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Dilatation and Curettage
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Intra-abdominal Pelvic Anatomy
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Abdominal Incisions
Before performing an incision in the abdominal wall, the gynecologic surgeon should have anticipated the type(s) of surgical procedure that will be done and possible complicating aspects associated with the operation. Consideration should be given to how far cephalad from…
Anatomy of the Lower Abdominal Wall
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Positioning and Nerve Injury
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Energy Devices
Electrosurgery—Laser—Harmonic Scalpel Energy-releasing devices have been used in the past and currently are used in pelvic surgery. The raison d’être for such tools consists of hemostasis and speed. Compared with cold knife or scissor cutting, energy devices create a greater…
Suture Material, Suturing Techniques, and Knot Tying
Suture Types Sutures are used to close wounds, to secure bleeding vessels, and to seal off visceral structures. A wide variety of suture materials are available, which vary in terms of size, material, content, and consistency. For purposes of explanation,…
Instrumentation
A surgeon’s tools are analogous to those of a carpenter, a mechanic, a research chemist, or an atomic physicist. High-quality instruments are required for the performance of precise and excellent surgery. Although a fine surgeon may overcome the deficits of…
Max Brödel’s Pelvic Anatomy
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Advanced Pelvic Anatomy
Autonomic Nervous System The motor innervation of the intestines, ureter, urinary bladder, uterus, and adnexa is derived from the autonomic nervous system ( Fig. 2.1 ). The latter system in turn is divided into sympathetic and parasympathetic components. The sympathetic…