introduction
- •Anastomotic Leak
- •Background
- •Prevention
- •Recognition
- •Management
- •AL Requiring Operative Intervention
- •Endosponge
- •Local Repairs
- •Anastomotic Stricture
- •Background
- •Prevention
- •Recognition
- •Management
- •Anastomotic Bleeding
- •Background
- •Prevention
- •Recognition
- •Management
- •Presacral Venous Bleeding
- •Background
- •Recognition
- •Prevention
- •Management
- •Low Anterior Resection Syndrome
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Treatment
- •References
- •37: Pelvic Radiation Therapy
- •Introduction
- •External Beam Radiation Therapy
- •Brachytherapy
- •Radiotherapy Toxicity
- •Toxicities by System
- •Bladder/Ureters/Urethra
- •Background
- •Prevention
- •Recognition
- •Management
- •Small Bowel
- •Background
- •Prevention
- •Recognition
- •Management
- •Colon/Rectum
- •Background
- •Prevention
- •Recognition
- •Management
- •Anus/Vulva/Skin
- •Background
- •Prevention
- •Recognition
- •Management
- •Uterus
- •Background
- •Prevention
- •Recognition
- •Management
- •Ovaries
- •Background
- •Prevention
- •Recognition
- •Management
- •Vagina
- •Background
- •Prevention
- •Recognition
- •Management
- •Vascular/Lymphatics/Nerves
- •Background
- •Prevention
- •Recognition
- •Management
- •References
- •38: Pelvic Exenteration for Central Pelvic Cancer
- •Introduction
- •Pre-Operative Considerations
- •Intra-Operative Complications
- •WHO Checklist
- •Post-Operative Complications
- •Immediate
- •Conclusion
- •References
- •Introduction
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •Summary
- •References
- •Nerve Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Vascular Injury
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •Background
- •Prevention
- •Recognition
- •Management
- •Hardware Failure/Mechanical Complications
- •Background
- •Prevention
- •Recognition
- •Management
- •Pelvic Cancer Complications Involving Bone
- •Osteomyelitis
- •Background
- •Prevention
- •Recognition
- •Management
- •Radiation Osteitis
- •Background
- •Prevention
- •Recognition
- •Management
- •Radiation Associated Sarcomas
- •Background
- •Prevention
- •Recognition
- •Management
- •Wound Healing Considerations
- •Background
- •Prevention
- •Recognition
- •Management
- •References
- •41: Pelvic Reconstructive Procedures
- •Background
- •Prevention
- •Preoperative
- •Intraoperative
- •Postoperative
- •Recognition
- •Fluid Collection
- •Infection
- •Partial or Total Flap Loss
- •Fistula
- •Donor Site Complications
- •Management
- •Fluid Collection
- •Infection
- •Partial or Total Flap Loss
- •Fistula
- •Donor Site Complications
- •Conclusion
- •References
- •Index

Introduction
The pelvis is a conned space where portions of the urinary, genital, and
intestinal tract become intimately associated. Surrounding these organ systems is an extensive neural network and the major vascular supply to the
pelvic organs and lower extremities. Supporting the pelvic organs with their
innervations are the pelvic bones, ligaments, and muscles. The major surgical
disciplines that operate within the pelvis are urology, gynecology, and
colorectal surgery. A wide range of extirpative and reconstructive procedures
are performed by pelvic surgeons. Other disciplines operate within the pelvis
as well, including general, oncologic, orthopedic, pediatric, vascular, and
plastic surgeons as well as neurosurgeons.
Diseases and other abnormalities within the connes of the pelvis frequently affect more than one organ system as well as the surrounding neurovascular structures. Less commonly, tumor extends to the boney pelvis. The
intimate relationships within the pelvis preclude a clear separation of the pelvic surgical disciplines. Complications of pelvic surgery are common to all of
these disciplines. All surgeons who perform pelvic operations must have a
clear understanding of the complications that may arise and their prevention,
recognition, and management. As pelvic diseases and abnormalities cross
organ systems and disciplines, so do the complications that arise from their
surgical management.
Each pelvic surgical discipline has a range of capabilities for managing
operative complications. However, a multidisciplinary approach may at times
be required. In some instances, the various surgical disciplines have developed specialty-specic methodology for managing similar complications.
For the reasons described above, pelvic surgery by its very nature is multidisciplinary. The editors of this book are from the three pelvic surgical disciplines mentioned. The contribution of chapters are by experts from these
same specialties as well as the extended surgical disciplines who operate on
the often challenging conditions in this complex region of female anatomy.
The main objective of this book is to give a multidisciplinary perspective
on complications of female pelvic surgery.
xiii

