Abdominal Key

Pelvic pressure or heaviness Urinary incontinence or retention Fecal incontinence Constipation Protrusion or bulge from vagina and/or rectum Pain Rectal bleeding or mucous discharge A thorough physical examination evaluating all…

Fig. 6.1 Positioning and identification of robotic arms The abdomen and genital areas are prepped with surgical scrub, and prophylactic intravenous antibiotics are administered. The authors typically choose a first-generation…

Fig. 12.1 A natural increase in intraabdominal pressure during the sensation to defecate exacerbates the enterocele intrusion through the Pouch of Douglas (Reprinted from American Journal of Obstetrics and Gynecology,…

Fig. 14.1 Retrograde pyelogram demonstrating extravasation of contrast from a ureteral injury marked by white arrow (left panel). Combined retrograde and antegrade pyelogram demonstrating filling defect of the ureter marked…

Fig. 13.1 Initial dissection with monopolar scissors. Fenestrated grasper used for tissues handling and retraction Fistula Localization: Transvesical vs. Extravesical Technique Following initial dissection, the next step involves fistula localization…

Fig. 4.1 As suggested by the hammock theory , the urethra is compressed against the pubocervical fascia of the anterior vaginal wall to provide continence. From DeLancey [9]; with permission…

Aa Ba C GH PB TVL Ap Bp D Stage 0: no prolapse is demonstrated. Aa, Ba, Ap, Bp = −3 and C or D ≤ −(TVL-2) cm Stage 1: The most distal portion…

  RAS vs. laparotomy RAS vs. laparoscopy Myomectomy OR time Longer Same (slightly longer) EBL Less Less LOS Shorter Same Recovery Faster Same Complications Fewer Same Clinical outcome Same RAS:…

Fig. 3.1 DeLancey’s levels of vaginal support . Reprinted from American Journal of Obstetrics and Gynecology, Vol. 166 No. 6 (1), John O.L. DeLancey, Anatomic aspect of vaginal eversion, page…