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HYSTERECTOMY
Fahad zakwan
Hysterectomy
•Usually performed by a gynecologist
•Uterus is removed
•Other reproductive organs may be removed
•No longer able to have a baby
•Periods will stop
Indications
• Fibroids
• Endometriosis
• Uterine prolapse
• Cancer of the uterus, cervix, or ovaries
• Vaginal bleeding, DUB
• uncontrollable PPH
• Transgender man
•Pelvic inflammatory
disease
•Severe pelvic adhesions
•Bilateral ovarian
pathology
•Adenomyosis
•Pelvic congestion
syndrome
• Intractable, recurrent
dysmenorrhea or
metrorrhagia
• Uterine anomalies
• Recurrent intrauterine polyps
• Uterine perforation
• Mentally retarded patient
with no hygiene control
• Pregnancy
• Placenta increta, percreta, or
acreta
• Atonic uterus
• Uterine perforation
• Ruptured uterus
Risks and Side Effects
•Earlier onset of menopause
•Greater risk of cardiovascular disease
•Increased chance of osteoporosis and bone
fractures
•Uncontrolled urination
•Reduced libido
•Vaginal dryness
Epidemiology
• Hysterectomy is the second most common surgery
among women in the United States
• One in three women in U.S. had one by age 60
• Each year, more than 600,000 are done
• Over 90% are performed for benign conditions
• Over 70% also involved the surgical removal of ovaries
Types of Hysterectomy
• Partial Hysterectomy
• Removes 2/3 of uterus
• Total Hysterectomy
• Removes uterus and cervix
• Radical Hysterectomy
• Removes uterus, cervix, and
vagina
Types of Incisions
Vertical Incision
Pfannenstiel Incision
Abdominal Hysterectomy
• the uterus is removed through an incision in the
woman’s abdomen.
• Most invasive method
• Incision site at abdomen
• Hospital stay of 5-6 days
• Recovery time 6 weeks
• Possible retention of cervix
• Required for endometriosis and large fibroids
Vaginal Hysterectomy
• the uterus is removed through the vagina.
• Less invasive than abdominal hysterectomy
• Incision site at inner vagina
• Hospital stay 1-3 days
• Recovery time 4-6 weeks
• Cervix cannot be preserved
Laparoscopic Hysterectomy
• the uterus is removed in sections through small incisions using a
laparoscope
• Hospital stay 1-3 days
• Recover time is 4-6 weeks
• Longer duration of procedure
• Requires greater surgical expertise
• Urinary tract injuries are more likely
• Fewer abdominal wall infections or febrile episodes
• Less blood loss
Robotic Hysterectomy
•3-dimensional image
•Greater articulation
•Eliminate hand tremors
•Increased accuracy and
precision

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Hysterectomy

  • 2. Hysterectomy •Usually performed by a gynecologist •Uterus is removed •Other reproductive organs may be removed •No longer able to have a baby •Periods will stop
  • 3. Indications • Fibroids • Endometriosis • Uterine prolapse • Cancer of the uterus, cervix, or ovaries • Vaginal bleeding, DUB • uncontrollable PPH • Transgender man
  • 4. •Pelvic inflammatory disease •Severe pelvic adhesions •Bilateral ovarian pathology •Adenomyosis •Pelvic congestion syndrome • Intractable, recurrent dysmenorrhea or metrorrhagia • Uterine anomalies • Recurrent intrauterine polyps • Uterine perforation • Mentally retarded patient with no hygiene control • Pregnancy • Placenta increta, percreta, or acreta • Atonic uterus • Uterine perforation • Ruptured uterus
  • 5. Risks and Side Effects •Earlier onset of menopause •Greater risk of cardiovascular disease •Increased chance of osteoporosis and bone fractures •Uncontrolled urination •Reduced libido •Vaginal dryness
  • 6. Epidemiology • Hysterectomy is the second most common surgery among women in the United States • One in three women in U.S. had one by age 60 • Each year, more than 600,000 are done • Over 90% are performed for benign conditions • Over 70% also involved the surgical removal of ovaries
  • 7. Types of Hysterectomy • Partial Hysterectomy • Removes 2/3 of uterus • Total Hysterectomy • Removes uterus and cervix • Radical Hysterectomy • Removes uterus, cervix, and vagina
  • 8. Types of Incisions Vertical Incision Pfannenstiel Incision
  • 9. Abdominal Hysterectomy • the uterus is removed through an incision in the woman’s abdomen. • Most invasive method • Incision site at abdomen • Hospital stay of 5-6 days • Recovery time 6 weeks • Possible retention of cervix • Required for endometriosis and large fibroids
  • 10. Vaginal Hysterectomy • the uterus is removed through the vagina. • Less invasive than abdominal hysterectomy • Incision site at inner vagina • Hospital stay 1-3 days • Recovery time 4-6 weeks • Cervix cannot be preserved
  • 11. Laparoscopic Hysterectomy • the uterus is removed in sections through small incisions using a laparoscope • Hospital stay 1-3 days • Recover time is 4-6 weeks • Longer duration of procedure • Requires greater surgical expertise • Urinary tract injuries are more likely • Fewer abdominal wall infections or febrile episodes • Less blood loss
  • 12. Robotic Hysterectomy •3-dimensional image •Greater articulation •Eliminate hand tremors •Increased accuracy and precision