Contents
Part I General Perioperative Considerations
1 Perioperative Venous Thromboembolism . . . . . . . . . . . . . . . . . . 3
Kristen A. Ban, Stefan D. Holubar,
and Daniel L. Clarke-Pearson
2 Modern-Enhanced Recovery After Surgery (ERAS)
for Major Pelvic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Leilei Xia and Siamak Daneshmand
3 Frailty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Armin Shahrokni
4 Nutrition for the Surgical Patient . . . . . . . . . . . . . . . . . . . . . . . . 31
Richard A. Jacobson, Ankita Mishra, and Sean P. Dineen
Part II Lower Genital Tract
5 Uterine Surgery for Infertility . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Jensen Reckhow and Zaraq Khan
6 Hysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Jessica Selle and John Gebhart
7 Genital Tract Prolapse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Brittany L. Roberts and Rebecca G. Rogers
Part III Lower Urinary Tract
8 Operations for Stress Urinary Incontinence . . . . . . . . . . . . . . . 83
Lauren M. Conroy and O. Lenaine Westney
9 Urethral Diverticulectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Richard Lee and Leo Dreyfuss
10 Segmental or Total Female Urethrectomy . . . . . . . . . . . . . . . . . 103
Kirolos N. Meilika and Jaspreet S. Sandhu
11 Transurethral Bladder Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . 117
Joshua J. Meeks
xv

xvi
12 Partial Cystectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Óscar Rodríguez Faba, Alberto Breda, and Joan Palou
13 Complications of Radical Cystectomy . . . . . . . . . . . . . . . . . . . . 129
Kelly R. Pekala and Bernard H. Bochner
14 Complications in Orthotopic Neobladders . . . . . . . . . . . . . . . . . 137
Kathrin Meisterhofer, Bastian Amend, and Arnulf Stenzl
15 Continent Cutaneous Urinary Diversion in Women . . . . . . . . . 145
Jakob Klemm, Malte W. Vetterlein, and Margit Fisch
16 Complications of Ileal Conduit Urinary Diversion:
A Comprehensive Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Timothy Donahue and Charissa Chu
Part IV Upper Urinary Tract
17 Injury Repair of Pelvic Ureter . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Kyrollis Attalla and John P. Sfakianos
18 Ureteroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
Jonathan Modai and Matthew D. Dunn
Contents
Part V Anus and Rectum
19 Transanal Local Excisions and Endoluminal Approaches . . . . 189
Kamil Erozkan and Emre Gorgun
20 Perianal Abscess and Fistula . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207
Valery Vilchez and Amy L. Lightner
21 Fecal Incontinence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221
Anna R. Spivak
22 Operations for Rectal Prolapse . . . . . . . . . . . . . . . . . . . . . . . . . . 231
Jennifer Shearer, Brooke Gurland, and Caitlin Bungo
Part VI Miscellaneous
23 Complications of Minimally Invasive Surgery . . . . . . . . . . . . . . 245
Dandi Huang and Kenneth H. Kim
24 Composite Pelvic Resection for Deeply
Infiltrating Endometriosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255
Aparna R. Ramanathan, Rebecca E. Thompson,
Elissa Trieu, and Vadim Morozov
25 Inflammatory Bowel Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265
Scott A. Strong
26 Complications of Resection of Retroperitoneal Tumors
in the Female Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275
Emmanuel Zervos and Nasreen A. Vohra

