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"...This represents a new refreshing and logical approach to the whole anatomy and function of the pelvic floor. The Integral Theory over the years has been debated and discussed at various scientific meetings but this is the first time that the Theory has been condensed into an exciting and readable format with excellent illustrations and diagrams. I think it is an important publication which has been long overdue..." Comment on first edition from a prominent British urogynaecologist In this 3rd edition, multimedia in the accompanying DVD is used to more fully explain how lax suspensory ligaments may cause multiple pelvic floor dysfunctions, how to diagnose which structures are causing the problem, and how to perform ‘simulated’ or ‘virtual’ operations. New insights into the pathogenesis of pelvic organ prolapse, pelvic pain, vulvodynia and interstitial cystitis are presented. The tensioned minisling as used for cystocoele, uterine prolapse, rectocoele, stress incontinence and other symptoms is described in the book and demonstrated in the DVD.
The initial objective of this work was to reduce stress incontinence surgery from a major surgical procedure (requiring up to ten days in hospital) to a minor day-care operation. From the beginning it was clear that the two major impediments to achieving this goal were post operative pain and urinary retention. Addressing these problems became a long and winding road and culminated in the Integral Theory. The IVS 'tension-free' tape operation was inspired by Dr Robert Zacharin's anatomical studies. Though Zacharin suggested that the ligaments and muscles around the urethra were important for urinary continence control, he did not say how. The observation that implanted foreign materials crea...
I f rst encountered the Integral T eory system in the early 1990’s at the Royal Perth Hospital laboratory in Western Australia where I was working on laparoscopic colposuspension. Even in prototype form, the IVS operation was so simple and ef ective that I adopted it immediately. Subsequently, based on my experiences, I wrote the following in the Medical Journal of Australia in October 1994: (the operations) promise a new era for women, virtually pain-free cure of prolapse and incontinence without catheters, and return to normal activities within days. Now, ten years later, more than 500,000 ‘tension-free’ anterior or posterior sling operations have been performed. One case in particul...
Biomechanics of the Female Reproductive System: Breast and Pelvic Organs: From Models to Patients synthesizes complementary advances in women's reproductive biomechanics, medical imaging analysis, patient-specific characterization, and computational finite element models. The book discusses the biomechanical aspects related to the breast and female pelvic floor system at each step of development. The table of contents also covers certain events and diseases, including cancers, delivery, aging, breast, hysterectomy or prolapse surgery. It presents the main biomechanical experimental results obtained and models developed this last decade to highlight the importance of accounting for patient-sp...
This book offers a practical surgical guide, helping surgeons learn the technique needed to perform Laparoscopic SacroColpoPexy (LSCP). To do so, it explains the surgical process in straightforward language, supplemented by images and diagrams, while also discussing why this procedure is so effective. The book has two primary goals: to provide those surgeons who have never performed LSCP before with essential insights and technical expertise, based on the author’s 20 years of practical surgical experience; and to allay the common fear of possible complications. Following a 2012 FDA warning, surgeons whose work involved vaginal prolapse repair have been looking for an alternative technique. Though LSCP offers a safe alternative to current methods, the available literature on it is sparse. This book provides a comprehensive guide to the techniques and methods needed by surgeons operating on pelvic organ prolapse in a range of different specialties, including urogynecology, urology, and gynecology.
"...This represents a new refreshing and logical approach to the whole anatomy and function of the pelvic floor. The Integral Theory over the years has been debated and discussed at various scientific meetings but this is the first time that the Theory has been condensed into an exciting and readable format with excellent illustrations and diagrams. I think it is an important publication which has been long overdue..." Comment on first edition from a prominent British urogynaecologist In this 3rd edition, multimedia in the accompanying DVD is used to more fully explain how lax suspensory ligaments may cause multiple pelvic floor dysfunctions, how to diagnose which structures are causing the problem, and how to perform 'simulated' or 'virtual' operations. New insights into the pathogenesis of pelvic organ prolapse, pelvic pain, vulvodynia and interstitial cystitis are presented. The tensioned minisling as used for cystocoele, uterine prolapse, rectocoele, stress incontinence and other symptoms is described in the book and demonstrated in the DVD.