A
Abdominal binders 186
Abdominal incision 9
Abdominal lymphadenopathy 313
Abdominal muscles, rupture of 313
Abdominal operations 45
Abdominal organs 312
Abdominal procedures 85
Abdominal protrusion 221
Abdominal segment 18
Abdominal skin 222
Abdominal surgery 45t
Abdominal tenderness 237
Abdominal vessels 312
Abdominopelvic distension 120f
Abdominopelvic examination 221
Abdominopelvic vascular tree 164f
Abducted legs 432
Ablative chemical technique 646
Ablative fractionated laser 636
Ablative laser resurfacing 643
Ablative surgery 224
Abnormal peristalsis 311
Accidental injury 609
Acetonitrile 208
Acetylene 208
Acne 642
Acral lentiginous malignant melanoma 268f
Acrolein 208
Acrylonitrile 208
Additional trocars, placement of 15
Adenectomy 498
bleeds 407
hysteroscopic sight of 408f
mapping, preoperative 406
posterior wall 410f
resection 413
aim of 407
with posterior adhesions 409f
Adenomyomectomy 412f
diagnosis of 732
of uterus
surgical treatment of 344
typical of 512f
principal symptoms of 338
prone, sign of 341f
severe 340f
uteri 507
Adenomyotic lesion 409f
Adenosine triphosphate 648
Adherent bowel, blunt dissection of 186
Adipose derived 653
dissection of 489f
from uterus, separation of 497
pelvic
sidewall, separation of 497
wall, separation of 494
preservation of 497
Adnexal mass 257
Adnexal surgery 578
Adrenocorticotropin hormone 201
Adson forceps 632
Advanced glycated end products 617
Advancing minimally invasive gynecology worldwide 11
Air embolism 753
Alcock's canal 623
Alkyl benzenes 208
Alpha-fetoprotein 221
Alternative closure technique emphasizing prolapse prevention 533
Alternative entry technique 46
Alternative treatment methods 448
American Association of Gynecological Laparoscopy 11
American College of Surgeons 10
American Society for Gynecologic Endoscopy 10
American Society for Reproductive Medicine 415
Ampulla 236
Ampullo-ampullary anastomosis 289
Analgesia 728
Analgesics 708
Anastrozole 344
Anesthetic complication 146
Anesthetic consultation 145
Animal models 738
Anococcygeal raphe 623
Anterior exenteration 679
Anterior myoma 436f
Anterior myometrium, asymmetrical thickening of 339
Anterior superior iliac spine 609
Anteverted uteri 709
Anti-incontinence procedures 88
Antimicrobial peptides 639
Antithrombosis agent 608
Apocrine sweat glands 621
Appendiceal stump after stapling 191f
Appendicectomy 668
Applying silastic falope ring 297
Arbeitsgemeinschaft Gynäkologische Endoskopie 78
Argon laser and potassium-titanium-phosphate 36
Asian Society of Gynecological Endoscopy 10
Atraumatic needle 6f
Augmentation labia majora plasty 628
Autologous fat 651
Automatic flap valves, simple 27
Autonomic dysfunction 311
Autonomy 106
B
Balloon tamponade 776
Baseball suture 173f
Basic fibroblast growth factors 649
Basic surgical skills 78
Beck depression inventory 386
Benevolence 106
Benign gynecological diseases 718
Benign labial lentigo 268
Benign mesothelial cyst 280f
Benzene 208
Betadine solution 631
Bicornuate uterus 478f
Bilateral ilio-obturator lymph nodal dissection 688
Bi-manual coordination 92
Bioactive scaffold 653
Biologic grafts 185
Biologic surgical procedure, dynamics of 199
Biomaterial absorbable mesh plug 189f
Bipolar current 60f
Bipolar forceps 348
Bipolar hysteroscopy 752
Bipolar instruments 688
Bipolar myoma resection 753f
Bipolar radiofrequency ablation 305
Bipolar resection 753
Bipolar resectoscopes 61f
Bipolar surgical techniques 753t
Bipolar vessel sealing 34
anterior wall of 325f
catheter, placement of 320
deep infiltration of 395
die of 395
dysfunction 390
endometriosis of 325
infections 637
risk of 222
lesion 326f
wall, endometriosis of 396f
Bloating 336
Blocking tube 297
Blunt trocar sheath, insertion of 115
Body posture 105
Bone marrow derived 653
Borderline ovarian tumors 227
Borderline tumor, early stage 667
Bowa metraloop 74f
disturbances 221
diagnosis of 415
grasping mesentery of 194f
lesions 763
prevent incarceration of 190
resection 196
segmental 386
small 192
symptoms 430
wall injuries, repair 194
Bowen's disease 267f
Bradykinin 639
Breast cancer 421
Breisky vaginal speculum 610
Bulk-related symptoms 448
Bulky pelvic lymph node 159f
Bupivacaine 633
Burning 637
Butadiene 208
C
Cesarean sections 118
Cannulaton of fallopian tube ostia 717
Capsular vessels 450
Carcinoembryonic antigen 221
Cardiac output 200
Cardiopulmonary complications 228
Cardiovascular effects 207
Castroviejo needle holder 177f
Catgut and polydioxanone loops 169
Caudal septum, dissection of 748f
Cautery devices 208
Cave of Retzius 685
Cecum 273
Cefoxitin 431
Cell
adhesion molecules 208
based tissue engineering 653
cell contact 205
desquamation, superficial 621
Central perineal tendon 624
Cervical
block 708f
canal 710
bipolar coagulation of 565f
early stage 699
prognosis of 699
robot-assisted operations in 698
stage 674
carcinoma 710
fibroid 479f
gravidity 236
laceration 771
polyps 710
pregnancy 251
ripening, dynamic microvascularization of 161
cancer, risk of 571
peritonealization of 567f
preparation 610
symptoms after subtotal hysterectomy 569
trauma 771
Cervicocorporal transition 763f
Cervicosacropexy procedures 696
Cesarean scar 318
Charged-coupled device cameras 27
