g Text Version
Beauty & Self
Books & Music
Food & Wine
Health & Fitness
Hobbies & Crafts
Home & Garden
News & Politics
Religion & Spirituality
Travel & Culture
TV & Movies

Bored? Games!
Take a Quiz
Rate My Photo

Natural Living
Folklore and Mythology
Distance Learning

All times in EST

Low Carb: 8:00 PM

Full Schedule
g Gynecology Site

BellaOnline's Gynecology Editor


Hysterectomy Procedure

Guest Author - Dr. Denise Howard

Every woman knows someone has undergone a hysterectomy but Iíll gamble that most of them were unclear on exactly what was done. In fact, most people tend to be quite unclear on what is done during many surgical procedures. This article will describe a hysterectomy procedure.

A hysterectomy is the surgical removal of the uterus, the home of the developing fetus. It serves as an incubator and then transport for the baby. It primarily made of smooth muscle and lined with a vascular rich layer called the endometrium which provides nourishment to the developing embryo. The uterus is attached to the pelvis by fascia and ligaments which contain blood vessels, nerves and connective tissue. The major ligaments include the uteroovarian, the round, uterine vessel, cardinal, and the uterosacral. The cervix, which is the exit, through which the baby passes for delivery, is directly and densely attached to the top of the urogenital vault.

Detailed surgical dissection and incisions are required to remove the uterus safely. These listed ligaments need to be transected and the bladder needs to be dissected off the anterior surface of the uterus. This is done in a fashion to minimize bleeding and injury to other major structures. The most common errors involve not properly tying a blood vessel and injury to the ureter whose course runs close to the uterus and ovaries at several locations. The surgeon should be well versed in both performing the procedure but in identifying and managing the complications.

A hysterectomy can be performed through 3 routes and this is dependent on a number of factors. The traditional route is via laparotomy where a long incision is made on the abdomen. This is called a Total Abdominal Hysterectomy (TAH). This incision can be either transverse or vertical and the decision to use one type or the other is dependent on a number of factors. Another traditional route that requires a special skill set is the natural cavity route through the birth canal. This is called a TVH. In the past 3 decades laparoscopy as evolved, allowing for more involved ways. The uterus can be removed totally through the laparoscope (TLH) or laparoscopy can assist a urogenital route. This is referred to as a LAVH. Recently there has been the introduction of robotic surgery. The hysterectomy is performed using a modified laparoscopic route, the only difference being the location of the surgeon. In the robotic assisted route the surgeon is not directly hands on but located away from the surgical table in a control center working hand devices much like a video game.

Each route has its pros and cons and the decision tends to be left to the surgeon. Some Gynecologist can perform the procedure through the traditional laparotomy route while others maybe able to perform the procedure through the other route. It is less common to find a surgeon who is highly skilled in performing the surgery through all 3 routes. Factors that contribute to the decision include size of the uterus, previous surgeries, internal scarring, the degree of pelvic support and the need to perform concomitant surgeries. The risk of complications appears to be lowest with the route through the birth canal while the slowest recovery is associated with the laparotomy approach. Other factors include the skill of the surgeon and the length of the procedure.

The decision to have surgery is not an easy one but this is only the first step. Stay plugged in, do the appropriate research and ask the right questions so you can chose the right surgeon and best procedure that will allow a speedy recovery with minimal complications.

I hope this article has provided you with information that will help you make wise choices, so you may:
Live healthy, live well and live long!
This site needs an editor - click to learn more!

Add Hysterectomy+Procedure to Twitter Add Hysterectomy+Procedure to Facebook Add Hysterectomy+Procedure to MySpace Add Hysterectomy+Procedure to Digg Hysterectomy+Procedure Add Hysterectomy+Procedure to Yahoo My Web Add Hysterectomy+Procedure to Google Bookmarks Add Hysterectomy+Procedure to Stumbleupon Add Hysterectomy+Procedure to Reddit

Understanding the Gynecologic Procedure
Laparoscopy in Gynecology
Risks of Laparoscopy
Related Articles
Editor's Picks Articles
Top Ten Articles
Previous Features
Site Map

For FREE email updates, subscribe to the Gynecology Newsletter

Past Issues

Printer Friendly
tell friend
Tell a Friend
Email Editor

Content copyright © 2018 by Dr. Denise Howard. All rights reserved.
This content was written by Dr. Denise Howard. If you wish to use this content in any manner, you need written permission. Contact BellaOnline Administration for details.


g features
Diabetes Treatment

Diabetes Prevention

Diabetes Screening

Archives | Site Map


Past Issues

Note: BellaOnline uses cookies to help provide a consistent user experience. Our advertisers may use cookies to help customize ads. Please contact us with any question about our cookie use.

Summertime Foods
Corn on the Cob
Burgers on the Grill
Apple Pie


| About BellaOnline | Privacy Policy | Advertising | Become an Editor |
Website copyright © 2018 Minerva WebWorks LLC. All rights reserved.

BellaOnline Editor