New edition brings gynaecologic surgeons and postgraduate students fully up to date with the latest developments and techniques in vaginal surgery.Includes 880 full colour images and illustrations and two interactive DVD ROMs demonstrating techniques.

Section 1: Surgical Anatomy of Female Genital Tract

• Vulva: Anatomy, Blood Supply and Lymphatic Drainage
• Pelvic Diaphragm and Supports of Uterus
• Uterus and Cervix: Relations, Blood Supply and Lymphatic Drainage
• Adnexa in Relation to Vaginal Surgery
• Applied Anatomy of Ureter in Relation to Vaginal Surgery

Section 2: Preoperative Care, Operation Theater, Sutures and Instruments

• Current Concepts in Preoperative Care
• Thromboprophylaxis for Vaginal Surgery
• Reducing Surgical Risk for HIV and Hepatitis B Infection
• Operating Tables, OT Lighting and Positions for Vaginal Surgery
• Electrosurgical Units in Vaginal
• Sutures and Suturing Techniques
• Instruments for Vaginal Surgery

Section 3: Anesthesia, Blood Transfusion and Sterilization Techniques

• Anesthetic Considerations for Vaginal Surgery
• Blood Transfusion: Guidelines, Recommendations and Complications
• Sterilization and Disinfection of Surgical Instruments and Endoscopes

Section 4: Vulval Surgery

• Vulval Disorders (Non-neoplastic and Premalignant), Biopsy Techniques and Wide Local Excision
• Hymenectomy, Labial Fusion Release, Introital Widening, Schuchardt’s Incision
• Bartholin’s Gland Surgery: Incision and Drainage, Marsupialization and Excision
• Simple Vulvectomy for Intraepithelial Neoplasia
• Radical Vulvectomy with Groin Dissection
• Vestibulectomy for Vulvodynia

Section 5: Vaginal Surgery for Prolapse and Reconstructive Vaginal Surgery

• Current Concepts of Pelvic Organ Prolapse: Evaluation and Choice of Procedure
• Surgical Correction of Anterior Compartment Defects
• Surgical Correction of Posterior Compartment Defects
• Mesh in Vaginal Surgery
• Manchester Repair
• Sacrospinous Hysteropexy
• Vaginal Hysterectomy and Enterocele Repair
• Sacrospinous Colpopexy
• Posthysterectomy Vault Prolapse
• Complete Perineal Tear
• Radical Vaginal Hysterectomy
• Vaginectomy
• Colpocleisis
• Culdocentesis and Colpotomy
• Skin and Muscle Grafts
• Creation of Neovagina
• Excision of Transverse and Longitudinal Vaginal Septum
• Fallopian Tube Prolapse and Tubal Ligation

Section 6: Surgery of Cervix

• Colposcopy
• Cervical Biopsy Techniques
• Ablative (Cryotherapy) and Excision (LEEP) Procedures for CIN
• Cervical Incompetence and Cervical Cerclage Techniques

Section 7: Non-Descent Vaginal Hysterectomy

• Preoperative and Peroperative Assessment
• Basic and Clampless Techniques
• Aqua Dissection in NDVH
• Vessel Sealing System in NDVH
• Volume Reductive Vaginal Hysterectomy
• Technique of NDVH in Nulliparous, Obese and Women with Previous Surgeries
• Vaginal Oophorectomy
• Laparoscopic and Vaginal Adnexectomy

Section 8: Genital Fistulae, Rectal Prolapse and Stress Urinary Incontinence

• Vesicovaginal Fistula
• Rectal Prolapse with Anal Incontinence
• Stress Urinary Incontinence

Section 9: Postoperative Care

• Postoperative Management in Vaginal Surgery
• Complications of Vaginal Surgery

DVD Contents

Vulval Surgery

• Delineating Vestibular Anatomy
• Bartholin Gland Surgery: Marsupialization
• Bartholin Gland Surgery: Cyst Excision
• Hymenectomy for Imperforate Hymen
• Labial Agglutination Release
• Staging for Carcinoma Vulva and Vulval Biopsy
• Simple Vulvectomy
• Groin Dissection: Radical Vulvectomy

Vaginal Surgery for Prolapse and Reconstructive Vaginal Surgery

• Surgical Correction of Anterior Compartment Defects
• Surgical Correction of Posterior Compartment Defects
• Manchester Repair
• Vaginal Wall Myomectomy
• Creation of Neovagina
• Vault Prolapse Repair with Sacrospinous Fixation

Surgery of Cervix

• Cryotherapy
• LEEP
• Cervical Cerclage
•  Culdocentesis

Non-descent Vaginal Hysterectomy

• Basic Technique of NDVH
• Clampless Technique of NDVH
• Volume Reductive NDVH with Bisection and Myomectomy
• Volume Reductive Techniques—Enucleation
• Volume Reductive Techniques—Morcellation, Slicing
• Vaginal Oophorectomy in NDVH
• Laparoscopic Adnexectomy

Genital Fistulae, Rectal Prolapse and Stress Urinary Incontinence

• Vesico-vaginal Fistula
• TVT-O
• TVT Technique