Alberto (Tito) de Barros Lopes, MB ChB, FRCOG, Honorary Clinical Senior Research Fellow, University of Exeter Medical School; Retired Consultant Gynaecological Oncologist, Northern Gynaecological Oncology Centre, Queen Elizabeth Hospital, Gateshead, UK; Royal Cornwall Hospital, Truro, UK.

Nick M. Spirtos, MD, FACOG, Clinical Professor, University of Nevada Las Vegas School of Medicine and Medical Director, Women's Cancer Center of Nevada, Las Vegas, NV, USA.

Paul Hilton, MD, FRCOG, Guest Clinical Senior Lecturer, Newcastle University; Retired Consultant Gynaecologist & Urogynaecologist, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.

John M. Monaghan, MB, FRCS (Ed), FRCOG, Retired Senior Lecturer in Gynaecological Oncology, University of Newcastle Upon Tyne; Retired Gynaecological Oncologist, Regional Department of Gynaecological Oncology Queen Elizabeth Hospital Gateshead, UK.

Preface, vii

Part 1: General

1 Introduction and prologue, 3

2 Preparation for surgery, 7

3 Instruments, operative materials and basic surgical techniques, 17

4 Opening and closing the abdominal cavity, 33

5 The laparoscopic approach in gynaecology, 45

6 Postoperative care and complications, 55

Part 2: Anatomical

For the general gynaecologist and gynaecologist in training

7 Operations on the vulva, 63

8 Operations on the vagina, 71

9 Operations on the cervix, 83

10 Operations on the uterine cavity, 101

11 Operations on the uterus, 107

12 Uterine fibroids, 127

13 Operations on the fallopian tubes, 135

14 Operations on the ovaries, 141

15 Caesarean section, 147

Part 3: Urogynaecology

16 Operations for pelvic organ prolapse, 161

17 Operations for urinary incontinence, 193

18 Operations for urogenital fistulae, 231

Part 4: Oncology

19 Surgery for carcinoma of the vulva, 269

20 Vaginal cancer surgery, 281

21 Cervical cancer, 285

22 Uterine cancer, 309

23 Ovarian cancer, 313

24 Exenterative surgery, 319

Part 5: Operations on other organs

25 Vascular surgery: applications in gynaecology and gynaecological oncology, 331

26 Management of injuries to the urinary tract, 335

27 Operations on the intestinal tract for the gynaecologist, 349

28 Reconstructive procedures, 361

Index, 365