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Questions and Answers
What is the medical term for the surgical removal of the fallopian tube?
What is the medical term for the surgical removal of the fallopian tube?
What is the name of the type of hysterectomy that removes the uterus, both tubes, both ovaries, the upper third of the vagina, and the iliac and obtruator lymph gland?
What is the name of the type of hysterectomy that removes the uterus, both tubes, both ovaries, the upper third of the vagina, and the iliac and obtruator lymph gland?
What is the advantage of total hysterectomy over subtotal hysterectomy?
What is the advantage of total hysterectomy over subtotal hysterectomy?
What is the disadvantage of subtotal hysterectomy?
What is the disadvantage of subtotal hysterectomy?
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What is the traditional route of hysterectomy?
What is the traditional route of hysterectomy?
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What is the advantage of vaginal hysterectomy?
What is the advantage of vaginal hysterectomy?
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What is the limitation of vaginal hysterectomy?
What is the limitation of vaginal hysterectomy?
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What is the advantage of laparoscopic hysterectomy over abdominal hysterectomy?
What is the advantage of laparoscopic hysterectomy over abdominal hysterectomy?
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Study Notes
Hysterectomy Definition and Types
- Hysterectomy is the surgical removal of the uterus.
- Salpingectomy is the surgical removal of the fallopian tube.
- Oophorectomy is the surgical removal of the ovary.
Indications for Hysterectomy
- Obstetrical indications: • Rupture of the uterus • Abnormal uterine bleeding • Uncontrollable post-partum hemorrhage • Malignancy (uterus, cervix, ovary) • Placenta accreta
- Gynecological indications: • Benign conditions (e.g., myoma) • Uterine prolapse
Types of Hysterectomy
- Total hysterectomy: • Removes the body of the uterus and the cervix
- Subtotal hysterectomy (partial): • Removes the body of the uterus, leaving the cervix in place
- Total hysterectomy and bilateral salpingo-oophorectomy (Pan hysterectomy): • Removes the uterus, both ovaries, and both fallopian tubes
- Radical hysterectomy (Wertheim): • Specifically for cancer cases • Removes the uterus, both tubes, both ovaries, the upper third of the vagina, and the iliac and obturator lymph glands
Advantages and Disadvantages of Total and Subtotal Hysterectomy
- Total hysterectomy: • Avoids the risk of cervical cancer • Recommended procedure
- Subtotal hysterectomy: • Advantages: easier, quicker, fewer complications, cervix acts as a support for the vagina, reducing prolapse • Disadvantages: risk of cervical cancer
Abdominal, Vaginal, and Laparoscopic Hysterectomy
- Abdominal hysterectomy: • Removes the uterus through an abdominal incision • Traditional route
- Vaginal hysterectomy: • Removes the uterus through the vagina • Advantages: no abdominal scar, earlier and easier ambulation, fewer complications • Disadvantages: more difficult, not feasible in all cases
- Laparoscopic hysterectomy: • Advantages: minimally invasive procedure, better satisfaction, less postoperative pain • Disadvantages: technically more difficult, requires special equipment
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