Chemical granule, insertion of 297
Chirurgische Arbeitsgemeinschaft für Endoskopie und Sonographie 9
Chlorhexidine 319
Chocolate fluid 408f
Cholecystectomy 258
Chromopertubation 51
Chronic constipation 619
Chronic obstructive pulmonary disease 619
Circular stapler, plug of 330f
Clamping large vessels, instruments for 30
Clark knot pusher 173f
Classic intrafascial
transformation of 555
Classical box trainers 86
Clickline scissors 64f
Clickline set 64f
Clinical pregnancy rate 478
Clitoral area 626
Clitoral crura 624
Clitoral hood reduction 630
Clitoral reduction 631
Clitoral unhooding 630
Clitoropexy 630
Clitoroplasty 630
Closed laparoscopic abdominal entry 124
Closed vaginal cuff 503f
Closure technique emphasizing prolapse prevention 361
Coagulation, adequacy of 302f
Coccygeus muscle 601
Coelioscopy 118
Coexisting pathologies 406
Coils, insertion of 297
Colorectal cancer 421
Common esthetic surgical corrections 625
Complete blood count 448
Complete uterovaginal prolapse 598f
Completed ureterosigmoid anastomosis 683f
Compressive suture, first layer of 590f
Concrete hysteroscopic procedures 720
Congenital anatomical uterine malformations 733
Congenital obstructive Müllerian malformations 342
Consecutive stimulation 731
Contact dermatitis 642
Continuous purse-string suture 566f
Contralateral uterine wall, exposure of 464
Conventional open technique 491
Conventional sentinel node marker 422
Conventional single-port technique 694
Conventional trocar and cannula insertion systems 117
Conventional vaginal entry 121
Cook needle holder 178f
Corner stitch 502
Cornual openings 297
Corpus luteum cyst 249f
Corpus polyps, therapeutic management of 751
Corpus uteri, transection of 565f
Counter needle holder 434
Creosols 208
Crew management methods 143
Crohn's disease 193
Cryocoagulation 305
Crystalloids 773
Current laparoscopic training models 78
Current teaching methods 493
Curriculum-based training, essentials of 93
Curve handheld instruments 40f
Cyclic dysuria 318
Cyclic vaginal bleeding 512
Cyclical bowel 728
Cyst
contents, spillage of 223f
ovary after removal of 228f
pseudocapsule 223
resection of 227
rupture 669
wall
ablation of 224
during excision, tearing of 225f
extraction of 230f
Cystectomy 225
for small endometriotic nodule 480f
means of 222
ovarian tissue 223
technique of 224
with stripping technique 223f
Cystoscope 4f
Cystoscopic examination 601
Cytotoxic drugs 700
D
Death, crown of 19
Decidual stroma 235f
Deep dyspareunia 728
Deep endometriotic lesions 322
Deep external pudendal arteries 622
Deep lesion, resection of 322f
Deep perineal muscles 623
Deep retroperitoneal nerves 391
Deep septal resection 777
Deep uterine veins 679
Deep vein thrombosis 146
Deeper retroperitoneal structures 386
Degenerative fibrotic disease 617
Delivery catheter 306
Delphi consensus methodology 93
Dementia 108
Denon Villers’ fascia, layers of 676f
Dermabrasion technique 646
Dermal collagen remodelling, effective for 641
Dermal fibroblasts 639
Dermal fillers 649
Dermal substrates, loss of 639
Dermatitis, chronic 616
Dermoid cysts 224
Descended uterine parts 612
Descended vaginal parts 612
Descensus model 88
Designer laser vaginoplasty 630
Detachable instruments 119
Devices, classification of 636
Diagnostic laparoscopy 243
Diarrhea 336
Diessen bench station 79
Different operative simulator systems 90
Diligent hemostasis 462
Disc following resection 329f
Distal sigmoid colon, primary repair of 195f
Distension fluid, absorption of 450
Distension media, types of 772
Diverticulitis sigmoid colon 190f
Diverticulum 312
Dorsal lithotomy position 609
Double-J-stent 393
Double-layered sutures 465
Douglas drainage 465
Drainage, instruments for 30
Dyschezia 336
and dyspareunia, severe 512f
Dysplastic nevus syndrome 268f
Dysuria 430
E
Ectopic pregnancy 235, 236b, 236f, 237, 237b, 238–240, 242t, 243, 243t, 254, 257, 258f, 272b, 304, 312, 577, 578fc
early suspicion of 241fc
general operative steps after removal of 252
high incidence of 241
incidence of 237
left sided 577f
localization of 236
Edema 645
Elastic loop 305
Elasticity and tone, loss of 637
Elective supracervical hysterectomy 516
Electrocautery 307
Electrolyte-rich medium 705
Electromagnetically tracking system 84
Electromechanical morcellator 434
Electrosurgical complications 776
Electrosurgical injuries 147
Electrotomy 60
Elevated intra-abdominal pressure 619
Elliptical strip excision technique 407
Empathy 104
Endocameleonâ laparoscope 27f
Endocoagulation 36
Endoderm 224
Endoeye video laparoscope 33f
Endoligature 169
Endoloop 228
Endometrial cavity 480
Endometrial glands, presence of 728
Endometrial hyperplasia 342
Endometrial injury 482
Endometrial nodules 162
Endometrial scratching 484
Endometrial tissue 337
Endometriosis 117, 156, 195, 196, 222, 272, 295, 318, 323, 324f, 336, 338, 342, 344, 346, 382, 387, 390, 391, 415, 419, 480, 507, 728, 731
clinical symptoms of 344
diaphragmatic 321
extragenitalis in umbilicus 268f
general 339
lesion of 328f
robotic surgical treatment of 700
superficial 321
Endometriotic cysts 223
Endometriotic implants 318
Endometriotic mass 417f
Endometriotic nodule, small 522f
Endopelvic fascia 537
