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Table of Contents

Contents
Section I: Surgical Anatomy of Female Genital Tract

1.
Vulva: Anatomy, Blood Supply and Lymphatic Drainage
3

Asha Sharma, Amita Suneja

2.
Pelvic Diaphragm and Supports of Uterus
9

Abha Sharma

3.
Uterus and Cervix: Relations, Blood Supply and Lymphatic Drainage
15

Neerja Goel, Ruchika Garg

4.
Adnexa in Relation to Vaginal Surgery
20

Namita Grover, Shalini Rajaram

5.
Applied Anatomy of Ureter in Relation to Vaginal Surgery
26

Shalini Rajaram, Sandhya Jain
Section II: Preoperative Care, Operation Theatre, Sutures and Instruments

6.
Current Concepts in Preoperative Care
37

Rashmi Malik

7.
Thromboprophylaxis for Vaginal Surgery
46

Neerja Goel, Gunjan Singh

8.
Reducing Surgical Risk for HIV and Hepatitis B Infection
53

Shalini Rajaram, Asha Sharma

9.
Operating Tables, OT Lighting and Positions for Vaginal Surgery
65

Medha Mohta, Tarun Bhagchandani

10.
Electrosurgical Cautery Units
75

Manpreet Singh, Namita Grover

11.
Sutures and Suturing Techniques
87

Nitin Agarwal, Anshul Grover, Neerja Goel

12.
Instruments for Vaginal Surgery
98

Shalini Rajaram, Harsha Sharma, Nitin Agarwal
Section III: Anesthesia, Blood Transfusion and Sterilization Techniques

13.
Anesthetic Considerations for Vaginal Surgery
113

Ashok Kumar Saxena, Raman Azad, Nitin Jain

14.
Blood Transfusion: Guidelines, Recommendations andComplications
122

Nitin Jain, Ashok Kumar Saxena

15.
Sterilization and Disinfection of Surgical Instruments and Endoscopes
129

AK Sethi, Deepti Agarwal
Section IV: Vulval Surgery

16.
Vulval Disorders (Non-neoplastic and Premalignant),

Biopsy Techniques and Wide Local Excision
151

Sudha Prasad, Shakun Tyagi

17.
Hymenectomy, Labial Fusion Release, Introital Widening, Schuchardt’s Incision
160

Neerja Goel, Rajni Gill

18.
Bartholin’s Gland Surgery: Incision and Drainage, Marsupialization and Excision
167

Rachna Agarwal, Gayathri R

19.
Simple Vulvectomy for Intraepithelial Neoplasia
177

Amita Suneja, Richa Agarwal

20.
Radical Vulvectomy with Groin Dissection
184

K Chitrathara, Rema P

21.
Vestibulectomy for Vulvodynia
195

Rachna Agarwal, Pushpanjali Rai
Section V: Vaginal Surgery for Prolapse and Reconstructive Vaginal Surgery

22.
Current Concepts of Pelvic Organ Prolapse: Evaluation and Choice of Procedure
205

KC Singh, SD Barman

23.
Surgical Correction of Anterior Compartment Defects
209

Abha Sharma

24.
Surgical Correction of Posterior Compartment Defects
217

Abha Sharma

25.
Manchester Repair
224

Kiran Guleria

26.
Vaginal Hysterectomy and Enterocele Repair
232

AG Radhika

27.
Sacrospinous Colpopexy
240

KC Singh, SD Barman

28.
Posthysterectomy Vault Prolapse
246

Sumita Mehta

29.
Complete Perineal Tear
258

Harsha Khullar, SK Bhandari, Kanika Jain, Geeta Mehdiratta

30.
Radical Vaginal Hysterectomy
266

Partha Basu

31.
Vaginectomy
277

K Chitrathara, Namrata Kachhara

32.
Colpocleisis
286

Neerja Goel, Seema Ummat

33.
Culdocentesis and Colpotomy
293

Shalini Jain

34.
Skin and Muscle Grafts
296

Upender Sharma

35.
Creation of Neovagina
305

Gita Radhakrishnan, Gunjan Singh

36.
Excision of Transverse and Longitudinal Vaginal Septum
312

Sumita Mehta

37.
Fallopian Tube Prolapse and Tubal Ligation
318

Shalini Rajaram, Namita Grover
Section VI: Surgery of Cervix

38.
Cervical Biopsy Techniques
325

Neerja Goel, Madhu Bagaria

39.
Ablative (Cryotherapy) and Excision (LEEP) Procedures for CIN
331

Neerja Bhatla, Shilpa Singla

40.
Cervical Incompetence and Cervical Cerclage Techniques
339

Kanwal Gujral, Nidhi Khera, Chandra Mansukhani
Section VII: Non-Descent Vaginal Hysterectomy

41.
Basic and Clampless Techniques
355

Shalini Rajaram, Neerja Goel

42.
Volume Reductive Vaginal Hysterectomy
366

Neerja Goel, Shalini Rajaram, Rachna Agarwal

43.
Technique of NDVH in Nulliparous, Obese and Women with Previous Surgeries
375

Shirish S Sheth, Kurush Paghdiwalla

44.
Laparoscopic and Vaginal Adnexectomy
392

Alka Kriplani, Sumana G, Pradeep Kumar Garg
Section VIII: Genital Fistulae, Rectal Prolapse and Stress Urinary Incontinence

45.
Vesicovaginal Fistula
401

JB Sharma

46.
Rectovaginal Fistulae
406

Sanjay Gupta

47.
Rectal Prolapse with Anal Incontinence
416

Arun Gupta

48.
Surgery for Stress Urinary Incontinence
420

Pranathi Reddy
Section IX: Postoperative Care

49.
Postoperative Management in Vaginal Surgery
429

Shalini Rajaram, Rashmi Khatri

50.
Complications of Vaginal Surgery
436

Vijay Zutshi, Sumita Mehta

Index
451