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Te Linde’s Operative Gynecology Te Linde’s Operative Gynecology
Foreword
Dr. Richard Te Linde personally wrote every page of Operative Gynecology, which was first published in 1946. He was an experienced and innovative surgeon and teacher who described not only the technique of the various gynecological surgical procedures but also the anatomy, physiology, and pathology associated with the diagnoses and indications for surgery.
Gynecology was a relatively new specialty. “No longer is it simply a branch of general surgery. (The gynecologist) must be a surgeon, expert in his special field;… trained in the fundamentals of obstetrics;… have technical skills to investigate female urologic conditions;… have an understanding of endocrinology as it applies to gynecology;… be well grounded in gynecologic pathology; and, finally, must be able to recognize and deal successfully with the minor psychiatric problems which arise among gynecologic patients.”
In his textbook, Te Linde included all of these aspects of the specialty, which are so necessary to the complete and competent gynecologic surgeon. The text was written mainly for trainees, “when their minds are quick to grasp ideas and their fingers are nimble.” But he was also quick to point out that things change and different points of view and different surgical approaches should be considered. “The housestaff should realize early in their careers that all is not forever settled in medicine.”
As new understanding of the pathophysiology of clinical conditions has emerged and new technologies have been developed, successive editions of Te Linde’s Operative Gynecology have evolved. New surgical techniques have been introduced, while outdated procedures have been abandoned or modified. In his preface to the third edition, Te Linde emphasized the importance of this holistic surgical philosophy. “What does it profit a woman if the operation is technically perfect and the procedure unnecessary or even harmful?”
Selection of the correct operation for the correct patient (or even avoiding an unnecessary surgical procedure altogether) is most likely when the surgeon understands all of the many factors that constitute a thorough evaluation of the patient and her symptoms, leading to a correct diagnosis. As the field of gynecology expanded, Te Linde invited experts on anesthetic management and pre- and postoperative care to contribute chapters. Eventually, with publication of the fourth edition in 1970, Dr. Richard Mattingly, one of Te Linde’s former residents, was introduced as a coeditor. The text has continued to emphasize the importance of a thorough understanding of gynecologic conditions as well as indications and contraindications for the various procedures. The concept that “a sound surgical philosophy is perhaps more important than the technic” is still found in every chapter.
Te Linde’s Operative Gynecology, Twelfth Edition
remains your authoritative resource on the comprehensive perioperative care of gynecologic patients. New features in this edition include a primer on anesthesia, a chapter on positioning for pelvic surgery, a practical review of pediatric gynecology, and a section on the use of surgical instruments. All chapters have been updated to reflect contemporary gynecologic practice and the latest minimally invasive surgical approaches. New illustrations are included and each chapter includes step-by-step descriptions of surgical techniques. Today’s best surgeons and teachers offer a readable, intuitive, and concise reference for trainees as well as the experienced gynecologist.
- A completely restructured table of contents that reflects the needs of today’s novice and experienced surgeons – ideal for quick reference and as a clinical refresher.
- An intuitive, chronological structure, covering relevant topics from preoperative preparation through postoperative care, as well as an expansive section on gynecologic procedures and surgical management of selected conditions.
- The same readable, easy-to-digest presentation you’ve come to expect from Te Linde’s.
- Expanded “Steps in the Procedure” boxes are supplied for all surgical chapters – a favorite feature that provides clear, easy-to-follow roadmaps for each procedure.
- More than 650 color illustrations, photographs and line drawings.
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