Hysterectomy is the surgical removal of the uterus, with various types including total, subtotal, and radical hysterectomy. Indications for the procedure range from uterine fibroids to endometriosis and include potential complications both immediately and later. The document outlines different surgical routes, types of hysterectomy, and the associated risks during and after the surgery.

1. HYSTERECTOMY
Hysterectomy
Prepared
by Dr Rajesh T
Eapen ATLAS
HOSPITAL
RUWI Muscat
Dr. Yashika

2. Hysterectomy
• Term origin:
hyster + ectomy
uterus surgical removal
• Definition:
Hysterectomy is defined as the surgical removal of
uterus.

3. Routes for Hysterectomy
1. Abdominal Hysterectomy
2. Vaginal Hysterectomy
3. Laparoscopic Hysterectomy
4. Caesarean Hysterectomy

4. 1. Total Hysterectomy
Removal of entire uterus.
2. Subtotal Hysterectomy
Removal of body or corpus leaves behind the cervix.
3. Panhysterectomy / Hysterectomy with bilateral salpingo
oophorectomy
Removal of uterus along with tubes and ovaries of
both sides.
Types of Hysterectomy

5. 4. Extended hysterectomy
Panhysterectomy along with cuff of vagina.
5. Radical Hysterectomy
Removal of uterus, tubes and ovaries of both
sides, upper one-third of vagina and lymph
nodes of cervix.

7. Indications
• Total
• DUB
• Uterine fibroid
• TO mass
• Endometriosis
• Panhysterectomy
• Perimenopausal age
• Subtotal
• Difficult TO mass
• Endometriosis
• Extended radical
• Endometrium CA
• Cervix CA

8. Intraoperative
Hemorrhage
Visceral injury
Anaesthetic hazard
Postoperative
Immediate
Late
Complications

9. Immediate
• Hypovolemia
• Urinary
retention
• Cystitis
• Anuria
Late
• Incontinence
• Pyrexia