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Intro; Preface; Contents; Contributors; 1: Minimally Invasive Gynecology: A Therapeutic (R)evolution!; Gynecology and Minimally Invasive Approaches: The Beginning; The Minimally Invasive Concept; Development of the Laparoscopic Technique: From Skills to Cultural Changing; The Participation of Scientific Societies; For Hospitals; 2: Laparoscopic Hysterectomy: The Big Cutoff in Laparoscopic Surgery Development; Laparoscopic Hysterectomy: Historical Perspective; Background; First Laparoscopic Hysterectomy; Development of Total Laparoscopic Hysterectomy (TLH) Concept; EndoGIA; Suture; Technique
Total Laparoscopic Hysterectomy Technique (TLH)Preoperative Preparation; Incisions; Vaginal Preparation; Exploration; Retroperitoneal Dissection; Ureteral Dissection (Optional); Bladder Mobilization; Upper Uterine Blood Supply; Uterine Vessel Ligation; Division of Cervicovaginal Attachments and Circumferential Culdotomy; Morcellation (Laparoscopic and Vaginal); Laparoscopic Vaginal Vault Closure with Vertical Uterosacral Ligament Suspension [15]; Cystoscopy [11, 12]; Underwater Examination; Skin Closure; References; 3: Robotics in Gynecology; Introduction; Basic Robotic Setup
Deeply Infiltrating EndometriosisStage IV Endometriosis Case Card; Myomectomy; Myomectomy Case Card; Hysterectomy; Hysterectomy Case Card; Sacrocolpopexy; Sacrocolpopexy Case Card; References; 4: Single-Port Surgery; Introduction; Ports and Gaining Access; Set Up and Instrumentation; Candidate Selection; Key Steps; Step 1: Orientation of the Port and Camera Placement; Step 2: Insert the Assistant Instrument; Step 3: Insert the Operating Electrosurgical Instrument; Specimen Extraction; Suturing; Challenges and Risks Specific to LESS; Summary of Available Evidence; Robotic LESS; References
Part I: Anatomy and Surgical Routes5: Anatomical Landmarks in Deep Endometriosis Surgery; Introduction; Pelvis: Limits and Parietal Landmarks; Peritoneal Surfaces: Vesico-uterine Fold, Broad Ligament, Douglas' Pouch, Utero-sacral Ligaments; Pelvic Spaces (Retzius', Bogros', Lateral and Medial Paravesical, Vesico-uterine, Lateral and Medial Para-rectal, Recto-vaginal, Retro-rectal); Retropubic (Retzius' Space); Bogros' Space; Lateral Para-vesical Space; Opening and Development of Lateral Para-vesical Space; Lateral Para-rectal Space
Opening and Development of Lateral Latzko's Para-rectal SpaceMedial Para-vesical Space; Medial Para-rectal Space; Retro-rectal Space; Recto-vaginal Septum (RVS); Vascularization: Uterine Artery; Ureter; Parametrium: Anterior, Lateral, Posterior; Anterior Parametrium; Lateral Parametrium; Posterior Parametrium; Innervation (Hypogastric Nerves, Superior Hypogastric Plexus, Pelvic Splanchnic Nerves, Pelvic Plexus, Sacral Roots, Lumbo-sacral Trunk, Sciatic Nerve, Pudendal Nerve); Superior Hypogastric Plexus (SHP); Hypogastric Nerves (HNs); Pelvic Plexus; References
Total Laparoscopic Hysterectomy Technique (TLH)Preoperative Preparation; Incisions; Vaginal Preparation; Exploration; Retroperitoneal Dissection; Ureteral Dissection (Optional); Bladder Mobilization; Upper Uterine Blood Supply; Uterine Vessel Ligation; Division of Cervicovaginal Attachments and Circumferential Culdotomy; Morcellation (Laparoscopic and Vaginal); Laparoscopic Vaginal Vault Closure with Vertical Uterosacral Ligament Suspension [15]; Cystoscopy [11, 12]; Underwater Examination; Skin Closure; References; 3: Robotics in Gynecology; Introduction; Basic Robotic Setup
Deeply Infiltrating EndometriosisStage IV Endometriosis Case Card; Myomectomy; Myomectomy Case Card; Hysterectomy; Hysterectomy Case Card; Sacrocolpopexy; Sacrocolpopexy Case Card; References; 4: Single-Port Surgery; Introduction; Ports and Gaining Access; Set Up and Instrumentation; Candidate Selection; Key Steps; Step 1: Orientation of the Port and Camera Placement; Step 2: Insert the Assistant Instrument; Step 3: Insert the Operating Electrosurgical Instrument; Specimen Extraction; Suturing; Challenges and Risks Specific to LESS; Summary of Available Evidence; Robotic LESS; References
Part I: Anatomy and Surgical Routes5: Anatomical Landmarks in Deep Endometriosis Surgery; Introduction; Pelvis: Limits and Parietal Landmarks; Peritoneal Surfaces: Vesico-uterine Fold, Broad Ligament, Douglas' Pouch, Utero-sacral Ligaments; Pelvic Spaces (Retzius', Bogros', Lateral and Medial Paravesical, Vesico-uterine, Lateral and Medial Para-rectal, Recto-vaginal, Retro-rectal); Retropubic (Retzius' Space); Bogros' Space; Lateral Para-vesical Space; Opening and Development of Lateral Para-vesical Space; Lateral Para-rectal Space
Opening and Development of Lateral Latzko's Para-rectal SpaceMedial Para-vesical Space; Medial Para-rectal Space; Retro-rectal Space; Recto-vaginal Septum (RVS); Vascularization: Uterine Artery; Ureter; Parametrium: Anterior, Lateral, Posterior; Anterior Parametrium; Lateral Parametrium; Posterior Parametrium; Innervation (Hypogastric Nerves, Superior Hypogastric Plexus, Pelvic Splanchnic Nerves, Pelvic Plexus, Sacral Roots, Lumbo-sacral Trunk, Sciatic Nerve, Pudendal Nerve); Superior Hypogastric Plexus (SHP); Hypogastric Nerves (HNs); Pelvic Plexus; References