Removal of the fallopian tubes and ovaries at the time of vaginal hysterectomy is a skill that must be acquired if one is to be a competent vaginal surgeon. Various techniques have been described and will be reviewed in this chapter. A single technique or series of steps often must be modified depending on the descent of the adnexa, size and shape of the pelvis, and intraperitoneal pathology. The pelvic surgeon must adhere to the basic surgical principles and understand the anatomic relationships of the adnexa to other pelvic viscera, including the lower urinary tract. Preoperative discussion with all patients regardless of age is imperative in determining their desires for oophorectomy at the time of vaginal hysterectomy.
We calculate the Casimir energy and torque of a
Scalar field subject to Dirichlet boundary conditions on an annular sector
Defined by two coaxial cylinders intercut by two planes through the axis. In
This model the particularly troublesome divergence at the cylinder axis does
Not appear, but new div...
• In all, 60 nephrectomies were performed for 53 malignant tumours (41 clear-cell, eight papillary and four chromophobe carcinomas) and seven benign tumours (four oncocytomas, two angiomyolipomas and a haemorrhagic cyst). In all, >700 optical spectra were obtained and submitted to SVM classific...
We use a radiation hydrodynamic simulation that models the growth of galaxies
And the extragalactic ultraviolet ionizing background (EUVB) self-consistently
To study the sources of OI absorption during the hydrogen reionization epoch.
Diffuse regions in the intergalactic medium (IGM) are reionized b...
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