Lumbar Sympathectomy This procedure is rarely performed; when sympathetectomy is needed, either percutaneous chemical ablation or endoscopic techniques are often employed. The procedure was retained in this edition because it…

Abdominal Aortic Aneurysm Repair and Aortobifemoral Grafts W. John. Sharp Many aortic aneurysms are now repaired by an endovascular route. The classic open operation is still required in some circumstances….

Hand-assisted Laparoscopic Donor Nephrectomy Stephen C. Rayhill Preoperative studies have confirmed that the donor is anatomically suitable for kidney donation. The donor is typed and cross-matched for two units of…

Cadaveric Donor Nephrectomy and Renal Transplantation You Min Wu In this chapter, harvesting of kidneys and renal transplantation are described as a means of illustrating the anatomy of the retroperitoneum….

Radical Nephrectomy Sean P. Hedican Richard D. Williams Radical nephrectomy remains the primary treatment option for renal parenchymal malignancies. As classically described, radical nephrectomy involves the en bloc resection of…

Laparoscopic Adrenalectomy James R. Howe Adrenalectomy is performed for primary and metastatic tumors of the adrenal gland and for adrenal hyperplasia. The open transabdominal, flank, posterior, and thoracoabdominal approaches, described…

Adrenalectomy Most adrenalectomies are performed transabdominally. In this chapter, the transabdominal approach to the adrenal glands will be described first because it is the one that is appropriate for tumors,…

Laparoscopic Surgery of the Female Pelvis This chapter provides an introduction to the laparoscopic anatomy of the female pelvis and uses several simple procedures to illustrate that anatomy. Obviously, a…

Total Abdominal Hysterectomy and Oophorectomy Hysterectomy may be performed transabdominally or vaginally. One or both ovaries may be removed with the uterus. In this chapter, total abdominal hysterectomy with bilateral…