Endorectal sonogram, normal 416f
Endoscopic descensus surgery 88
Endoscopic entry, single-port 40
Endoscopic instruments 671
Endoscopic pelvic floor defect corrections 587
Endoscopic screening sufficient 415
Endoscopic threaded imaging port 115
Endosonography 349
Energy
based devices
based skin-tightening devices, classification of 646t
mishap 146
role of 634
technological advancements of 635
subdermal delivery of 646
ultrafast pulses of 645
Enlarged uterus 339f
Entry technique, types of 767
Enucleation 435
Enzymes, family of 617
Epidermis 621
Epigastric vessels, inferior 15
Episiotomy 318
Epithelial cilia 237
Epithelial layers 621
Erbe electrosurgical unit 34
Erbium 632
Ergonomics 712
Erythema 645
Estrone, higher doses of 652
Ethane 208
Ethos surgical platformtm 42f
Ethylene 208
European Academy of Gynaecological Surgery 178
Evacuation 245
Excess collagen deposits 649
Excessive thermal energy, application of 60
Exemestane 344
Expectant management 447
External obliquus abdominis 121
Extra-abdominal relevant anatomy 266
Extracellular matrix, components of 616
Extracellular panproteinase inhibitor 617
Extraluminal ectopic pregnancy 248
Extra-peritoneal insufflation 115
Extra-peritoneal spaces, laparoscopy in 156
Extrauterine gravidity 252
Eyepiece 52
F
Facial expression 105
Factors influencing myoma morcellation 437
Failed procedure 146
Fairness 106
bipolar coagulation of right 302f
die of 402
isolated torsion of 311
left 314f
prophylactic removal of 456
reconstruction of 402
torsion of 311
Faraday effect 58
Fascial edges making 182
Fatty tissue 613
Female genital
cosmetic surgery 616
organs, lymphatic drainage of 21f
surgery 653
tract 720
benign tumors of 445
Female inner genital organ 236f
Female tubal sterilization methods 303t
Femoral canal structures 188
Femoral hernia 188
Fever 439
Fiber glass serves 56
Fiberoptic laser energy, subdermal delivery of 646
Fiberoptic light cords 52f
Fibrinous adhesions 194f
Fibroblastic proliferation 649
Fibrofatty lymphovascular tissue 684
costs of 447
genetics of 446
mapping of 479
surgical treatment of 447
tissue 479
tumor 427
type 707
uterine preserving surgical treatment of 448
uterus, large 269
Fibrotic metabolism, important regulator of 617
Fibrous adhesion, dissection of 225f
Fibrous collagen, loss of strength of 617
Fimbrial folds 293
Final abdominal situs 569f
Final situs 589f
First portable endoscope 4f
First stich right pectineal ligament 611f
First-generation needle holders 176
Fistulas 678
Fitz-Hugh-Curtis syndrome 278f
Flexible hysteroscope 719
Fluence 635
Focal adenomyosis, enucleation of 345f
Follicle-stimulating hormone 285
Footswitches, hand instruments, 34
Forcesense technology 80f
Forgarty catheter 402
Fractional ablative lasers, mechanism of 642
Fractional deep dermal ablation 647
Fractional erbium 641
Fractional laser treatment 637
Fractional technology operates 645
Fractionated lasers 636
Framing and sunk cost 211
Free radicals 208
Frictional forces 625
Fulcrum effect 204
Full thickness bowel wall injuries 195
Functional residual capacity 200
Functioning endometrium glands, heterotypic presence of 406
Fungal infections 642
G
Gas
chemistry 201
chromatography 208b
dryness of 200
embolism 210
quality, physiological effect of 200fc
throttling-down-pressure device 200
velocity 202
Gastroenterologists prefer endoluminal ultrasound 416
Gelpoint 579f
Generous skin incision 115
Genitofemoral nerve 18
Genome-wide scan for fibroid genes 446
Genotype, genetics of 446
Gestational material 235f
Gestures 105
Giessen bench station 79
Giessen School of Endoscopic Surgery 79
Global application of da Vinci® systems 695
Gluteal veins 19
Glycoproteins 617
Glycosaminoglycans 208
Government Regulatory Agencies 199
Granulocyte-macrophage colony-stimulating factor 208
Granuloma formation, risk of 630
Granulomatous reactions 650
Greater myometrial heterogeneity 339
Greater vestibular glands 622
Guts, injury of 87
Gynecologic cancer, evaluation of 663
Gynecologic laparoscopic curricula 93
Gynecologic malignancy 222
Gynecological and general laparoscopic surgery, essential equipment for 25
Gynecological cancers 423
Gynecological consultation 313
Gynecological indications 257
Gynecological laparoscopic surgery, clinical anatomy for 15
Gynecological malignancies, laparoscopic surgery of 663
Gynecological sonography 720
H
Hand-eye coordination 92
Handlin's uterine manipulator 286f
Hands-on training models 98
Hans Frangenheim 7f
Harmonic scalpel 36
Harmonic ultrasound scalpel 74f
Hasson technique 44
Hegar number 50
Hemangioma 273
Hematomas 439
Hematosalpinx 311
Hematuria 336
Hepatocellular carcinoma 276f
Herpes simplex virus 643
Heterogeneous comparison groups 698
Heterogeneous structure 418
Heteronomy 106
Heterotopic endometrial glands and stroma, presence of 336
Heterotopic pregnancy 257
High intensity focused ultrasound 448
High-definition three-dimensional vision system 25
High-fidelity operating room simulation 93
High-intensity focused ultrasound 637
High-resolution transvaginal ultrasonography 236
Hiss phenomenon 119
Histamine 639
Holding and grasping instruments and screws 28
Home-made models 99
Hooked scissors 434
Hormonal changes during puberty 625
