Reconstructive Pelvic Surgery Procedure Handbook: A Clinical Textbook Covering Operative Anatomy, Intraoperative Technique, and Postoperative Care for Urogynecology Fellows by Gordon T. Collins MD

The case is on the table, the bladder is two millimeters away, and the trocar must hug bone — not because a textbook said so, but because the next sentence of the operation depends on it. Off-bone for one pass becomes a bladder perforation; missing the ureter on cystoscopy becomes a fistula three weeks later; a sling tensioned by feel alone becomes a patient back in clinic in retention. This handbook puts the operative anatomy of every reconstructive pelvic operation into 93 named Anatomic Safety Corridors that tell the surgeon what to see, what to do, what to avoid, and what to do when something goes wrong. Inside this handbook: • Bone-hugging done right — finger-on-bone trocar trajectory through the retropubic space, broken down for both bottom-up and top-down execution • Sacrocolpopexy without surprises — presacral vascular hazard mapping that protects the left common iliac vein at the promontory • Read more