Manual of Pelvic Surgery

Surgery in the pelvis freely crosses the boundaries between the disciplines of general and gynecology surgery, colorectal surgery, orthopedic surgery, vasular surgery and neurosurgery. Touching on this wide range of disciplines, this book, written by memb

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Maurice J. Webb

MANUAL OF PELVIC SURGERY With Contributions by Darlene G. Kelly· Raymond A. Lee Karl C. Podratz . Peter A. Southorn C. Robert Stanhope . Tiffany J. Williams Timothy o. Wilson

With 115 Figures

Springer-Verlag Berlin Heidelberg New York London Paris Tokyo Hong Kong Barcelona Budapest

Maurice J. Webb, M. D. Mayo Clinic 200 First Street SW Rochester, MN 55905, USA

ISBN-13:978-3-642-78317-3 e-ISBN-13:978-3-642-78315-9 DOl: 10.1007/978-3-642-78315-9 Library of Congress Cataloging-in-Publication Data. Webb, Maurice J., 1941- Manual of pelvic surgery 1 Maurice

J. Webb; with contributions by Darlene G. Kelly ... ret a,l.]. p. cm. Includes index. ISBN-13:978-3-642-783l7-3 1. Pelvis - Surgery. 2. Generative organs, Female - Surgery. I. Kelly, Darlene Gai. II. Title. [DNLM: 1. Genitalia, Female - surgery. 2. Pelvis - surgery. 3.Surgery, Operative - methods. WP 100 W367m 1994] RD549.W43

1994 618'.0459 - dc20 DNLMlDLC

for Library of Congress 93-43776 CIP

This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Mayo Foundation. Violations are liable for prosecution under the German Copyright Law. © Mayo Foundation 1994 Softcover reprint of the hardcover 1st edition 1994 The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about the application of operative techniques and medications contained in this book. In every individual case the user must check such information by consulting the relevant literature.

21/3145-5 4 3 2 1 0 - Printed on acid-free paper

Dedicated to our families, our teachers, and our patients

List of Contributors

Darlene G.Kelly, M.D., Ph.D. Consultant, Division of Gastroenterology and Internal Medicine, Mayo Clinic and Mayo Foundation; Assistant Professor of Medicine, Mayo Medical School; Rochester, Minnesota Raymond A.Lee, M. D. Consultant, Departments of Obstetrics and Gynecology and Surgery, Mayo Clinic and Mayo Foundation; Professor of Obstetrics and Gynecology, Mayo Medical School; Rochester, Minnesota Karl C. Podratz, M. D., Ph. D. Chair, Department of Obstetrics and Gynecology, Consultant, Department of Surgery, Mayo Clinic and Mayo Foundation; Professor of Obstetrics and Gynecology, Mayo Medical School; Rochester, Minnesota Peter A. Southom, M. B., B. S. Consultant, Department of Anesthesiology, Mayo Clinic and Mayo Foundation; Associate P