Contents
xvii
Part VII Pregnancy
27 Cesarean Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291
Anthony Kendle and Haywood Brown
28 Management of Ectopic Pregnancy and Surgical
Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 301
Theresa Fisher and Kristin Powell
29 Surgical Abortion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 309
Christy M. Boraas and Jessika A. Ralph
30 Cesarean Hysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 319
Brett D. Einerson and Andrew P. Soisson
Part VIII Cancer
31 Inguinal Lymphadenectomy, Radical Vulvectomy . . . . . . . . . . . 333
Clarissa Lam and Mario M. Leitao
32 Pelvic and Paraaortic Lymphadenectomy . . . . . . . . . . . . . . . . . 351
Mitchel Hoffman, Murray Shames, and Bernard H. Bochner
33 Radical Hysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363
Mitchel Hoffman, Nadim Bou Zgheib, Monica Avila,
and Jing-Yi Chern
34 Composite Pelvic Resection for Ovarian Cancer . . . . . . . . . . . . 377
Beverly Long and William A. Cliby
35 Anal Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 387
Anne Macleod and Susan Galandiuk
36 Rectal and Rectosigmoid Carcinoma . . . . . . . . . . . . . . . . . . . . . 401
Michelle DeLeon and Luca Stocchi
37 Pelvic Radiation Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417
Sudha Amarnath
38 Pelvic Exenteration for Central Pelvic Cancer . . . . . . . . . . . . . 427
Desmond P. Barton, Owen M. Heath, Rasheed Shahnawaz,
Qiu Sheng, Thompson Alan, and Kumar Pardeep
39 Resection of Recurrent Pelvic Sidewall Tumor . . . . . . . . . . . . . 439
James D. McDonald and Ricardo J. Gonzalez
40 Resection of Tumors Involving the Pelvic Girdle . . . . . . . . . . . . 449
Alexander L. Lazarides, Shawna L. Watson,
Guston G. Zervoudakis, Nora L. Watson, and David M. Joyce
41 Pelvic Reconstructive Procedures . . . . . . . . . . . . . . . . . . . . . . . . 463
Julian Pribaz and Kristen Whalen
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 473

Contributors
Thompson Alan Department of Uro-oncology, The Royal Marsden
Foundation Trust, London, UK
Sudha Amarnath Department of Radiation Oncology, Cleveland Clinic
Foundation, Cleveland, OH, USA
BastianAmend Department of Urology, University Hospital of Tuebingen,
Eberhard Karls University, Tuebingen, Germany
KyrollisAttalla Department of Urology, Icahn School of Medicine at Mount
Sinai, New York, NY, USA
MonicaAvila Department of Gynecologic Oncology, Moftt Cancer Center
and USF Morsani College of Medicine, Tampa, FL, USA
KristenA.Ban Department of Colon & Rectal Surgery, Cleveland Clinic,
Cleveland, OH, USA
DesmondP.Barton Department of Gynaecological Oncology, The Royal
Marsden Foundation Trust, London, UK
BernardH.Bochner Urology Service, Department of Surgery, Memorial
Sloan Kettering Cancer Center, New York, NY, USA
Department of Urology, Weill Cornell Medical College, New York, NY, USA
Christy M. Boraas Department of Obstetrics, Gynecology and Women’s
Health, University of Minnesota Medical School, Minneapolis, MN, USA
AlbertoBreda Urology Department, Universitat Autònoma de Barcelona,
Fundació Puigvert, Barcelona, Spain
HaywoodBrown Obstetrics and Gynecology, University of South Florida,
Tampa, FL, USA
Caitlin Bungo Department of Surgery, Division of Colorectal Surgery,
Stanford University, Palo Alto, CA, USA
Jing-Yi Chern Department of Gynecologic Oncology, Moftt Cancer
Center and USF Morsani College of Medicine, Tampa, FL, USA
Charissa Chu Department of Urology, University of California, San
Francisco, San Francisco, CA, USA
xix

xx
Daniel L. Clarke-Pearson Department of Obstetrics & Gynecology,
University of North Carolina, Chapel Hill, NC, USA
William A. Cliby Division of Gynecologic Oncology, Mayo Clinic,
Rochester, MN, USA
Lauren M. Conroy Department of Urology, University of Texas Health
Science Center at Houston, Houston, TX, USA
SiamakDaneshmand Department of Urology, USC/Norris Comprehensive
Cancer Center, Los Angeles, CA, USA
Michelle DeLeon Division of Colon and Rectal Surgery, Mayo Clinic,
Jacksonville, FL, USA
SeanP.Dineen GI Oncology, Moftt Cancer Center, Tampa, FL, USA
Timothy Donahue Department of Surgery, Memorial Sloan Kettering
Cancer Center, New York, NY, USA
Leo Dreyfuss Department of Urology, Weill Cornell Medical College,
NewYork Presbyterian Hospital, New York, NY, USA
Matthew D.Dunn Department of Urology, University of California Los
Angeles, Los Angeles, CA, USA
Contributors
BrettD.Einerson Department of Obstetrics & Gynecology, University of
Utah, Salt Lake City, UT, USA
KamilErozkan Department of Colorectal Surgery, Digestive Disease and
Surgery Institute, Cleveland Clinic, Cleveland, OH, USA
Óscar Rodríguez Faba Urology Department, Universitat Autònoma de
Barcelona, Fundació Puigvert, Barcelona, Spain
MargitFisch Department of Urology, University Medical Center HamburgEppendorf, Hamburg, Germany
Theresa Fisher, MD Obstetrics and Gynecology, Platte Valley Medical
Center, Brighton, CO, USA
SusanGalandiuk Division of Colon & Rectal Surgery, Hiram C Polk Jr.,
MD Department of Surgery, University of Louisville, Louisville, KY, USA
John Gebhart Department of OBGYN, Division Chair Urogynecology,
Mayo Clinic, Rochester, MN, USA
RicardoJ.Gonzalez Sarcoma Department, Moftt Cancer Center, Tampa,
FL, USA
Emre Gorgun Department of Colorectal Surgery, Digestive Disease and
Surgery Institute, Cleveland Clinic, Cleveland, OH, USA
BrookeGurland Department of Surgery, Division of Colorectal Surgery,
Stanford University, Palo Alto, CA, USA

