By Nadeem R. Abu-Rustum, Richard R. Barakat, Visit Amazon's Douglas A. Levine Page, search results, Learn about Author Central, Douglas A. Levine,
This resource is a brand new variation of a best-selling consultant to strategies serious about gynecologic oncology. With quite specified annotated images, the reader is led rigorously via each step of the operations lined.
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Extra resources for Atlas of Procedures in Gynecologic Oncology, Second Edition
The majority of the complications still associated with treatment of this disease are a direct consequence of the lymphadenectomy. Investigative work into the use of sentinel node procedures holds promise in this area. 4 In breast cancer and melanoma, if the sentinel node is examined and does not demonstrate metastatic disease, a regional lymphadenectomy is not routinely performed. 5 This could be accomplished without compromising adequate staging and allowing for lymphadenectomy in only those patients with positive nodes.
Transverse colon. The entire infracolic omentum has been removed and the transverse colon can be seen cleared from hepatic to splenic flexure. 75a, b. Random biopsies. If disease is not found outside of the pelvis at laparotomy, random biopsies are taken in search of microscopic disease. At least eight sites within the abdomen and pelvis should be sampled. These include the diaphragm bilaterally, the paracolic gutters bilaterally, the right pelvis, the left pelvis, the anterior cul-de-sac, and the posterior cul-de-sac.
D) The proximal extent of dissection: here, the dissection is carried up to the top of the left common iliac artery. Care should be taken during any lymphadenectomy, as many patients may have vascular anomalies. This particular patient had the unusual anomaly of a duplicated inferior vena cava. Thus, the left inferior vena cava is seen lateral to the aortic bifurcation. 7. Obturator lymphadenectomy. The obturator space can be entered laterally or medially to the external iliac vessels. (a) The right obturator nerve is identified laterally to the right external iliac artery, which is being retracted medially.
Atlas of Procedures in Gynecologic Oncology, Second Edition by Nadeem R. Abu-Rustum, Richard R. Barakat, Visit Amazon's Douglas A. Levine Page, search results, Learn about Author Central, Douglas A. Levine,