Hormonal fluctuation 618
Hormonal therapy 728
Huge multichambered liver cyst 276f
Hulka-Clemens clip 303
Human anatomy 15
Human cadavers 85
Human camouflage techniques of biases 211
Human epididymis 221
Human tissue combustion 208b
Hyalobarrier, uses of 76f
Hydrogel polymers 649
Hydrogen cyanide 208
Hydrosalpinges 481
Hypercarbia during laparoscopy 210b
Hyperechoic second layer 418
Hyperechoic submucosa 416f
Hypermenorrhea 448
Hyperpolymenorrhea 430
Hyperreactio luteinalis 228
Hypersensitivity 652
Hypoechoic mucosa 416f
Hypogastric vein 161f
Hypoglycemia, mild 313
Hypotonic fluids, excessive absorption of 774
Hysterectomy 85, 88, 118, 336, 344, 349, 382, 447, 448, 455, 458, 471, 506, 507, 507t, 518, 520, 533, 559, 579, 666
classical teaching of 493
complete 610
laparoscopy assisted combined 466
model 88
procedures, types of 124t
specimen, histological examination of 338
Hysteroresectoscope 720
Hysterosalpingogram 285
Hysterosalpingography 577
Hysteroscopic
biopsies 100
chip removal 61f
gynecological surgery 712
myoma resection 751
classification of 101t
techniques 555
training models 734
tubal cannulation 284
technique of 284
adenoma on 406
complications of 771
current training models in 98
instruments for 44
remains complementary 744
surgery 771
anesthesia 772
distension media 772
incidence 771
mechanical complications 775
patient position 772
traumatic complications 775
training 98
simulation-based 98
Hystsimtm simulator 100f
I
Ileocecal valve 328f
Ileus 271
Iliac arteries 760
Iliac circumflex artery, superficial 48
Iliac fossa trocar, left 322
Iliac superficial artery 269f
Iliococcygeus originates 623
Ilio-obturator lymph node dissection, left 678f
Immunohistochemistry 637
In utero diethylstilbestrol exposure 237
Indemnity 151
Indiana pouch 683
Infection 342
Inframesenteric lymph nodes 22
Inhibits apoptosis 649
Injection solution 633
Insufflation 57
Insulation failure 147
Integrated fluorescence 693f
Integrated Robotic system 37f
Integrated table motion function 692
Integumentary system 205
Intense pulsed light 637
Internal epithelial lining 728
Internal obturator muscle 16
International Society of Minimal Invasive Gynecology 11
Interstitial edema 774
Interval salpingectomy 306
Interval sterilization 303
Interval tubal excision 303
Intestinal injury, incidence of 272
Intestinal polyps 313
Intestinal wall, seromuscular tear of 194f
Intra-abdominal
bleeding, severe 237
fluid collection 775
inflammation 312
insufflation with pump, filter and manometer, apparatus for 5f
mesh, border of 187f
physics of 202
tumors 269
Intracervical injection 774
Intracorporeal slip-knot technique 408
Intracorporeal vault closure 678f
Intraepidermal squamous cell carcinoma 267
Intrafollicular pattern 247
Intramyometrial cysts 339
Intraomental blood vessel, accidental needle puncture of 126f
Intraoperative bowel lesions 271
Intraoperative ultrasound guidance 442f
Intratubal adhesions 293
Intrauterine adnomyosis 413f
Intrauterine contraceptive device, uses of 342
Intrauterine electrosurgical adhesiolysis 750
Intrauterine gestational sac plus 239
Intrauterine gravidity 252
Intrauterine intervention 750
Intrauterine manipulator, visualization of 366f
Introitus ultrasound 593
Invasive epithelial tumors 666
Irritable bowel syndrome 342
Isobutene 208
Isolated fallopian tube torsion 316
Isthmoampullary anastomosis 289
Isthmo-isthmic anastomosis 288
Italian Robotic system 38
Itching 637
K
Keloids 649
Keratin formation 652
Keratinocytic intraepidermal neoplasia 266
Kidney, rupture of 312
Kiel School of Gynaecological Endoscopy 722
Knot pusher 434
Kocher's clamp 388
Kocher's forceps 115
Koh macro needle holder 63f
Kurt Semm 7f
L
labiaplasty of 630
hypertrophy, primary 628
labiaplasty of 630
reduction of 628
skin tightening 648f
technique for 633
Labial edge 627
Labial procedures 634
Lach surgical procedure 467
Lamina propria fibroblasts 638
Laparoendoscopic single-site surgery 688
Laparoscope 609
Laparoscopic
adhesiolysis 295
appendectomy, stages for 259f
camera navigation 92
combined hysterectomy 466
technique 473
cystectomy 223
entry lesions 126
classification of 759
fenestration 224
fimbrioplasty 293
gynecological surgery, learning curve for 93
advantages of 559
basic concept of 506
category of 509t
traditional technique of 539
hysteropexy 594
inguinal hernia repair, technique for 188
instruments 39
interventions 44
intrafascial hysterectomy 348
lithotomy 487
mesh, placement of 183
microsurgery 285
myoma
therapy 462
nerve-sparing radical hysterectomy 678
ovarian drilling 477
perineo-colpo-hystero-sacropexy 598
peritoneal access injury, causes of 114
pneumoperitoneum 199
in pregnancy, benefits of 260
in pregnancy, complication of 260
psychomotor skills 92
anesthesia 674
contraindications 674
indications 674
port positions 674
preoperative 674
procedure 675
single-incision 688
rectosigmoidectomy 329
repair 587
resection 398
robotic surgery 118
route 297
sacropexy 594
salpingo-ovariolysis 293
situs 511f
skills
evaluation of 79
testing and training 79
training and evaluation of 79
difficulties of 664
during pregnancy, indications for 257
equipment for 25
establishment of 760
