Vaginal agenesis is an uncommon condition, with an incidence ranging from 1 in 4,000 to 1 in 10,000. Congenital absence of uterus and vagina, also called müllerian agenesis or Mayer-Rokitansky-Kuster-Hauser syndrome, is the most common factor requiring creation of neovagina. Müllerian development is distinct from ovarian development and thus müllerian agenesis generally occurs without affecting the ovaries and normal external genitalia. The book is ...
Acquired rectovaginal fistulas in the lower vagina are a result of trauma. Pelvic abscess may rupture either into the rectum or vagina or both, resulting in a high rectovaginal fistula. A complete perineal tear as a result of obstetrical trauma, fall on a sharp object, bull horn injury or rape in the prepubertal females requiring a primary repair followed by an inadequately healed complete perineal tear repair results in the formation of a rectovaginal fistula. ...
The vulva presents complex clinical pathologies as it is composed of the hair-bearing skin and the inner lined mucosa. The skin and mucosa bearing the complex glandular tissues also contribute to the vulval pathology. New growths over the vulval and perineal skin are objectionable for disturbing the aesthetic appearance of the external genitalia and also producing coital problems. Varied surgical techniques of the benign pathologies of the vulva are presented in ...
Single Surgical Procedures in Obstetrics and Gynaecology-04: Vagina-A Colour Atlas of Perineal Tear
There should be no place for a Complete Perineal Tear, which can be considered as an unwelcome outcome, in modern obstetrical practice. Horrifying though it may appear, domiciliary midwifery is still rampant in the subcontinent and the resulting complications are encountered in plenty. Even more distressing is the observation that these cases with complete perineal tears are forced to live with this perpetual incontinence for many decades for want of proper ...
Single Surgical Procedures in Obstetrics and Gynaecology-15: A Colour Atlas of Cervicopexy
Transverse vaginal septums may present at different levels depending on the developmental aberration. When the obstruction is complete and the patient starts menstruating the patient develops a haematocolpos and the subsequent management is simple. In patients presenting with concurrent primary amenorrhoea it becomes difficult to plan surgery because operating vaginally, the upper limit of the septum remains dubious and also there is inherent danger of injury to ...
Single Surgical Procedures in Obstetrics and Gynaecology–02: VULVA-A Colour Atlas of Operations on the Vulva
Complete blockage of the hymen of the vaginal orifice is rare, occurring in approximately 0.05–0.1% of newborn girls. These patients go unnoticed at birth and present after the onset of puberty when the menstrual blood accumulates in the vaginal outlet tract and subsequently a haematotrachelos, haematometra and haematosalpinx develop following which accumulated blood can also be discharged into the peritoneal cavity. This condition requires an excision of ...
Single Surgical Procedures in Obstetrics and Gynaecology–07: Cervix-A Colour Atlas of Operations on the Uterine Cervix
This volume-7 covers operations of uterine cervix: trachelorrhaphy and abdominal excision of cervical stump. Though not recommended by most authors, subtotal hysterectomies continue to be performed in the subcontinent. The cervix left behind can be a seat of a subsequent pathology necessitating its removal. Infected ectropions of the cervix as a result of obstetrical cervical teras are not uncommon and demand repair of the tears. When these tears are deep enough ...
Single Surgical Procedures in Obstetrics and Gynaecology–12: A Colour Atlas of Ward Mayo’s Hysterectomy
The book is enhanced by full colour illustrations and photographic reproductions. Special attention has been paid to the illustrations and photographs to make them more accessible and informative. The technical description is superb and to the point.
Single Surgical Procedures in Obstetrics and Gynaecology–18: A Colour Atlas of Shirodkar’s Operations for Prolapse
The book is enhanced by full colour illustrations and photographic reproductions. Special attention has been paid to the illustrations and photographs to make them more accessible and informative. The technical description is superb and to the point.
