Abstract
Hysterectomy is one of the most common operations performed in the United States. The National Center for Health Statistics estimates that 649,000 hysterectomies were performed in 1980. Based on death to case rates of 1 to 2 deaths per 1,000 hysterectomies of all types and for all indications, an estimated 600 to 1,200 hysterectomy-related deaths occurred in 1980.12 In one large multicenter series, for women of reproductive age undergoing abdominal hysterectomies, the overall complication rate was 42.8 per 100.10 Attention to specific detail greatly decreases the morbidity from this operation, and this chapter outlines precise measures to minimize injury to the adjacent structures and tissue trauma during total abdominal hysterectomy (Fig. 15-1).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Amirikia H, Evans TN: Ten-year review of hysterectomies: Trends, indications, risks. Am J Obstet Gynecol 1979; 134: 431–437.
Andrews WC, Larsen DC: Endometriosis: Treatment with hormonal pseudopregnancy and/or operation. Am J Obstet Gynecol 1974; 118: 643–651.
Barbieri RL, Evans S, Kistner RW: Danazol in the treatment of endometriosis: Analysis of 100 cases with a 4-year follow-up. Fertil Steril 1982; 37: 737–746.
Bernstein K, Ulmsten U, Astedt B, et al: Incidence of thrombosis after gynecologic surgery evaluated by an improved 125I-Fibrinogen uptake test. Angiology 1980; 31: 606–613.
Blaustein A: Pathology of the Female Genital Tract. New York, Springer-Verlag, 1977.
Carter B: Treatment of endometriosis. J Obstet Gynaecol Br Comm 1962; 69: 783–789.
Christopherson WM, Gray LA, Parker JE: Microinvasive carcinoma of the uterine cervix: long term follow up study of 80 cases. Cancer 1976; 38: 629–632.
Chung AF, Menon J, Dillon TF: Acute postoperative retroperitoneal fibrosis and ureteral obstruction secondary to the use of Avitene. Am J Obstet Gynecol 1978; 132: 908–909.
Creasman WT, Boronow RC, Morrow CP, et al: Adenocarcinoma of the endometrium: Its metastatic lymph node potential. Gynecol Oncol 1976; 4: 239–243.
Dicker RC, Greenspan JR, Strauss LT, et al: Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States. Am J Obstet Gynecol 1982; 144: 841–848.
Duff P: Antibiotic prophylaxis for abdominal hysterectomy. Obstet Gynecol 1982; 60: 25–29.
Esterday CL, Grimes DA, Riggs JA: Hysterectomy in the United States. Obstet Gynecol 1983; 62: 203–212.
Goldrath MH, Fuller TA, Segal S: Laser photovaporization of endometrium for the treatment of menorrhagia. Am J Obstet Gynecol 1981; 140: 14–19.
Gray LA: Endometriosis of the bowel: Role of bowel resection, superficial excision and oophorectomy in treatment. Ann Surg 1973; 177: 580–587.
Green TH: Urinary stress incontinence: Differential diagnosis, pathophysiology, and management. Am J Obstet Gynecol 1975; 122: 368–400.
Hammond CB, Rock JA, Parker RT: Conservative treatment of endometriosis: The effects of limited surgery and hormonal pseudopregnancy. Fertil Steril 1976; 27: 756–766.
Ingersoll FM, Malone LJ: Myomectomy: An alternative to hysterectomy. Arch Surg 1970; 100: 557–561.
Keye WR Jr, Matson GA, Dixon J: The use of the argon laser in the treatment of experimental endometriosis. Fertil Steril 1983; 39: 26–29.
Ledger WJ, Child MA: The hospital care of patients undergoing hysterectomy: An analysis of 12,026 patients from the Professional Study Activity. Am J Obstet Gynecol 1973; 117: 423–433.
Long RT, Sala JM, Spratt JS: Endometrial carcinoma recurring after hysterectomy: A study of 64 cases, with observations on effective treatment modalities and implications for alteration of primary therapy. Am J Obstet Gynecol 1978; 29: 318–321.
Magrina JF, Masterson BJ, Cameron WJ, et al: Study of the effects of topical hemostatic agents on the retroperitoneum and ureters of dogs. Arch Gynecol 1982; 231: 135–140.
Peacock EE, Van Winkle W: Wound Repair. Philadelphia, Saunders, 1976.
Piver MS, Yazigi R, Blumenson L, et al: A prospective trial comparing hysterectomy, hysterectomy plus vaginal radium, and uterine radium plus hysterectomy in stage I endometrial carcinoma. Obstet Gynecol 1979; 54: 85–89.
Ranney B, Frederick I: The occasional need for myomectomy. Obstet Gynecol 1979; 53: 437–441.
Rao PS, Cavanagh D, Richman AV, et al: An evaluation of the tendency of Avitene to produce periureteral fibrosis in the dog. Am J Obstet Gynecol 1983; 145: 87–91.
Richardson AC, Lyon JB, Graham EE: Abdominal hysterectomy: Relationship between morbidity and surgical technique. Am J Obstet Gynecol 1973; 115: 953–961.
Rubio CA, Thomassen P: A critical evaluation of the Schiller test in patients before conization. Am J Obstet Gynecol 1976; 125: 96–99.
Salazar OM, Bonfiglio TA, Patten SF, et al: Uterine sarcomas: Analysis of failures with special emphasis on the use of adjuvant radiation therapy. Cancer 1978; 42: 1161–1170.
Wheeler JM, Malinak LR: Postoperative danazol therapy in infertility patients with severe endometriosis. Fertil Steril 1981; 36: 460–463.
Williams TJ: The role of surgery in the management of endometriosis. Mayo Clin Proc 1975; 50: 198–203.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1986 Springer-Verlag New York Inc
About this chapter
Cite this chapter
Masterson, B.J. (1986). Total Abdominal Hysterectomy. In: Manual of Gynecologic Surgery. Comprehensive Manuals of Surgical Specialties. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-4860-6_15
Download citation
DOI: https://doi.org/10.1007/978-1-4612-4860-6_15
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-9334-7
Online ISBN: 978-1-4612-4860-6
eBook Packages: Springer Book Archive