The Female Pelvic Floor Function, Dysfunction and Management Accordi

I f rst encountered the Integral T eory system in the early 1990’s at the Royal Perth Hospital laboratory in Western Australia where I was working on laparoscopic colposuspension. Even in prototype form, the IVS operation was so simple and ef ective that

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Peter Petros

The Female Pelvic Floor Function, Dysfunction and Management According to the Integral Theory

With 237 Figures and 3 Tables

123

PE Papa Petros MB BS (Syd) Dr. Med Sc (Uppsala) DS (UWA) MD (Syd) FRCOG FRANZCOG CU Dept of Gynaecology Royal Perth Hospital Western Australia

ISBN 978-3-540-33663-1 Springer Medizin Verlag Heidelberg Cataloging-in-Publication Data applied for A catalog record for this book is available from the Library of Congress. Bibliographic information published by Die Deutsche Nationalbibliothek Die Deutsche Nationalbibliothek lists this publication in the Deutsche Nationalbibliografie; detailed bibliographic data is available in the Internet at http://dnb.d-nb.de. 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 Springer Medizin Verlag. Violations are liable for prosecution under the German Copyright Law. Springer Medizin Verlag springer.com © Springer Medizin Verlag Heidelberg 2007 Printed in Germany 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 publisher cannot guarantee the accuracy of any information about dosage and application thereof contained in this book. In every individual case the user must check such information by consulting the relevant literature. SPIN 11740940 Cover Design: deblik Berlin, Germany Typesetting: TypoStudio Tobias Schaedla, Heidelberg, Germany Printer: Stürtz GmbH, Würzburg, Germany Printed on acid free paper

18/3160/yb – 5 4 3 2 1 0

Cover Idea by Sam Blight, Rangs Graphics The three arrows represent the three major force vectors featured in the Integral Theory which control the tensioning of ligaments and membranes in the pelvic floor. The enclosing circular brush stroke is inspired by the traditional ‘enso’ character in Zen calligraphy which represents non-duality or wholeness. This is to evoke the integrated approach covered in this book. The butterfly represents the ‘butterfly effect’ concept from Chaos Theory, also known as ‘sensitive dependence on initial conditions’, which describes how small variations in a dynamic non-linear system (such as the pelvic floor) can produce a ‘cascade’ of events leading to a major change in the state of the system. It also represents the freedom which this technology will give to women suffering from the many pelvic floor dysfunctions which can be cured by applying the Integral Theory System.

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