ABSTRACT
Not infrequently, the general surgeon, when performing a laparotomy, encounters an unexpected gynaecological condition, the correct management of which may cause some doubt and anxiety. The surgeon can usually call on the assistance of a gynaecological colleague, and should do so if at all possible. However, on occasion, and without access to a gynaecological opinion, the general surgeon must accept responsibility for deciding what, if any, operative procedure is indicated and for mastering the techniques required. It is mainly for such guidance that this chapter is written.
