USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

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HYSTERECTOMY


Hysterectomy, removal of the uterus, is a major inpatient surgical procedure
performed under either regional or general anesthesia. It is used for both
diagnosis and therapy.


Depending   on  the indications and pelvic  exam,   the procedure   can be
performed vaginally, abdominally, laparoscopically, or robot-assisted.
Subtotal or supracervical hysterectomy removes only the corpus of the
uterus, leaving the cervix in place.
Total hysterectomy, the most common procedure, removes both the corpus
and cervix of the uterus. Total hysterectomy is also known as simple
hysterectomy.
Radical hysterectomy, performed for early-stage cervical carcinoma,
involves removal of the uterus, cervix, and surrounding tissues, including
cardinal ligaments, uterosacral ligaments, and the upper vagina.
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