for ovarian cancer, advantages of 227
growing popularity of 118
instruments for 25
newer versions of 118
single-incision 576
tubal microsurgery 285
advantages 285
equipment and instruments 285
intraoperative evaluation 287
preoperative workup 285
selection of cases 286
surgical steps 288
surgical technique 288
sutures, needles and energy 286
uterosacral ligament 601
adenoma on 406
basic concept of 717
beginning of 51f
diagnostic use of 663
fundamentals of 92
hysterectomy, single entry 124
scar 324
single-entry 122
vascularization in 156
Lapmentor 95f
LapSim 95f
choice of 640
resurfacing, success of 644
skin resurfacing and rejuvenation 640
vaginal rejuvenation 630
Lash, surgical procedure of 469
Lavage 465
Left adnexa, aplasia of 281f
Leiomyomatosis peritonealis disseminata 439
Lentigo malignant melanoma 268f
Letrozole 344
Leukocytosis 227
Levator fascia 623
Levator plate 623
Ligamentum ovarium proprium, left 281f
Ligation, methods of 286
Light fibers 52
Light-emitting diode lamp system 56
Lina loop 32f
Linear technique 633
Lipoproteins, surface-active 204
Lithotomy 432
Liver
appendicular abscess of 276f
asymptomatic abscess of 276f
cirrhosis of 278f
cyst 276f
diaphragm 281f
hemangioma of 276f
lobe, left 276f
metastasis 277f
with superficial ulcer 277f
right lobe of 278f
rupture of 312
Loop and roller ball 771
Loop ligatures 169
Low level light therapy 648
Low potency glycolic acid 645
Lower segment cesarean scar defects 710
Lumbago 430
Luteomas 228
Lymphatic imaging, technique of 422f
Lymphatic system 159
Lymphatic trunk, dissection of 610f
Lymphatic vessels, coagulation of 609
Lysyl oxidase 617
M
Macro-tissue level 649
Malignant melanoma 268f
Mangeshikar manipulator 496
Mangeshikar mist 94f
Mangeshikar uterine mobilizer 496
Manipulator lesions 439
Manual dexterity training 83
Marcaine 631
Maryland grasper and dissector 39
Mass abutting rectal wall 418
Mast cells 616
Matrix metalloproteinases 617
Mature cystic teratoma 224
McCall-culdoplasty 489
Medial superficial peritoneal dissection 610f
Medial umbilical ligament 609
Medically assisted reproduction 390
Melanoma 421
Menopause, genitourinary syndrome of 637
Menstrual flow alterations 161
Menstrual irregularities 254
Menstrual loss 409
Mentor, role of 93
Mesenteric artery, inferior 685
Mesenteric multi-chambered cyst 280f
Mesenterium 312
Mesentery, vessels of 760
Mesh fixation 610
Mesh patch intra-abdominal for repair 186f
Mesh, evaluation of 595
Mesh-supported vaginal and endoscopic pelvic floor surgery, critical evaluation of 593
Mesoappendix 191
Mesogastrium, right-hand 565f
Mesothelium repairs 205
Methane 208
Methylene blue 671
Metrorrhagia 448
Microendoscopy 37
Microepidermal necrotic debris 642
Microlaparoscopy 115
Microthermal zones 636
Midclavicular line 270
Middle trocar 433f
Mifepristone 428
Milia formation 642
Mimic gynecologic pathologies 190
Mini-hysteroscope 705
Minilaparoscopy set 65f
Minimal access surgeries 688
Minimal labia minora tissue 625
Minora 621
Modern surgical techniques, advent of 164
Molecules 635
Mono surgical techniques 753t
Monocryl sutures 627
Monopolar current 60f
Monopolar diathermy 286
Monopolar electricity 519
Monopolar hook 434
Monopolar hysteroscopic loop 740f
Monopolar resection 753
Monopolar technique 60
Monsplasty 631
Monstrous uterus myomatosus 468
Morbidity, laparoscopic-associated 201
Mozambique 624
Mucinous cystadenoma 225
Mucinous tumor types 668
Mucosa, infiltration of 418
Mucosal strips, lateral removal of 629
Multicolored nevi 268
Multiple fibroids 455
Myolysis 448
Myoma 427
causes of 427
coagulation 448
fixation with myoma drill 463f
intraligamentous 438
size 440
treatment for 455
vasculature 429
with tenaculum, traction on 435f
Myomata, enucleation of 36
N
Native tissue repair 590
Nausea 227
Neoplasm 311
Neurohormonal vasoactivity 200
Neuroma-like hypersensitivity 626
Neurovascular tissue 623
Nickel allergy 307
Nitric oxide release 648
Nodal dissection 687f
Nodular superficial spreading melanoma, secondary 268
Nonablative fractionated lasers 636
Nonsmall cell lung cancer 421
Nonsteroidal anti-inflammatory drugs 428
Nontubal ectopic pregnancy 247
Normal pregnancy, early stage of 242
North American Obstetrics and Gynecology 140
O
Objective lens system 52
Obliquus abdominis 266
Obliterated artery 157f
Obliterated hypogastric artery 676
Obliterated umbilical arteries 15
Obliterated urachus 15
Obstructive endometrial polyps 342
Obturator artery 18
Obturator fascia ventral 623
Obturator muscle 161f
Obturator veins 19
Ocular ischemia 651
Ocular lens 52
Office hysteroscope, use of 776
Office setting 705
Ohm's law 33
Oligosymptomatic 319
Omega-3 fatty acid 182
Omentum 760
Open access 115
Open hysterectomy 124
Open laparoscopy 116
Open laparotomy surgery 199
Open radical hysterectomy 699
Operating team and general instruments 57
Operative armamentarium 164
diagnostics and therapeutic management 750
general complications of 753
indications 747
instrumentation and technical equipment 747
postoperative management 750
procedure of 720
staff requirements 747
surgical interventions 748
technique and procedure 747
Operative indications 428
Operative learning 83
Operative set-up 432b