Contributors
xxi
Owen M. Heath Department of Gynaecological Oncology, The Royal
Marsden Foundation Trust, London, UK
Mitchel Hoffman Department of Gynecologic Oncology, Moftt Cancer
Center, USF Morsani College of Medicine, Tampa, FL, USA
Stefan D. Holubar Department of Colon & Rectal Surgery, Cleveland
Clinic, Cleveland, OH, USA
Dandi Huang Department of Obstetrics and Gynecology, Division of
Gynecologic Oncology, Cedars-Sinai Medical Center, West Hollywood, CA,
USA
Richard A. Jacobson GI Oncology, Moftt Cancer Center, Tampa, FL,
USA
DavidM.Joyce Department of Sarcoma, Moftt Cancer Center, Tampa, FL,
USA
Anthony Kendle Obstetrics and Gynecology, Division of Maternal Fetal
Medicine, University of South Florida, Tampa, FL, USA
ZaraqKhan Division Chair for Reproductive Endocrinology and Infertility,
Mayo Clinic, Rochester, MN, USA
KennethH. Kim Department of Obstetrics and Gynecology, Division of
Gynecologic Oncology, Cedars-Sinai Medical Center, West Hollywood, CA,
USA
JakobKlemm Department of Urology, University Medical Center HamburgEppendorf, Hamburg, Germany
ClarissaLam Gynecology Service, Department of Surgery, Memorial Sloan
Kettering Cancer Center, New York, NY, USA
AlexanderL. Lazarides Department of Sarcoma, Moftt Cancer Center,
Tampa, FL, USA
Richard Lee Department of Urology, Weill Cornell Medical College,
NewYork Presbyterian Hospital, New York, NY, USA
MarioM. Leitao Gynecology Service, Department of Surgery, Memorial
Sloan Kettering Cancer Center, New York, NY, USA
Department of Obstetrics and Gynecology, Weill Cornell Medical College,
New York, NY, USA
AmyL.Lightner Department of General Surgery, Scripps Clinic Medical
Group, San Diego, CA, USA
Beverly Long Division of Gynecologic Oncology, Sarasota Memorial
Healthcare System, Sarasota, FL, USA
AnneMacleod Price Institute of Surgical Research, University of Louisville,
Louisville, KY, USA

