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Absolutely up to date and revised, the second one version of An Atlas of Gynecologic Oncology offers an entire description of the investigative and surgeries conducted by means of the gynecologic oncologist. Key good points of this crucial textual content include:a sensible consultant to various operative and investigative procedurescontributions from overseas opinion leaders over 450 color illustrations
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Following bowel resection, the presence of a tube did not affect the incidence of anastomotic leakage or incisional hernia development. In addition to the substantial discomfort associated with nasogastric tubes, they are also a major risk factor for postoperative pulmonary complications. Two recent meta-analyses suggested that only up to 10% of patients undergoing bowel resection and managed without nasogastric decompression would warrant insertion later in their postoperative course. Several studies have recently evaluated the feasibility of early feeding of patients who have undergone bowel resection and other types of intraabdominal surgery.
3 2 1 4 5 6 Figure 4 1 Origin of connective tissue, detached at lateral pelvic wall; 2 Cardinal ligament; 3 Uterosacral ligament; 4 Pubovesical ligament; 5 Laterovesical ligament; 6 Arcus tendineus fasciae pelvis. The vesicocervical and vaginal spaces are limited by the vesical fascia and the cervix. They reach the peritoneum and are inferiorly separated by the supravaginal septum. The vesicovaginal space reaches caudally the origin of the urethra and lies between the bladder pillars. 2 1 Figure 2 1 Corpus intrapelvicum; 2 Arcus tendineus levatoris ani.
For simplification, it is helpful to visualize four associated spaces. 1. Lateral pelvic wall. Entrance between the medial part of the psoas muscle and laterally from the external iliac artery, 2. Paravesical fossa. Entrance between the posterior wall of the urinary bladder and the external pelvic vein, 3. Obturator fossa. Entrance between external iliac vein and medial umbilical artery, 4. Prevesical (retropubical) space (space of Retzius). Entrance between the lower portion of the abdomen (pubic bones) and urinary bladder.