Presentation
A brief review of the current literature is presented with respect to the case report. [ncbi.nlm.nih.gov]
Entire Body System
- Pain
Risk factors include preoperative pelvic pain, pain elsewhere, acute postoperative pain, surgical procedure, and psychological factors such as anxiety and depression. The pain may be neuropathic in 5-50% of cases. [ncbi.nlm.nih.gov]
Your doctor will give you medication for the pain and monitor your vital signs, such as your breathing and heart rate. You’ll also be encouraged to walk around the hospital as soon as possible. [healthline.com]
Sometimes fibroids cause heavy bleeding or pain. Endometriosis — another benign condition that affects the uterus. It is the second leading reason for hysterectomies. [idph.state.il.us]
- Surgical Procedure
The technical key steps of the surgical procedure are presented in a step by step way: exposure/Incision, ovarian vessels, bladder dissection, uterine vessels, uterus removal, end of procedure. [websurg.com]
PURPOSE OF REVIEW: Hysterectomy is a common surgical procedure with a low risk of major complications. [ncbi.nlm.nih.gov]
Within these three main groupings are different types of procedures and surgical methods that will be further described herein. [ftmguide.org]
A hysterectomy is a surgical procedure to remove a woman’s uterus. The uterus, also known as the womb, is where a baby grows when a woman is pregnant. The uterine lining is the source of menstrual blood. You may need a hysterectomy for many reasons. [healthline.com]
[…] describes a surgical procedure in which the uterus is removed through the vagina. [nwhn.org]
- Falling
We hypothesize that the site of a fracture depends, at least in part, on how a person falls and on what body part she/he lands when falling. People who fracture their proximal humerus tend to fall to the side and land on their shoulder ( 20 ). [doi.org]
Finally, if any uterine or vaginal prolapse is present, ask the doctor what tissues the vagina will be reattached to to prevent it from falling down again. [wdxcyber.com]
Prolapse- Falling or slipping of the uterus. Hyperplasia- Abnormal overgrowth of the inside lining of the uterus, which sometimes has the potential to develop into cancer. [womenandinfants.org]
After ureteral identification, further retroperitoneal dissection allows the ureter to fall laterally and away from active ligation and coagulation. [emedicine.medscape.com]
- Weakness
The hysterectomy specimen confirmed the diagnosis by strong HMB-45 positivity, weak S100 positivity, and focal, moderate cytoplasmic TTF-1 positivity, and negative melan A, SMA, desmin, vimentin, cytokeratins, CD1a and other markers. [ncbi.nlm.nih.gov]
Uterine prolapse is due to weak and stretched pelvic ligaments and tissues, and can lead to urinary problems, pelvic pressure or difficulty with bowl movements. Childbirth, obesity and loss of estrogen after menopause may contribute to this problem. [idph.state.il.us]
In some women, the pelvic muscles and ligaments that support the vagina, bladder, and rectum may become weak. The weakness may cause bladder or bowel problems, such as cystocele, urinary incontinence, or rectocele. [northshore.org]
Surgeons like to use the natural tissues and ligaments to repair these hernias if possible but sometimes the tissues are just too weak and a synthetic material is needed. [wdxcyber.com]
Pelvic weakness. After a hysterectomy, some women develop other physical problems that are related to weakness of the pelvic muscles and ligaments that support the vagina, bladder, and rectum. [cigna.com]
- Disability
[…] and parents of people with disabilities on legal and other issues related to sterilization, the “Ashley Treatment,” and other growth-limiting medical interventions for children with developmental disabilities from the perspective of members of the disability [web.archive.org]
Please enable JS and disable any ad blocker [obgyn.net]
Some of these problems can cause pain, heavy bleeding, and other disabling conditions. There are often many options for treating these problems, but sometimes a hysterectomy is recommended. [womenandinfants.org]
[…] non-cancerous growths in the uterine wall), endometriosis (a non-cancerous condition in which uterine lining glands grow outside the uterus) or prolapse (falling or slipping of the uterus) – can cause chronic pain and heavy bleeding, as well as other disabling [stfranciscare.org]
Gynecological conditions can cause chronic pain and heavy bleeding as well as other disabling symptoms. [gwinnettmedicalcenter.org]
Gastrointestinal
- Abdominal Pain
A 34-year-old patient with a history of subtotal hysterectomy for postpartum hemorrhage consulted for acute abdominal pain. The diagnosis of ectopic pregnancy was made using blood pregnancy test and transvaginal ultrasound. [ncbi.nlm.nih.gov]
- Nausea
The surgeon and assistant surgeons did not report any symptoms attributable to the 3D imaging system such as dizziness, eyestrain, nausea, and headache. [ncbi.nlm.nih.gov]
[…] blockage Earlier onset of menopause Infection Injury to your urinary tract, bladder, rectum or other pelvic structures Contact your doctor if you experience any of the following after your surgery: Bright red vaginal bleeding Fever over 100 degrees Severe nausea [loyolamedicine.org]
