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Radical hysterectomy: complete removal of the uterus, cervix, upper vagina, and parametrium. Indicated for cancer. Lymph nodes, ovaries, and fallopian tubes are also usually removed in this situation, such as in Wertheim's hysterectomy. [61] Total hysterectomy: complete removal of the uterus and cervix, with or without oophorectomy.
The first radical hysterectomy operation was described by John G. Clark, resident gynecologist under Howard Kelly at the Johns Hopkins Hospital in 1895. [2] [3] In 1898, Ernst Wertheim, a Viennese physician, developed the radical total hysterectomy with removal of the pelvic lymph nodes and the parametrium. In 1905, he reported the outcomes of ...
The vagina is shortened and made into a closed pocket and there is a loss of support to the bladder and bowel.[verification needed] The following is the requested verification: Rock, John A. et al Total Abdominal Hysterectomy: Surgical Technique Te Lindes's Operative Gynecology Ninth Edition p.809-828 Zeigerman, Joseph H. Length of the Vagina ...
If a BSO is combined with an abdominal hysterectomy (there are different methods of hysterectomy available), the procedure is commonly called a TAH-BSO: total abdominal hysterectomy with a bilateral salpingo-oophorectomy. Sexual intercourse remains possible after salpingectomy, surgical and radiological cancer treatments, and chemotherapy.
In hysterectomies, complications of the procedure include infection, gastrointestinal injury, and venous thromboembolic injury. Similar to vasectomies, one of the most common complications is infection, with the incidence rate being 10.5% for abdominal hysterectomy, 13% for vaginal hysterectomy, and 9% for laparoscopic hysterectomy. [20]
Surgery is the mainstay of therapy if feasible involving total abdominal hysterectomy with bilateral salpingo-oophorectomy. Other approaches include radiation therapy, chemotherapy, and hormonal therapy. Prognosis is relatively poor. [6]
total abdominal hysterectomy: TAH-BSO: total abdominal hysterectomy with bilateral salpingo-oophorectomy: TAP: trypsinogen activation peptide TAPVR: total anomalous pulmonary venous return TAT: thematic apperception test TAVI: transcatheter aortic valve implantation: TAVR: transcatheter aortic valve replacement: TB: tuberculosis: TBC ...
Abdominal hysterectomy is performed with incision into the abdominal wall, whereas laparoscopic and vaginal hysterectomies are minimally invasive procedures. [7] Current ACOG guidelines recommend minimally invasive procedures, specifically vaginal hysterectomy, over surgical hysterectomy due to faster recovery time, shorter procedural time ...