• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/11

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

11 Cards in this Set

  • Front
  • Back
Reproduction System- Hysterectomy, indications by Aliff
Reproduction System- Hysterectomy, indications by Aliff
Total hysterectomy, subtotal, radical, and bilateral salpingoopherectomy
Total Hysterectomy – Removal of the uterus and cervix
Subtotal Hysterectomy (supracervical)– Removal of the uterus
Radical Hysterectomy – Removal of the uterus, cervix, parametrium and uterosacral ligaments (important in staging of cervical cancer); does not include tubes and ovaries.
Bilateral Salpingoopherectomy – Removal of both tubes and both ovaries

TAH – total abdominal hysterectomy
TVH – total vaginal hysterectomy
LAVH – laparoscopic assisted vaginal hysterectomy
LSH – laparoscopic assisted supracervical hysterectomy
BSO, RSO, LSO – bilateral, right, or left salpingo-opherectomy
C Hyst – cesarean hysterectomy
Rad Hyst – radical hysterectomy
to have a radical hysterectomy you also have to take out what...and when i the only time you have to do one?
the upper one third of the vagina

Cervical cancer!!
Beyond microinvasive but no spread to parametrium
Parametrial involvement – stage IIB – “To be” irradiated
Microinvasive is treated with a simple TAH/BSO or TVH/BSO
at what point can you not do surgery anymore and just have to radiate?
stage IIB

when the invasive cervical cancer has spread (perimetrial involvement)
Rad Hyst - Complications
Ureters lose vascularization, innervation
Hydronephrosis
Ureteral fistula
Uroma formation
Urinary ascites – BUN of peritoneal fluid on paracentesis
C - Hyst.. when do you do this ish?
C – section followed by hysterectomy
Often supracervical
Uncontrolled postpartum hemorrhage
Uterine atony
Placenta previa
Placenta accreta, increta, percreta
What do you do for ovarian or uterine cancer?
TAH BSO indicated (total abdo hyster, bilateral salpingoopherectomy)
Potential for pelvic lymph node dissection – internal iliac nodes
Omentectomy in ovarian cancer
Usually a vertical incision for better access and visualization
out of all those abbreviations, which is the most common procedure? what's the most common indication?
TAH
600,000 hysterectomies per year
Majority done abdominally
No strict guidelines for choosing route
Most common indication is symptomatic fibroid uterus
Vertical, Pfannensteil, Kustner, Maylard, Cherney, Misgav Ladach
Risks of Hysterectomy..most common infection causes what? TAH vs TVH and risks?
-Bleeding
-**Infection – Bacterial Vaginosis most common cause of cuff cellulitis
-Damage to bowel, bladder, ureter, blood vessels
-Death
-Risk of anesthesia
-All of these risks are greater with TAH than TVH
What are advantages of TVH?
Shorter operating time
Shorter hospital stay
No risk of hernia
No abdominal incision
Less pain
Significantly lower risk of damage to ureters
Opportunity to repair other defects
General Surgeons vs. Gynecologists
The only thing that sets a gynecologist apart from a general surgeon is the ability to operate vaginally.