Operative sponge counts 143
Operative technique 433
Optical cannula 115
Optimal laparoscopic bowel suturing 176
Optimal therapeutic management 319
Optimizing esthetic results 649
Optoelectronic transducer 10
Oral contraceptive 313
Organ injury 146
Orgasm problems 386
Orthotropic ileal neobladders 683
Osada's triple-flap technique 344
Ovarian arteries 21
Ovarian borderline tumors, prognosis of 666
Ovarian dermoid cyst 224f
Ovarian hormone deficiency 620
Ovarian mass 257
Ovarian neoplastic lesions 224
Ovarian serous cyst adenoma, right 225f
Ovarian tissue, thin layer of 173f
Ovariopexy 388
Ovum pickup 478
Oxygen species, reactive 648
Oxyhemoglobin 635
P
Painful intercourse 637
Painful nodules 318
Palpable abdominal mass 430
Palpable adnexal masses 254
Pap smear 347
Papillary layer 621
Paralytic ileus 204
Parametria, dissection of 489
Parametrial lymph nodes 22
Parametrial tissue 17f
Parametritis 777
Parametrium 22
Para-ovarian peritubal adhesions 293
Parasympathetic nerves 20
Paravesical fossa 380f
Paravesical space anterior 684
Parenchymatous organs, rupture of 312
Partial cystectomy 386
Pectopexy 612
Peeling agents 645
Pelvic
anatomy 98
arteries 17f
endometriosis 417t
fascia 161f
iliac bone 161f
infection 346
lymph node compartments 21
models 88
nodes, number of 666
peritoneum of Douglas 162
plexus 391f
retroperitoneal spaces, small 157f
segment 18
support disorders 616
surgery 618
vascular tree 165f
defects, surgery for 598
disorders 157
muscles 618
objectives of 624
support, reassessment of 605
training 594
Pelvic organ 311
pathogenesis of 616
quantification 600
surgery 599
symptoms of 593f
recovery of 617
support, functional dynamic anatomy of 599
Pelvis
computed tomographic imaging of 415
evaluation of 222
mesh position in 608f
MRI evaluation of 314f
muscles of 623
surgical endoscopic anatomy of 156
Pelviscopy 40
Penile carcinoma 421
Perforation, instruments for 27
Performing hysterectomy, indications for 346b
Pericervical ring, restoration of 599
Perineal nerve 622
Periodic stress 617
Peripheral vascular resistance 200
Peritoneal absorption variability 203
Peritoneal access 114
Peritoneal carcinosis, diagnosis of 663
Peritoneal cavity 208
Peritoneal drying, amount of 206
Peritoneal endometriotic lesion, superficial 322f
Peritoneal hypothermia, local 204
Peritoneal injury 205
Peritoneal insertion methods, classification of 115t
Peritoneal irritation 227
Peritoneal pelvic space 164
Peritoneal space 201
Peritoneal surface 182
Peritoneal thickness 205
Peritoneal wall, opening of 360f
closure of 612f
deep infiltrating endometriosis of 386
malignant mesothelioma of 279f
retraction of 326f
Peritonitis 266
Periurethral pseudocyst formation 652
Perivisceral spaces 156
Persistent adnexal masses 258
Persistent ductus omphaloentericus 126
Persistent pyrexia 271
Phenol 208
Phenotype, genetics of 446
Philtrum-mastoid prominence 774
Phospholipids 208
Photobiomodulation 648
Photothermolysis, selective 636
Physiological ovarian hormones variation 618
Pitressin 411f
Pivers type III radical hysterectomy 678
Planned surgery, omission of 146
Plasmin 208
Plasminogen activator inhibitor 208
Platelet-rich plasma 653
Plug repairs 189
Pneumomediastinum 208
Pneumothorax 208
Polycystic ovaries 477f
Polydioxanone 502
Polyester mesh 185
Polyfilamental suture 611
Polymethylmethacrylate microspheres 649
Polytetrafluorethylene 184
Polyvinylidene fluoride 610
Pomeroy's method 286
Pomeroy-type ligation, modified 303
Porcine bladder 86f
Port robotic system, single 695f
Positive pregnancy test 237
Post-adenomyotic pregnancy 413f
Post-cystectomy ovarian 223
Posterofundic myoma 436f
Postinflammatory hyperpigmentation 642
Postmenopausal status 430
Potential ectopic pregnancy 242fc
Precapillary arteriolar sphincters 639
after sterilization 304
and birth rate, postoperative 750
cumulative risk of 306t
interstitial 251
intramural 251
loss, recurrent 448
of unknown location 577
test 237
Prelooped intracorporeal knots 176
Preperitoneal mesh placement right inguinal hernia 188f
Preperitoneal space 116
Presacral lymph nodes 22
Pressure bag 706f
Pressure symptoms 430
Prevertebral peritoneum, opening of 157
Progesterone serum level 240
Progestin-only contraceptives 237
Propene 208
Prophylactic adhesion 711
Prophylactic antibiotics, preoperative 222
Prophylactic antiembolic medication, uses of 144
Prophylactic operations 664
Propylene 208
Prostaglandin synthetase inhibitors 428
Prostrate syndrome, transurethral resection of 44
Proteoglycans 617
Pruritus 642
Pseudocapsule, extraction of 324f
Psoas 610f
Psychogenic disorders 342
Pubic bone 623
Pubic enhancement 631
Pubic lifting 631
Pubic liposuction 631
Puborectalis originates 623
Pudendal block 631
Pudendal nerve 619
Pudendal veins 19
Pulling umbilical ligament 610f
Pulmonary disease 618
Pulmonary vascular resistance 200
Pulse duration 635
Pulsed lasers 636
Puncture trocar 320
Pune technique 674
Pur technique, basic rules of 462
Pyometra 777
Pyridine 208
Pyrrole 208
R
Radical surgery 403
Radical treatment 222
Raloxifene 428
Rectal bleeding 336
Rectal plexus 20
Rectopexy 588f
Rectoscopy 349
Rectosigmoidectomy 319
Rectovaginal endometriosis 398
Rectovaginal examination 221
