CC BY-NC-ND 4.0 · Surg J (N Y) 2020; 06(S 01): S2-S10
DOI: 10.1055/s-0039-1698419
Precision Surgery in Obstetrics and Gynecology
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Hysterectomy for Cervical and Intraligamental Fibroids

Yuji Hiramatsu
1  Department of Obstetrics and Gynecology, Okayama City General Medical Center, Okayama, Japan
› Author Affiliations
Further Information

Publication History

Publication Date:
20 November 2019 (online)

  

Abstract

Hysterectomy for cervical and intraligamental fibroids is particularly likely to cause massive bleeding, ureteral/bladder injury, and intestinal damage. In such cases, preoperative evaluation is very important, and the way in which surgery proceeds should be based on the preoperative evaluation findings. In other words, before starting surgery, it is important to discuss what second and third methods to use if the first surgical method is unsuccessful. The main points to consider during surgery are expanding the operative field, approaching the operation from a site with weak adhesions, and performing applied techniques such as myomectomy and retrograde hysterectomy.

 
  • References

  • 1 Hiramatsu Y. Basic procedure 1. In: Hiramatsu Y, Konishi I, Sakuragi N, Takeda S. , eds. Mastering the Essential Surgical Procedures OGS Now, No.2 Total Abdominal Hysterectomy (Japanese). Tokyo: Medical View; 2010: 42-55
  • 2 Hiramatsu Y. . Basic Standard Procedure of Abdominal Hysterectomy: Part 1 Precision Surgery in Obstetrics and Gynecology, 1–9, 2019 DOI: https://doi.org/10.1055/s-0039-1678575. ISSN 2378–5128
  • 3 Hiramatsu Y, Sekiba K. Abdominal simple hysterectomy (extrafascial method). In: Practical Methods for Hysterectomy. Tokyo: Nankodo; 1997: 15-43
  • 4 Hiramatsu Y. Application of retrograde abdominal hysterectomy in debulking surgery of epithelial ovarian cancer. Obstet Gynecol (Japanese) 2009; 76: 409-415
  • 5 Hiramatsu Y. Basic procedure 1. In Hiramatsu Y, Konishi I, Sakuragi N, Takeda S. , eds. Mastering the Essential Surgical Procedures, OGS Now, No.2 Application of Retrograde Abdominal Hysterectomy. Tokyo: Medical View; 2010: 162-169
  • 6 Yuji Hiramatsu. Retrograde Abdominal Hysterectomy Precision Surgery in Obstetrics and Gynecology DOI: https://doi.org/10.1055/s-0039-1683919. ISSN 2378–5128.