Hysterectomy

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