TY - CHAP M1 - Book, Section TI - Instrumentation A1 - Miranne, Jeannine M. A1 - Iglesia, Cheryl B. A2 - Rogers, Rebecca G. A2 - Sung, Vivian W. A2 - Iglesia, Cheryl B. A2 - Thakar, Ranee Y1 - 2014 N1 - T2 - Female Pelvic Medicine and Reconstructive Surgery: Clinical Practice and Surgical Atlas AB - Pelvic reconstructive surgery involves a variety of surgical approaches including vaginal, laparoscopic, robotic, and abdominal. Each different surgical approach poses unique challenges for the gynecologic surgeon. Vaginal surgery requires skill with operating within a narrow and often deep surgical field. Laparoscopic surgery necessitates adept hand–eye coordination, while robotic surgery requires the surgeon to respond to visual cues and without tactile feedback. With the current surgical emphasis on minimally invasive approaches, open abdominal pelvic reconstructive surgery has become less common and is reserved for patients in whom a vaginal or laparoscopic approach is not feasible. Regardless of surgical approach, the choice of appropriate surgical instrumentation is paramount to facilitating surgical fluidity and efficiency. As surgeons adopt a more active role in the design of new technologies to improve surgical efficiency, new instrumentation continues to be developed. The purpose of this chapter is to review the instruments commonly used in pelvic reconstructive surgery, highlighting some that offer solutions to the inherent surgical challenges of this field. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - obgyn.mhmedical.com/content.aspx?aid=1105831795 ER -