Now updated—the only reference to cover perioperative and supportive care in gynecologic oncology within the framework of evidence-based medicine

This clinically practical work details the available diagnostic and therapeutic options for a range of common to very difficult problems specific to perioperative care of gynecologic oncology patients. It is the only book to analyze these issues by employing the principles of evidence-based medicine, featuring an emphasis on data gathering, decision-analysis, costs, and outcomes in order to provide guidelines for superior perioperative and supportive care.

Chapters provide a clinical profile of the disease or problem and exploit data-driven decision analysis methodology to provide recommendations, including cost-effective clinical guidelines, decision “trees” summarizing treatment options, expected outcomes, and relative costs in key areas. The book also includes an informed discussion on the importance of evidence-based medical treatment.

This Second Edition has been fully revised and updated, featuring:

• A focus on evidence-based review regarding perioperative issues related to each of the major disease sites in gynecologic oncology
• Enhanced “scope of concept” introductions, allowing the reader to reference the concepts while reviewing specific details in the clinically oriented chapters
• Grades and levels of evidence highlighted throughout, indicating what the sum of existing evidence suggests regarding key topics
• A practical chapter on the prevention and treatment of laparoscopic complications
• The role of perioperative herbal supplements, along with necessary precautions
• An increased number of tables and algorithms for vital decision-making areas
• A section on the management of end-of-life complications such as tumor-related bowel obstruction, persistent ascites, and pleural effusion—common afflictions in patients with advanced gynecologic cancer
• Discussions on the challenge of pain management at end of life

Included and expanded from the first edition are the basics and physiologic principles of perioperative and critical care, as well as essential procedures and clinical tools.

The information provided in this important work is much needed in the everyday management of patients with gynecologic cancer. It is an indispensable resource for gynecologists, gynecologic oncologists, gynecologic surgeons, and fellows and residents in these disciplines; general surgeons; medical students; nurses; and nurse practitioners.

Contents

۱. Introduction
۲. Evidence-Based Medicine and Decision Support
۳. Vascular Access and Other Invasive Procedures
۴. Fluids, Electrolytes, and Nutrition
۵. Preoperative Evaluation
۶. Postoperative Surveillance and Perioperative Prophylaxis
۷. Perioperative Infections: Prevention and Therapeutic Options
۸. Intraoperative and Perioperative Considerations in Laparoscopy
۹. Cervical Carcinoma
۱۰. Endometrial Cancer
۱۱. Pelvic Masses and Ovarian Carcinoma
۱۲. Molar Gestation
۱۳. Perioperative Issues in the Management of Vulvar Cancer
۱۴. Perioperative Psychosocial Considerations
۱۵. Pain Management in Gynecologic Oncology
۱۶. Fertility Preservation in the Gynecologic Cancer Patient
۱۷. Perioperative Herbal and Supplement Use
۱۸. End-of-Life Decision Making