Obstetrics and Gynecology for the General Surgeon

Obstetrics and Gynecology for the General Surgeon
Surgical Clinics of North America
Volume 88, Issue 2, Pages 223-450 (April 2008)
Obstetrics and Gynecology for the General Surgeon
Edited by C.S. Dietrich

This issue of the Surgical Clinics of North America is dedicated to the general
surgeon who, at some point in his or her career, is likely to encounter
a gynecologic surgical condition, be asked to operate on an obstetrical
patient, or be urgently consulted for intraoperative assistance with a gynecologic
procedure. In these scenarios, the general surgeon can play a critical
role in the treatment team and will often be relied upon for surgical expertise.
To provide the best support, however, basic knowledge in pelvic anatomy
and gynecologic disease processes should be well understood.
The origins of surgery, gynecology, and obstetrics can be traced to antiquity.
During the last two centuries, these fields have been intimately
intertwined, with pioneers practicing in both arenas simultaneously. Discoveries
and improved surgical techniques were mutually beneficial, as they had
applications in both fields. As techniques and anesthesia were further developed,
some surgeons began operating exclusively in the pelvis. By the turn of
the twentieth century, Johns Hopkins Hospital started training physicians
dedicated solely to practicing gynecology. Since then, the two fields have
had divergent courses, and on a day-to-day basis general surgeons and obstetricians
or gynecologists have limited interactions.
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