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Pelvic Floor Anatomy and the Surgery of Pulsion Enterocoele (Paperback, Softcover reprint of the original 1st ed. 1985)
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Pelvic Floor Anatomy and the Surgery of Pulsion Enterocoele (Paperback, Softcover reprint of the original 1st ed. 1985)
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It is in the surgical aspect of their specialty that the
gynecologists' work may be most frequently judged by their peers or
by the litigious society that currently exists. Great and
commendable progress has been made over the past 30 years in the
basic scientific, endocrinologic and obstetric aspects of the
specialty, but this has occurred with a commen surate de-emphasis
of surgical procedures and surgical training, a decline in devotion
to technical detail and perfection, and a tendency to take surgery
for granted. Obstetric and gynecologic residency programs provide
increasing numbers of specialists with average competence in the
performance of the common, rather standardized gynecologic
operations. In general, technical skill in the extirpative
operations can be acquired far more readily than proficiency in the
art of reconstructive surgery. At present, for a number of reasons,
gynecologic surgical training is most deficient in regard to the
surgical correction of severe forms of obstetrically damaged
genital tract supports. The operations for pro lapse defy
standardization and require great technical individualization; this
must be based on the surgeon's judgment developed through expe
rience, a thorough understanding of normal pelvic anatomy, and
recog nition of the deficiency responsible for the prolapse in
individual cases.
General
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