Rectovaginal vagina, die of 398
Rectus muscle 116
Recurrence, ruture fertility and risk of 254
Recurrent anterior compartment prolapse 595
Redo surgeries 439
Refractory neurogenic bladder 390
Regenerative medicine, role of 653
Regional ischemia 204
Renal failure, postoperative 439
Repairs, types of 185
Reproductive function, preservation of 470
Resectoscopy, perforation at 776f
Residual ovarian function 222
Resistance index 441
Retention 652
Retinoids 645
Retroperitoneal
connective tissue 488
grasper 589f
lipoma 280f
lymphangioma 280f
myoma of cervix 281f
operations 117
pelvic fossa, right 157f
space 156
structures 323f
vessels, small 159
Retroperitoneum 386
Retropubic urethropexy 618
Retrospective analysis 114
Right tube
and right round ligament, stepwise bipolar coagulation of 532f
and round ligament, stepwise dissection of 532f
Right ureter, transperitoneal exposure of 602f
Rigid endoscope, structure of 52
Rigid hysteroscope 719
Risk severity index 144
Robi Kelly handgrip 64f
Robot-assisted
interventions 696f
laparoscopic
hysterectomy 509t
myomectomy 455
operations in gynecology 700
operations, technique of 695
surgery in urogynecological diseases 699
laparoscopy, use of 700
sacrocolpopexy 158
Robotic assistance 458
Robotic cart 687
Robotic endoscopic surgery 37
Robotic myomectomy 455
Robotic radical hysterectomy 686
Robotic setup 686f
Robotic system, technical innovations of 700
Robotic vaginally-assisted NOTES hysterectomy 582
Ruptured tubal pregnancy 244f
S
Sacral colpopexy 608
Sacral promontory, level of 675f
Sacral roots originating 163
Sacrotuberous ligament 623
Sarcomas 439
Saw-toothed scissors 28
Scattered nodules, excision of 480f
Scissors, curved 28
Sclerotherapy 222
Scopes 123
Scrotum 209
Sealing instrument 694f
Sealing instruments, uses of 497
Seborrheic keratoses 266f
SEL instruments 122
Semi-Trendelenburg position 298
Semm needle holder 174
Senile warts 266f
Septa retained tissue 710
Serosal mucosa, closure of 466f
Serosal tear intestinal wall 195f
Serous cystadenoma 225
Serum tumor markers 221
Sex development, disorders of 631
Sex steroids 652
Sexual function, assessment of 625
Sexual functioning scale, short 386
Sexual intercourse 627
Sexual stimulation 630
Sexually transmitted disease 237
Shaving technique 328
Shoulder pain 399
Sigma colon, chronic diverticulosis of 274f
Silastic band 299
Silastic ring 303
Silicone band application 297
SILS port 122f
Simbionix lap-mentor 80f
Simultaneous hysteroscopy 743f
Skin
changes with aging 639
closure 633
necrosis 651
optics 635
rejuvenation, low-level light therapy for 648
Slip-knot technique 410f
Smoke plume evacuator 34
Smooth muscles cells 447
Sodium bicarbonate 632
Soft tissue 609
Solid organ resection 259
Spigelian hernia 181
Spill after hysteroscopic tubal cannulation 284f
Spillage 228
Spiral course 311
Splanchnic blood flow 200
Spleen, rupture of 312
Splenic injury after myomectomy 278f
Spot size 635
Spotting 237
Spray coagulation 59
Stabilize ovary with grasper 477
Standard curved needle 175
Standard trocars disposition 432f
Steatosis hepatitis 277f
Stem cells 653
Stereoscopes 56
Sterile saline 705
Sterilization procedure 298
Stimulating muscles 73
Stimulating nerves 73
Stomach, perforation of 312
Stratum corneum 621
Styrene 208
Subcutaneous fat tissue 121f
Subcuticular closure 633
Subendometrial adenoma 407f
Subendometrium 777
Submersion leak testing 197
Submucosa, infiltration of 417
Subumbilical insufflation 759
Subumbilical region, palpation in 723f
Suction device 58
Suction instruments 29
Supramesenteric lymph nodes 22
Suprapubic trocar 322
Supraumbilical trocar 433
Surgeon laparoscopic pneumoperitoneum 199
Surgeon's console 118
Surgeon's knot 175f
Surgical microscope 26
Surgical procedure 222
Surgical specimen mishap 146
Surgical techniques, improvement of 757
Surgical therapy 399
Suturing ovarian cortex 224f
Suturing right uterosacral ligament 604f
Suturing vagina 490f
Sympathetic fibers, resection of 163
Sympathetic nerve fibers 20
Symphysis pubis inferiorly 181
T
Tachycardia 271
Taenia coli 683
Target biopsies 101
Technical equipment 720
Temporary dysmobility syndrome 204
Temporary ileostomy 271
Temporary transverse colostomy 685
Tenesmus 318
Tension-free position 611
Terumo guidewire 284f
Theoretical curriculum 98
Thermal effect 58
Thermal reperfusion, phenomenon of 639
Thermal techniques 33
Thermofusion 33
Thick anteroposterior adhesion band 484f
Thoralf Schollmeyer 12f
Thorax after breast cancer, skin metastasis of 269f
Three D vision system 119
Three-dimensional imaging 56
Thromboprophylaxis 732
Thyroid malignancies 421
Tightening technique 176f
Tissue
ablation, amount of 640
absorptive capacity 203
disruption 199
handling 631
operative procedure marking 631
preparation 631
hydration 205
integrity, loss of 617
laxity, skin rejuvenation for 646
plasminogen activator 208
remodeling manipulation 634
resistance 437
Topical antibiotic ointment 634
Topical corticosteroids 650
Topical hydroquinone cream 645
Topography, anatomic 18
Total abdominal hysterectomy 582
Total laparoscopic hysterectomy 348, 445, 457, 458, 361f, 466, 493, 506, 507, 518, 518f, 559, 582, 663
in Kiel school, concept of 494
