FIBROID UTERUS. SURGICAL CHALLENGES IN MINIMAL ACCESS SURGERY

Chapter 1 Counseling & Consent challenges in a woman with fibroid uterus
Chapter 2 Pre-operative Ultrasound imaging in fibroid uterus
Chapter 3 MRI Before Myomectomy- How can it help you?
Chapter 4 Fibroid and infertility- when to suggest myomectomy?
Chapter 5 Surgical treatment of fibroids
Chapter 6 Reducing intraoperative blood loss in myomectomy
Chapter 7 Hysteroscopic Myomectomy- Resection techniques and Safety
Chapter 8 Laparoscopic Assisted myomectomy
Chapter 9 Robot assisted myomectomy
Chapter 10 Robotic Myomectomy Tips & Tricks
Chapter 11 Cervical fibroids – Techniques for myomectomy & Hysterectomy
Chapter 12 Broad ligament fibroid - Techniques for myomectomy & Hysterectomy
Chapter 13 Breach of endometrial cavity- Implications?
Chapter 14 Predictors of uterine rupture & Recurrence after myomectomy
Chapter 15 Secondary hemorrhage after myomectomy
Chapter 16 Laparoscopic Surgery for Fibroid Uterus- When to convert to Laparotomy
Chapter 17 Caesarean section in the setting of fibroid uterus & Caesarean myomectomy
Chapter 18 Adenomyomectomy
Chapter 19 Morcellation techniques for fibroid uterus
Chapter 20 Parasitic fibroids
Chapter 21 Laparoscopic Hysterectomy in the setting of large fibroids
Chapter 22 Robotic Hysterectomy for fibroid uterus

This book on fibroid uterus focuses on surgical challenges in minimal access surgery that a surgeon faces while treating this condition. This book explores the role of various imaging modalities in both diagnosis and planning of the treatment. Various surgical techniques, such as hysteroscopy, laparoscopy, and robotic are discussed which will help readers to understand the pros and cons of each one. Teaching practical tips from experts regarding these procedures, the book aims to help surgeons make clinical decisions while they choose surgical procedures for their patients in various clinical settings. The book highlights both the conservative (techniques of myomectomy) and hysterectomy by various methods for treating fibroids.

Key Features
• How to use various imaging modalities for preoperative evaluation of fibroids
• Issues in preoperative counseling and consent before surgery for fibroids
• Overview of surgical treatment of fibroids
• Individual chapters on practical tips by experts for various surgical techniques used for both myomectomy and hysterectomy
• Discusses the controversy in morcellation and how to perform it safely
• Covers the problem of parasitic fibroids that have increased in recent times
• Discusses issues like breach in endometrial cavity during myomectomy, surgery for adenomyosis, uterine rupture and recurrence after myomectomy
• When to call it a day and convert from laparoscopy to laparotomy

Authors
• Dr. Rooma Sinha
Dr. Rooma Sinha is one of the leading Minimal Access & Robotic Gynecological surgeons in India presently attached to Apollo Hospitals, Hyderabad
She is in clinical parctice for the last 25 years. Observerships at Strong Memorial Hospital, University of Rochester, USA for Minimal Access Surgery and at Mercy Hospital for Urogynecology, Melbourne gave her international perspectives to her skills. Since 2012, she updated her surgical skills to offer Robotic Assisted Surgey to her patients and become one of the leading and most experienced robotic surgeon in India.
She has been awarded Honorary Professor, Apollo Health Education & Research Foundation and Conjoint Associate Professor at Macquarie University Sydney, Australia and is the Clinical Lead Specialist in Gynecology for Macquarie MD program. She is the lead faculty in Fellowship program in Minimal Access & Robotic Surgery at Apollo Hospitals, Hyderabad.
Actively involved in publications she has over 30 papers and chapters in Books and National & International Journals. She is board certified from the National Board (DNB) and Member of National Academy of Medical Sciences (MNAMS), India as well as Fellow of Indian College of Obstetrics & Gynecology (FICOG).
• Dr Arnold Advincula
Dr. Advincula is a leader in minimally invasive surgical techniques and one of the world’s most experienced gynecologic robotic surgeons. He has published and taught extensively in the area of minimally invasive surgery as well as developed surgical instruments in use worldwide. Dr. Advincula is a board certified obstetrician-gynecologist and a fellow of both the American College of Obstetricians and Gynecologists and the American College of Surgeons.
In 2014, Dr. Advincula accepted the position of Levine Family Professor, Vice-Chair of Women’s Health & Chief of Gynecology at the Sloane Hospital for Women, Columbia University Irving Medical Center/New York Presbyterian Hospital. Dr. Advincula brings 20 years of clinical expertise, innovation and leadership to the position. In addition to his departmental responsibilities, he also serves as Co-director of the AAGL accredited Fellowship in Minimally Invasive Surgery
Dr. Advincula serves on numerous editorial boards including OBG Management where he manages a widely viewed video education channel. Dr. Advincula has served on the board of the Society of Gynecologic Surgeons in addition to18 months as President of the AAGL where he helped rebrand the strategic direction of a global minimally invasive gynecologic surgery society of nearly 8000 members.
• Dr A Kurian Joseph
A student from Stanley Medical College Chennai, he did his postgraduation from the Madras Medical College. After his MD, he was trained at various centers of excellence on Endoscopy and fertility management. He worked with his father Prof A. K. Joseph and developed a good obstetric and gynecology practice. He is trained in Laser Endoscopy surgery and was one of the first in India to do so. Dr Joseph was in the forefront on the National Laparoscopic Tubal ligation program and set up and trained many doctors in laparoscopic Tubal ligation. Started the first PPP endoscopy program with the German GTZ and Karl Storz under the UN University (Bonn) to train endoscopists in smaller towns to effectively use the instruments.
He started the Joseph Nursing Home which later became the Joseph Hospitals as a tertiary care center for women with advanced Obstetric care and one of South India’s best Endoscopy centers. His hospital was recognized as the training center at different times by FOGSI, AOFOG and the ISGE.
Dr. Kurian was elected as the Vice President of the Federation of Obstetrics & Gynecology Societies of India (FOGSI), the President of the Asia Oceania Federation of Obstetrics & Gynecology (AOFOG), and is today a Board member of the International Society of Gynecological Endoscopy (ISGE). He has also served as a member of the scientific committee of FIGO conference at Vancouver.
He has delivered numerous guest lectures and Orations in India and around the world and has published multiple articles in Endoscopy and Obstetrics.