You have nausea and vomiting. You become short of breath or have chest pain. You develop a rash. You have heavy bleeding from the vagina. You have swelling, redness, or pain in your leg. [greenvilleob.com]
You may return to a normal diet as soon as you can without causing nausea and vomiting. How long you stay in the hospital depends on the type of hysterectomy. [medlineplus.gov]
You should contact your doctor if pain worsens or if you develop nausea or vomiting, or bleeding that's heavier than a menstrual period. [healthdirect.gov.au]
- Vomiting
This reduces the risk of vomiting during surgery. Most women are asked not to eat or drink anything after midnight before surgery to allow the stomach to be as empty as possible. [drugs.com]
[…] onset of menopause Infection Injury to your urinary tract, bladder, rectum or other pelvic structures Contact your doctor if you experience any of the following after your surgery: Bright red vaginal bleeding Fever over 100 degrees Severe nausea or vomiting [loyolamedicine.org]
You have nausea and vomiting. You become short of breath or have chest pain. You develop a rash. You have heavy bleeding from the vagina. You have swelling, redness, or pain in your leg. [greenvilleob.com]
You may return to a normal diet as soon as you can without causing nausea and vomiting. How long you stay in the hospital depends on the type of hysterectomy. [medlineplus.gov]
You should contact your doctor if pain worsens or if you develop nausea or vomiting, or bleeding that's heavier than a menstrual period. [healthdirect.gov.au]
- Lower Abdominal Pain
A 39-year-old female presented with vague lower abdominal pain, fever, and rectal discharge 15 mo after hysterectomy. The sponge remaining in the abdomen had no radiopaque marker. Therefore a series of radiographic evaluations was fruitless. [ncbi.nlm.nih.gov]
They usually are tachycardic and tachypneic and have lower abdominal pain and tenderness. [dx.doi.org]
Horrible lower abdominal pain. Days I couldn't go to school because of … Total hysterectomy & endometriosis is still here! Not rated yet First of all, I am so glad I found this site. [endo-resolved.com]
- Abdominal Bloating
Avoid foods that cause abdominal bloating, constipation, or diarrhea, which can lead to straining during defecation or make it difficult to pass wind; these things can contribute to prolapse over time. [pericoach.com]
In addition to sexual functioning, prehysterectomy depression was associated with poor outcomes of hysterectomy in terms of symptoms such as bleeding, pelvic pain, back pain, activity limitation, sleep disturbance, fatigue, abdominal bloating, and urinary [jama.ama-assn.org]
Cardiovascular
- Thrombosis
We present a 35-year-old parturient with placenta percreta that was managed with internal iliac artery balloon occlusion with concomitant use of TXA during urgent cesarean hysterectomy with subsequent aortoiliac thrombosis formation. [ncbi.nlm.nih.gov]
It can also leave them more prone to deep vein thrombosis or pulmonary embolism (a clot in the vein or lung). [express.co.uk]
Bonito M, Gulemì L, Basili R, Brunetti G, Roselli D (2007) Thrombosis associated with a large uterine myoma: case report. Clin Exp Obstet Gynecol 34(3):188–189 PubMed Google Scholar 2. Carter JE, McCarus SD (1997) Laparoscopic myomectomy. [dx.doi.org]
A risk of deep vein thrombosis (blood clot in calf) or pulmonary embolus (blood clot in lung) is low (less than 1%) and this risk is comparable across surgical techniques. [obermair.info]
deep vein thrombosis or pulmonary embolism) difficulties with urination injury to the bowel, bladder or ureters (tubes that carry urine from the kidneys to the bladder) – rare fistula (abnormal hole between internal structures, such as the bowel and [betterhealth.vic.gov.au]
Skin
- Ulcer
Experience with the endorectal ileal pullthrough with lateral reservoir for ulcerative colitis and polyposis. Arch Surg [Internet]. 1988;123(9):1053–1058. Google Scholar 84. [oadoi.org]
1.6 versus 4.9 1.6 versus 2.6 27 versus 56 27 versus 45 DRS: 1.8% LSC:7.1% DRS: 0% OS: 3% LSC: 0% DRS: 0OS: 0 LSC: 13% (7) obturator n. injury (3), cystotomy (2), enterotomy (1), vessel injury (1) DRS: Major: 5% PE (1), abscess (1), perforated gastric ulcer [ncbi.nlm.nih.gov]
Eyes
- Prolapse
[…] hysterectomy for pelvic organ prolapse, and/or a family history of pelvic organ prolapse. [ncbi.nlm.nih.gov]
Psychiatrical
- Suggestibility
Proponents of LSH suggest possible advantages including reduced recovery time, decreased risk of pelvic organ prolapse, and decreased risk of organ damage, in particular to the urinary tract. [ncbi.nlm.nih.gov]
Overall, the literature suggests that barbed sutures are a useful tool for vaginal cuff closure. [dx.doi.org]
A cynic would suggest that the issues surrounding laparoscopy and laparoscopically assisted vaginal hysterectomy in particular continue to be debated because the technique has been promoted by those closely tied to the industries that gain financially [oadoi.org]
Urogenital
- Incontinence
Hysterectomy for benign indications, irrespective of surgical technique, increases the risk for subsequent stress-urinary-incontinence surgery. [ncbi.nlm.nih.gov]
