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## Meet the editor

Andrea Sanna, MD, is a surgeon at Schiavonia General Hospital, Padua, Italy. He graduated in General Surgery from Ferrara University, Italy. His main clinical interests include minimally invasive techniques for the treatment of gastrointestinal cancer, abdominal wall reconstruction, and thyroid surgery. His areas of surgical specialty include laparoscopic colonic and gastric cancer; laparoscopic primary and incisional abdominal wall re-

pair; extended-view, totally extraperitoneal primary and incisional abdominal wall hernia reconstruction; minimally invasive video-assisted thyroidectomy (MIVAT); and Desarda's groin hernia repair technique. Dr. Sanna has published several articles in peer-reviewed journals and authored several book chapters in general surgery. He is a member of several surgical associations including Associazione dei Chirurghi Ospedalieri Italiani (ACOI), European Hernia Society, and Società Italiana di Endocrinochriurgia (SIUEC).

Contents

**Section 1**

**Section 2**

*by Andrea Sanna*

and Young Women

**Section 3**

**Preface XI**

Introduction **1**

**Chapter 1 3**

Minimally Invasive Surgery Approaches and Gynecology **7**

**Chapter 2 9**

**Chapter 3 25**

**Chapter 4 45**

Minimally Invasive Approaches in Cardio-Thoracic Surgery **61**

**Chapter 5 63**

**Chapter 6 73**

Introductory Chapter: Advances in Minimally Invasive Surgery

*by Morena Antonilli, Vasileios Sevas, Maria Luisa Gasparri,* 

Minimally Invasive Surgical Treatment of Pelvic Pain in Teenagers

*by Panagiotis Tsikouras, Christos Tsalikidis, Xanthoula Anthoulaki, Anna Chalkidou, Aggeliki Gerede, Stefanos Zervoudis, Anastasia Bothou, Spyridon Michalopoulos, Georgios Dragoutsos, Nikolaos Panagiotopoulos, Fotini Gaitatzi, Ionnis Tsirkas, Irini Babgeorgaka, Theopi Nalbanti, Natalia Sachnova, Alexios Alexiou, Constantinos Nikolettos, Sebaidin Perente, Panagiotis Peitsidis and Nikolaos Nikolettos*

Minimally Invasive Surgery in Gynecology

*Ammad Ahmad Farooqi and Andrea Papadia*

Hysteroscopy, the Window into the Uterine Cavity *by Shani Naor-Revel, Ruth Goldstone and Ariel Revel*

Minimally Invasive Approaches in the Thoracic Surgery

Minimally-Invasive Surgery of Mitral Valve. State of the Art

*by Güntuğ Batıhan and Kenan Can Ceylan*

*by Daniel Pereda and Elena Sandoval*

### Contents



Preface

*Advances in Minimally Invasive Surgery* is a collection of chapters concerning technology innovation in medical practice. It covers a wide range of applications of minimally invasive surgery in fields of medicine such as gynecology and cardiothoracic surgery. It also discusses advances in this surgical technique.

This book is written for healthcare professionals who wish to understand the principles and applications of new technology in minimally invasive surgery. Chapters are accessible to anyone, independent of prior technical knowledge. It is suitable as a textbook for undergraduate and postgraduate training in the clinical aspects of minimally invasive surgery, and as an introductory textbook for those

I would like to thank the authors who shared their intellectual and practical expertise and experiences. I also want to thank the staff at IntechOpen, especially Ms. Maja Bozicevic and Ms. Iva Simcic, for their assistance, competence, and patience, without which publication of this book would not have been possible.

"Culture is the only good of humanity that divided between us all, instead of

I hope that other experts will be encouraged to contribute to this work through their

**Andrea Sanna MD**

Schiavonia, Padua, Italy

UOC Chirurgia Generale-Departement of Surgery,

"Mother Teresa of Calcutta" Hospital,

pursuing a postgraduate career in surgical specialities.

diminishing, will become greater." (Hans Georg Gadamer)

own experiences.
