The impetus for this book came from the recent appearance of single specialty books pertaining to reoperative surgery on various organs in the pelvis, as well as from the recognition that several different disciplines are involved with the challenges of reoperative pelvic surgery. Surgeons often encounter challenging dilemmas involving organ systems that have historically been attended to by surgeonsrepresentingcloselyrelatedbut distinctspecialtyareas. Withincreasing sophisticationand knowledge about management of anatomically adjacent organs by the specialties of gynecologic oncology, gynecology, urology, and colon and rectal surgery, as well as the emergence of specialty training programs in urogynecology and pelvic floor disorders, we thought it appropriate and timely to create a textbook acknowledging this increasing knowledge and interspecialty collaboration. To this end,where appropriate, we haveincluded collaborative authors fromeach of the specialties, any ofwhommaybecalledupontoaddressaparticularanatomicarea. Itseemsinevitablethatsituations willariseinwhichthecollaborativeexpertiseofseveralseparatespecialtiesmayconvergetoprovide surgeons the benefit of the combined thought processes that would prove invaluable when such difficult problems are encountered. With this in mind, the editors, from the fields of gynecologic oncology, urology, and colon and rectal surgery, identified experts in theirown fields who could bestcontribute to the management of specific problem areas. For example, since reoperations for endometriosis may involve uterus, adnexae, ovaries, or the colorectum, the chapter concerning this condition has been coauthored by specialists in colorectal surgery and gynecologic oncology. We have been fortunate to find experts who have collaborated to bring available evidence-based medicine, best demonstrated practices, and personal experience to their contributions.

The close anatomical proximity of the colon, rectum and anus to the gynecologic and urologic organs often results in a disease affecting one of these organ systems to create complications in another. Reoperation on this anatomic area is often necessitated by cancer recurrence, adhesive disease, recurrence of pelvic prolapse disorders as well as in the execution of multi-staged procedures. Many of the diseases, including cancer, ulcerative colitis, Crohn's disease, prolapse, incontinence, and fistulas also necessitate reoperations-thus increasing the complexity and difficulty in achieving successful surgical management. Under the editorship of Richard P. Billingham, MD, Kathleen Kobashi, MD, and William Peters, MD, a group of multidisciplinary experts present the surgical techniques and challenges of reoperative surgery in the pelvis with a multi-disciplinary emphasis on decision-making, operative strategies, and complications management. Authors discuss important anatomical landmarks, including surgically altered anatomy and function, as well as strategies for the often adhesive nature of the previously operated pelvis. For colorectal surgeons, general surgeons, gynecologic surgeons, and urologic surgeons, Reoperative Pelvic Surgery will prove a comprehensive resource of technical material not found in standard surgery references.

and Overview: Principles of Reoperative Pelvic Surgery.- Reoperations Within the First 30 Days After Pelvic Surgery.- Reoperation and Management of Postoperative Pelvic Hemorrhage and Coagulopathy.- Reoperative Considerations After Laparoscopic Pelvic Surgery.- Laparoscopic Reoperative Surgery for Incompletely Staged Gynecologic Malignancies.- Reoperation for Endometriosis and Ovarian Remnants.- Pelvic Exenteration for Recurrent Pelvic Cancer.- Reoperation for Bladder Cancer.- Reoperative Surgery for Prostate Cancer.- to Reoperative Pelvic Surgery for Rectal Cancer.- Recurrent Pelvic Organ Prolapse.- Recurrent Rectal Prolapse.- Suburethral Sling Failures and Complications.- Reoperative Surgery for Anal Incontinence.- Gastrointestinal Fistulas.- Urogenital Fistulas.- Complications of Urinary Diversion.- Complications of Transurethral Surgery.- Reoperative Management of Fissure and Hemorrhoids.- Reoperative Surgery for Inflammatory Bowel Disease.- Complications of Surgery After Pelvic Radiation.- Reoperation for Diverticular Disease.- Reoperative Surgery for Gastrointestinal Stomal Problems.- Reoperative Pelvic Surgery for Late Bowel Obstruction (After 30 Days).- Reoperations for Bleeding.- Reoperative Surgery for Constipation or Dysmotility.