How to Perform Operative Procedures in Obstetrics and Gynaecology

Wai Yoong is a Consultant Obstetrician and Urogynaecologist at North Middlesex University Hospital London, an Honorary Senior Lecturer at University College London, London, UK; and Associate Professor at St George's International School of Medicine, Grenada, West Indies. Abha Govind is a Consultant Obstetrician and Gynaecologist at North Middlesex University Hospital London, an Honorary Senior Lecturer at University College London, London, UK; and Associate Professor at St George's International School of Medicine, Grenada, West Indies. Wasim Lodhi is a Consultant Obstetrician and Gynaecologist at North Middlesex University Hospital London, an Honorary Senior Lecturer at University College London, London, UK; and Associate Professor at St George's International School of Medicine, Grenada, West Indies.

Contributors vi

Foreword vii

Editors’ Biographies ix

Acknowledgements xi

About the Companion Website xii

Part I Basic 1

1 Consent 3
Abha Govind

2 WHO Surgical Safety Checklist 10
Sophie Relph and Wai Yoong

3 Understanding Human Factors (Non-technical Skills) in Obstetrics and Gynaecology 15
Wai Yoong, Mark Ponnusamy, Roberto De Martino, and Maud Nauta

4 Surgical Instruments 25
Christina Neophytou, Rajvinder Khasriya, and Wai Yoong

5 Surgical Positioning 34
Ciara MacKenzie, Rosalind Aughwane, Wasim Lodhi, and Wai Yoong

6 Sutures and Needles 37
Rosalind Aughwane, Ciara MacKenzie, Wasim Lodhi, and Wai Yoong

Part II Obstetrics 41

7 Assisted Vaginal Delivery 43
Natasha Barbaneagra, Katie Andersen, and Wasim Lodhi

8 Caesarean Section 49
Sayantana Das and Abha Govind

9 Uterine Compression Sutures for Uterine Atony 52
Wai Yoong and Wasim Lodhi

10 Cervical Cerclage 57
Joan Baqer, Dhanuson Dharmasena, and Wai Yoong

Part III Gynaecology, 63

11 Total Abdominal Hysterectomy 65
Abha Govind

12 Open Myomectomy 70
Abha Govind

13 Hysteroscopic Resection of Fibroids 74
Sayantana Das and Wasim Lodhi

14 Diagnostic Laparoscopy 78
Charlotte Austen and Abha Govind

15 Operative Laparoscopy 82
Charlotte Austen and Abha Govind

16 Laparoscopic Salpingectomy for Ectopic Pregnancy 85
Wasim Lodhi

17 Surgery for Vagina Prolapse Using Native Tissue 88
Wai Yoong

18 Vaginal Hysterectomy for Prolapse 91
Jane Ding and Wai Yoong

19 Manchester Repair (Fothergill’s Operation) for Cervical Prolapse 95
Dhanuson Dharmasena and Wai Yoong

20 Cone Biopsy 99
Jane Ding and Wai Yoong

21 Rigid Cystoscopy 102
Wai Yoong

22 Manual Vacuum Aspiration and Surgical Management of Miscarriage 105
Abha Govind and Beena Subba

23 Female Sterilisation: The Laparoscopic and Hysteroscopic Approaches 109
Abha Govind

Index 114