Peripartum Hysterectomy Versus Non Obstetrical Hysterectomy

IntroductionHysterectomy is the surgical removal of the uterus.It is one of the commonest gynecological procedures performed all over the world.Most of the time it is done electively for common gynecological conditions like abnormal uterine bleeding, fibroid uterus, endometriosis, chronic pelvic pain and cervical dysplasia.In majority of these conditions, woman is peri menopausal or has already completed her family.Cesarean hysterectomy is a unique entity where surgical removal of uterus is performed in order to save the patient's life.Although the basic steps of different types of hysterectomy are similar, yet according to their indications and pelvic anatomy, the technique can become more challenging leading to various outcomes in the post operative period. Types of hysterectomyDepending on the reason for doing hysterectomy, different types of hysterectomies are performed.These include:1. Total abdominal hysterectomy 2. Supra cervical hysterectomy 3. Radical /Wertheim's Hysterectomy 4. Vaginal Hysterectomy 5. Laparoscopic assisted vaginal hysterectomy 6. Obstetric/Cesarean Hysterectomy Total abdominal hysterectomyThis is, by far, one of the commonest gynaecological major operations.Abdominal hysterectomies are usually performed for large uterine fibroids, endometriosis and dysfunctional uterine bleeding etc.A further extension to total abdominal hysterectomy is the Radical hysterectomy which is reserved for carcinoma of the cervix or uterus.For total abdominal hysterectomy, the patient is placed in dorsal position.Incision to the abdomen is made vertically or transversely according to the indication and size of the uterus.After opening the peritoneal cavity, abdominal sponges are used to pack the bowel www.intechopen.comHysterectomy 104 and Balfour retractor is applied to have good access of the operating field.Uterus is grasped with medium sized clamps and pulled out of the incision to expose the anterior surface of the uterus. How to referenceIn order to correctly reference this scholarly work, feel free to