RT Book, Section
A1 Miranne, Jeannine M.
A1 Iglesia, Cheryl B.
A2 Rogers, Rebecca G.
A2 Sung, Vivian W.
A2 Iglesia, Cheryl B.
A2 Thakar, Ranee
SR Print(0)
ID 1105831795
T1 Instrumentation
T2 Female Pelvic Medicine and Reconstructive Surgery: Clinical Practice and Surgical Atlas
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-175641-9
LK obgyn.mhmedical.com/content.aspx?aid=1105831795
RD 2024/04/19
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.