Total pelvic exenteration 685
Total salpingectomy 303
Traditional laparoscopic operation 697
Traditional laparoscopy 698
Training in minimally invasive gynecological surgery 92
Training systems 85
Transabdominal laparoscopy 577
Transanal discoid resection using circular stapler 329
Transcervical route 297
Transcervical sterilization 304
Transcriptase real-time polymerase chain reaction, reverse 637
Transected corpus 565f
Transepidermal energy delivery 646
Transesophageal echocardiography 210
Transfix right ureter 681f
Transfixation suture 682f
Transient postinflammatory hyperpigmentation 643
Transmyometrial myoma 339f
Transperitoneal ureteral dissection 601
Transsected pig heart 99f
Transuterine route 297
Transvaginal natural orifice transluminal endoscopic surgery 576
Transverse abdominis muscle 15
Transverse cervical ligament 16
Transverse perineal muscles, superficial 624
Traumatic forceps, types of 28
Traumatic surgery 227
Tretinoin 644
Trocar 48
correct placement of 528
insertion
right direction of 125f
and changing sides 467f
preconditions of 757
positioning of 432
Trophoblastic giant cells 235f
Tubal abnormality 237
Tubal cannulation 101
Tubal damage, length of 286
Tubal ligation, previous 237
Tubal occlusion, proximal 284
Tubal preservation 316
Tubal rupture 252
Tubal screw 305
Tube
coagulation of 36
detorsion of 314
division of 498f
excessive length of 311
interstitial part of 292f
reperfusion of 314
separation of 497
Tuberculosis 295
Tubo-cornual anastomosis 289
Tumescent anesthesia, local 633
Two slicing techniques 711f
Two-cavities-phenomenon 720
U
Ultrasonography 332
Umbilical fold, lateral 16f
Unifocal cancers, macroscopic 424
Unipolar coagulation 303
Unipolar diathermy 303
Unsuspected malignancy 572
anatomical relationships of 18f
autonomic innervation of 19
cross-section of 18f
die of 393
endometriosis of 325
endometriotic involvement of 393
excess tip of 683f
identification of 322f
innervation of 18
movement 373
partial resection of 393
three stented 396f
Ureteral endometriosis 326
Ureteral lesions 767
Ureteral orifices 395
Ureteral stricture, recurrence of 394
Ureteric lesions 670
Urethral irritation 652
Urinary disturbances 221
Urinary diversion plays, types of 683
Urinary dysfunctions, postoperative 613
Urinary frequency 430
Urogenital diaphragm 623
Urokinase-like plasminogen activator 208
Uterine
adnexa 17f
anatomy 98
cancer, treatment of 674
diagnostic curettage 240
growth, rapid 430
horn resection 251
incision 450
malignancies 674
pedicles, separation of 531f
polyps 717
preserving surgical strategies 731
round ligament 16
size 430
sparing surgery 336
weight 490f
ascending 536f
clipped, left 687f
cutting of 500f
from ureters 498
functions 538f
ligation, primary 528
Uteropelvic junction obstruction 342
Uterovaginal complex 16
adherent, fundus of 478f
after suture completion 437f
cystic enlargement of 336
duplex unicollis 281f
intracervical instrument for mobilization of 228
large 495
ligament of 609
malformation, suspected 748
manipulator 487f
middle-sized 495
mobilization of 561
oncologic surgery on 674
palpation of 358f
preliminary inspection of 65f
removal of 489
septus/bicornis 748
small 495
specimen, histological examination of 381
transvaginal ultrasound of 732f
with adenomyosis 511f
withdrawal of 502f
V
Vacuum intracervical probes 31
Vagal reflex 227
acidic pH of 621
from cervix 367f
resection of 532
introitus of 576
opening of 501f
subsequent back-stitching of 536
wall of 589f
with monopolar hook, opening of 501f
Vaginal atrophy 637
Vaginal bleeding 237
Vaginal cuff closure 503f
Vaginal dryness 637
Vaginal enterocele 602f
Vaginal fibroblasts, capacity of 619
Vaginal folds, loss of 652
Vaginal fornices 629
Vaginal fornix 489
Vaginal gravidity 236
Vaginal hysterectomies 346
laparoscopic
assistance for 455
Vaginal incision 124
Vaginal muscularis 619
Vaginal native tissue repair 587
Vaginal natural orifice surgery 118
Vaginal opening 621
Vaginal pain 637
Vaginal pregnancy 251
Vaginal probe with oil 648
Vaginal probes 602f
Vaginal relaxation syndrome 637
Vaginal sacrospinous fixation 594
Vaginal subepithelium 616
Vaginal tightening, single-thread 629
Vaginal ultrasonography 407f
Vaginal washing 709
Vague lower abdominal symptoms 117
ValtchevTM uterine manipulator 432f
Vascular clamps 31f
Vascular endothelial growth factor 208
Vascular epithelial growth factor 667
Vascular grafts, manufacture of 185
Vascular mesometrium 22
Vascular occlusion 651
Vasopressin 244
Vasovagal reactions 712
Venous return 200
Veress needle 15, 27, 44, 46, 48, 115, 121f, 243, 273, 299, 350, 351, 352, 467, 523, 525, 527f, 528, 559, 724f, 760
entry 121f
insertion of 119
normal introduction of 126f
Vesical plexus 390
Vesical tamponade 398
Vesical veins 679
Vesicovaginal ligament 742f
Vesicovaginal septum 16
Vestibular bulbs with glands 621
Vestibulodynia 640
Villous stroma 235f
Visceral lesions 761
Visceral pathologies 190
Visceral peritoneum 205
Visual access systems 265
vNOTES hysterectomy, discussion of 581
Voice-controlled camera-holding arm 25
Voiding dysfunction 398
Voluntas aegroti 106
Vulval laxity, laser tightening for 647
Vulvar melanoma 268f
Vulvodynia 640