Chapters that are new or radically changed include the opening chapter on the Health Needs of Women in a Changing Society; Teaching and Learning Surgical Techniques; and chapters on Minimal Access Surgery, which are richly illustrated by remarkable photographic images. Chapters on Pelvic Floor and Cancer Surgery retain well-established operative procedures where relevant, but include accounts of exciting newer techniques, such as robotic surgery. Up to the minute chapters on Radiology, Radiotherapy and Chemotherapy are provided by colleagues from these specialties who now form part of modern multidisciplinary teams.
The 6th Edition, which appeared in 2001, reflected the growing replacement of conventional abdominal and vaginal surgery with radiological interventions, endoscopic surgery and medical treatments. The last 10 years have seen worldwide acceptance of the benefits of less invasive gynaecological procedures, allowing ever shorter stay in hospital and quicker recovery for the patient, but often with the use of much more expensive and complex technological equipment. At the same time, there has been an increasing trend towards super-specialisation so that in many parts of the world gynaecologists focus on a narrower field of activity. Specialists need to be aware of these developments even though the individual gynaecologist may carry out only a limited range of operations or therapies.
The structure of the book has been changed radically, separating benign from malignant conditions, congenital from acquired, and with a strong emphasis on patient choice, safety and prevention of complications. Chapter 1 Women?s Health Needs in a Globally Changing Society Marcus E. Setchell Chapter 2 Surgical Anatomy Christopher N. Hudson Chapter 3 Pre-operative Assessment and Diagnostic Procedures Marcus E. Setchell Chapter 4 Imaging in Gynaecology Anju Sahdev, Rodney H. Reznek Chapter 5 Learning Basic Surgical Skills Christian Barnick, Caroline E. Everden Chapter 6 Postoperative Care and Prevention of Complications Claire Mellon, Emma Kirk Section B Benign Conditions: The Cervix, Vagina and Vulva, Uterus, Ovaries and Fallopian Tubes Chapter 7 Cervix, Vagina and Vulva Carl Chow Chapter 8 Congenital Anomalies of the Genital Tract Adam Balen Chapter 9 The Uterus Tom Setchell, Tariq Miskry Chapter 10 The Ovaries Jane Borley, Alan Farthing Chapter 11 Endometriosis Alan Farthing, Jane Borley Chapter 12 The Fallopian Tube Colin Davis, Christine Deguara Section C Urogynaecology and the Pelvic Floor Chapter 13 Stress Urinary Incontinence Dudley Robinson Chapter 14 Pelvic Organ Prolapse Clive Spence-Jones Section D Gynaecological Cancer Surgery Chapter 15 Vulval and Vaginal Cancer John Butler, John H. Shepherd Chapter 16 Uterus and Cervix Cancer John H. Shepherd Chapter 17 Ovarian and Tubal Cancer John H. Shepherd Section E Aspects of Multidisciplinary Care in Gynaecology Chapter 18 Radiotherapy in Gynaecology Melanie Powell, Millie Light Chapter 19 Medical Oncology in Gynaecology Axel Walther, Martin Gore Chapter 20 Aspects of Anaesthesia and Critical Care for Gynaecological Surgery Varunee Wirasinghe, Gabriel Browne Chapter 21 Gynaecology and the Urologist Erik Mayer, Justin Vale Chapter 22 Gynaecology and the GI Surgeon Bhavna Gami, Paul Ziprin Chapter 23 Consent to Treatment?A Personal View: A Pre-surgical Formality or the Crux of Doctor?Patient Relationship? Bertie Leigh