xxii
JamesD.McDonald Department of Surgery, University Surgixal Oncology,
University of Tennessee Graduate School of Medicine, Knoxville, TN, USA
Joshua J. Meeks Departments of Urology and Biochemistry, Feinberg
School of Medicine, Northwestern University, Chicago, IL, USA
Kirolos N. Meilika Department of Urology, University of Rochester
Medical Center, Rochester, NY, USA
Kathrin Meisterhofer Department of Urology, University Hospital of
Tuebingen, Eberhard Karls University, Tuebingen, Germany
AnkitaMishra GI Oncology, Moftt Cancer Center, Tampa, FL, USA
Jonathan Modai Department of Urology, University of California Los
Angeles, Los Angeles, CA, USA
VadimMorozov Obstetrics and Gynecology, MedStar Washington Hospital
Center/Georgetown University School of Medicine, Washington, DC, USA
Joan Palou Urology Department, Universitat Autònoma de Barcelona,
Fundació Puigvert, Barcelona, Spain
Kumar Pardeep Department of Uro-oncology, The Royal Marsden
Foundation Trust, London, UK
Contributors
KellyR.Pekala Urology Service, Department of Surgery, Memorial Sloan
Kettering Cancer Center, New York, NY, USA
Kristin Powell, MD, MS Obstetrics and Gynecology, Denver Health,
Denver, CO, USA
JulianPribaz Department of Plastic Surgery, University of South Florida
Morsani College of Medicine, Tampa, FL, USA
Jessika A. Ralph Department of Obstetrics, Gynecology and Women’s
Health, University of Minnesota Medical School, Minneapolis, MN, USA
AparnaR.Ramanathan Obstetrics and Gynecology, Division of Minimally
Invasive Gynecologic Surgery, MedStar Washington Hospital Center,
Washington, DC, USA
JensenReckhow Department of Obstetrics and Gynecology, Mayo Clinic,
Rochester, MN, USA
BrittanyL.Roberts Department of Obstetrics and Gynecology, Division of
Urogynecology and Reconstructive Pelvic Surgery Albany Medical Center,
Albany, NY, USA
RebeccaG.Rogers Department of Obstetrics and Gynecology, Division of
Urogynecology and Reconstructive Pelvic Surgery Albany Medical Center,
Albany, NY, USA
Jaspreet S. Sandhu Department of Surgery, Memorial Sloan Kettering
Cancer Center, New York, NY, USA

Contributors
xxiii
JessicaSelle Department of OBGYN, Division of Urogynecology, Mayo
Clinic, Rochester, MN, USA
John P.Sfakianos Department of Urology, Icahn School of Medicine at
Mount Sinai, New York, NY, USA
RasheedShahnawaz Department of Colorectal Surgery, The Royal Marsden
Foundation Trust, London, UK
Armin Shahrokni Department of Medicine, Jersey Shore University
Medical Center, Neptune, NJ, USA
MurrayShames Department of Surgery, Division of Vascular Surgery, USF
Morsani College of Medicine, Tampa, FL, USA
JenniferShearer Department of Surgery, Division of Colorectal Surgery,
Stanford University, Palo Alto, CA, USA
Qiu Sheng Department of Colorectal Surgery, The Royal Marsden
Foundation Trust, London, UK
Andrew P. Soisson Division of Gynecologic Oncology, Department of
Obstetrics & Gynecology, University of Utah, Salt Lake City, UT, USA
AnnaR.Spivak Cleveland Clinic Foundation, Cleveland, OH, USA
ArnulfStenzl Department of Urology, University Hospital of Tuebingen,
Eberhard Karls University, Tuebingen, Germany
Luca Stocchi Division of Colon and Rectal Surgery, Mayo Clinic,
Jacksonville, FL, USA
Scott A. Strong Department of Surgery, Feinberg School of Medicine,
Northwestern University, Chicago, IL, USA
RebeccaE.Thompson Obstetrics and Gynecology, Division of Minimally
Invasive Gynecologic Surgery, MedStar Washington Hospital Center,
Washington, DC, USA
Elissa Trieu Obstetrics & Gynecology, Washington Hospital Center,
Washington, DC, USA
Malte W. Vetterlein Department of Urology, University Medical Center
Hamburg-Eppendorf, Hamburg, Germany
Valery Vilchez Division of Colon and Rectal Surgery, University of
California at Irvine, Irvine, CA, USA
Nasreen A. Vohra Surgery, Division of Surgical Oncology, ECU Health
Medical Center, East Carolina University, Greenville, NC, USA
NoraL. Watson Department of Sarcoma, Moftt Cancer Center, Tampa,
FL, USA
Shawna L. Watson Department of Orthopaedic Surgery, University of
South Florida, Tampa, FL, USA

xxiv
O. LenaineWestney Department of Urology, University of Texas—MD
Anderson Cancer Center, Houston, TX, USA
KristenWhalen Department of Plastic Surgery, University of South Florida
Morsani College of Medicine, Tampa, FL, USA
Leilei Xia Department of Urology, USC/Norris Comprehensive Cancer
Center, Los Angeles, CA, USA
Emmanuel Zervos Surgery, Division of Surgical Oncology, ECU Health
Medical Center, East Carolina University, Greenville, NC, USA
Guston G. Zervoudakis Department of Sarcoma, Moftt Cancer Center,
Tampa, FL, USA
Nadim Bou Zgheib Department of Oncology, Edwards Comprehensive
Cancer Center and Joan C.Edwards School of Medicine, Huntington, WV,
USA
Contributors
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