Women who had the LAVH were most likely to report severe urinary incontinence (2.02, CI 95% 1.32 – 3.07), but not severe frequency or nocturia. [oadoi.org]
- Vaginal Bleeding
The inferior mesenteric artery has been rarely reported as the origin of pelvic bleeding. We present 2 cases of intractable intrapelvic and vaginal bleeding after hysterectomy. [ncbi.nlm.nih.gov]
It is a very effective treatment for fibroid tumors, adenomyosis, and abnormal vaginal bleeding when less aggressive treatment options have not been successful. [emedicinehealth.com]
Side Effects Side Effects of a Hysterectomy It is normal to have some vaginal bleeding and discharge after a hysterectomy for up to several weeks, but you should see your doctor if these symptoms persist. [loyolamedicine.org]
- Cesarean Section
Laparoscopic total hysterectomy for benign conditions: standard technique Laparoscopic total hysterectomy for benign conditions: standard technique Abstract Nowadays, hysterectomy is, after cesarean section, the most common surgical intervention performed [websurg.com]
Hysterectomy may also be performed after cesarean section —delivery of an infant through the abdominal wall—if there are such complications as uncontrolled bleeding, gross infection, or cancer of the cervix. [britannica.com]
After a canalization procedure and cervicoplasty were performed, the patient conceived naturally and prematurely delivered by cesarean section twice. [ncbi.nlm.nih.gov]
Higher risk of complications to the bladder, bowel, ureter with prior cesarean section and pelvic surgery. Prior Cesarean Section or other pelvic or abdominal surgery causes scar tissue, which may make the surgery more difficult to accomplish. [innovativegyn.com]
- Vaginal Discharge
Vaginal discharge After a hysterectomy you will experience some bleeding and discharge. This is less than a period but may last up to six weeks. [hse.ie]
You may have a pale brown vaginal discharge for a few weeks. This is nothing to worry about unless the discharge becomes heavy, smelly or itchy, which may indicate an infection. There is no reason why you should gain weight after a hysterectomy. [womens-health-concern.org]
Vaginal discharge following hysterectomy is normal for up to 6 weeks. I recommend to abstain from sexual intercourse during that time to minimise the risk of infection. [obermair.info]
Consult your medical practitioner if you have fever, nausea and vomiting, or foul vaginal discharge, as this may signal an infection. Try to arrange for someone to take care of you for the first few days. [ourbodiesourselves.org]
At Home During the first few days, you may have pain, bloating, vaginal bleeding, and vaginal discharge. When you return home, do the following to help ensure a smooth recovery: During the first 2 weeks, rest and avoid lifting. [lahey.org]
Treatment
After the appropriate treatment, the majority of the complications were under control.The incidence of urological complications is acceptable. [ncbi.nlm.nih.gov]
Prognosis
Recurrent cervical cancer with the pelvic side wall invasion has a deleterious effect on prognosis if there is no alternative method to achieve local tumor control [1, 2]. [ncbi.nlm.nih.gov]
Outlook (Prognosis) How long it takes you to recover depends on the type of hysterectomy. [ufhealth.org]
What Is the Prognosis for Hysterectomy? Hysterectomy is a common and generally very safe procedure. Most women recover fully with no complications. [emedicinehealth.com]
Etiology
In etiological studies of renal cell carcinoma, the associations between exogenous hormones, reproductive factors, or gynecological operations have not been well examined. [ncbi.nlm.nih.gov]
Gallini no. 2; 33081Aviano (PN), Italy Search for more papers by this author First published: 25 August 2008 Cited by: 17 Abstract A role of hormone‐related factors in renal cell cancer (RCC) etiology has been hypothesized, but the epidemiological evidence [dx.doi.org]
Epidemiology
Wilson, Epidemiology of Renal Cell Carcinoma, Pathology and Epidemiology of Cancer, 10.1007/978-3-319-35153-7_17, (313-334), (2016). ANNA M. [dx.doi.org]
METHODS: Patients with FIGO stage I-II cervical adenocarcinoma were selected from the Surveillance, Epidemiology, and End Results 18 Regs research database. Propensity score matching (PSM) was used to balance patient baseline characteristics. [ncbi.nlm.nih.gov]
Pathophysiology
Target Audience: Obstetricians & Gynecologists, Family Physicians Learning Objectives: After completion of this article, the reader will be able to describe the pathophysiology of chronic pelvic pain, to outline the evaluation of a patient with chronic [oadoi.org]
Al-Talib A, Tulandi T (2010) Pathophysiology and possible iatrogenic cause of leiomyomatosis peritonealis disseminata. Gynecologic and Obstetric Investigation 69 : 239–244. [ PubMed ] [ Google Scholar ] 22. [ncbi.nlm.nih.gov]
Prevention
In addition, sentinel node navigation surgery (SNNS), which can prevent lower limb edema, has been widely used for radical hysterectomy. [ncbi.nlm.nih.gov]
Centers for Disease Control and Prevention Website, Key Statistics from the National Survey of Family Growth, Atlanta, GA: Centers for Disease Control and Prevention 2015. [nwhn.org]