Pages Below:

Hysterectomy

Sub-total

• risk of cervical cancer as cervix remains
• less risk prolapse
• less interference with bladder
• easier to perform laparoscopically

Radical hysterectomy (Wertheim's hysterectomy)

• for cervical cancer
• involves lymph node dissection

Abdominal

• In Malignancy

• if severe adhesions

• large fibroids

• poor access

• difficult in obese patients

• oopherectomy possible

• sub-total possible

• not for prolapse

• 5 days hospitalisation

• 2 months off work

• increased post-op discomfort

Vaginal

• Not in malignancy

• Adhesion with laparoscopically assisted vaginal hysterectomy (LAVH)

• Fibroids difficult

• Difficult with poor access

• Better appraoach if patient obese

• oopherectomy possible

• sub-total possible

• good for prolapse +/- repair

• 1-3 days hospitalisation

• 1 month off work

• much less pain