HYSTETRECTOMY NOTES SUMMARY

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Hysterectomy - notes summary

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HYSTERECTOMY
• Is surgical removal of the uterus
• It may be done either vaginally or abdominally
• The vaginal route is used when vaginal repair is to be done in addition to removal of
uterus
• Abdominal route is used in case of
- Large tumors
- Exploration of pelvic cavity
- Need to remove fallopian tubes and ovaries

INDICATIONS
 Dysfunctional uterine bleeding
 Endometriosis
 Fibroids
 Uterine rupture
 Chronic PID
 Malignancies in early stages like cervical cancer, endometrial cancer, ovarian cancer. 
Uterine prolapse


TYPES OF HYSTERECTOMY
1. Sub-total hysterectomy – removal of uterus without the cervix rarely done.
2. Total hysterectomy (TAH/TVH) Removal of the uterus and the cervix
May be done vaginally or abdominally
3. Total abdominal hysterectomy with bilateral salpingo – oophonrectomy (TAH – BSO)
Removal of uterus, cervix, fallopian tubes and ovaries.
4. Radical abdominal hysterectomy
Removal of uterus, cervix fallopian tubes and ovaries ((TAH – BSO) plus removal of the
lymph nodes, upper 1/3 of the vagina (partial vaginectomy) and parametrium.
Commonly done in case of malignancies
5. Laparoscopically assisted vaginal hysterectomy
Performed with the assistance of a laparoscopy
Associated with rapid recovery short hospital stay and low incidence of post-operational
infection




PRE-OPERATIVE CARE/MANAGEMENT

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