Types of hysterectomy
Abdomen Hys
- TAH
- - Sub total hysterectomy
- Total hysterectomy with b/l salpingoophorectomy
- Extended hysterectomy
- Radical hysterectomy
Vagina hyst. (VH)
LA VH
Indication
Benign disease
Abn bleeding
Leiomyoma
Endometriosis
Ut prolapse
Chronic PID with tuboovarian mass
Caesarean Hyst.
Molar preg >40 age
Septic abortion
Chronic inversion of Ut
Malignant
Ca Cx
Ca EM
Ca ovary
Ca fallopian tube
Gestational TD
Preparation
Complete physical and anesthetic evaluation
Routine blood test
- Full blood count
- CXR
- ECG
- Bowel preperation
Technique for TAH
- Supine position
- Abdo wall open in layers
- Self retaining retractors
- Trendelenberg position
- Pack intestine
Complication of operation
Immediate complications
Anasthesia compl
Bleeding, haemotama
Injury to the surrounding structure
Intestine, bladder, ureter,
Early complications
Atelactasis, UTI, DVT, wound Infection, burst abdomen, vault prolapse
Remote complication
keloid, vault granulation, vault prolapse, incisional hernia, psy and emotional problem
Follow up
Histo path
Counselling
Nutrition
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