II. Epidemiology: United States
III. Indications
- Most common indications
- Cancerous and precancerous indications
- Endometrial Cancer (10%)
- Endometrial Hyperplasia (5%)
- Other indications
- Persistent Cervical Dysplasia
- Adenomyosis
- Peripartum bleeding
IV. Procedures
- Transabdominal Hysterectomy
- Lowest quality of life scores
- Highest hospitalization and postoperative costs
- Twice the risk of Postoperative Fever
- Significantly increased blood loss
- Prophylactic antibiotics are recommended
- Peipert (2004) Obstet Gynecol 103:86-91 [PubMed]
- Laparoscopic Assisted Vaginal Hysterectomy
- Same life quality as Vaginal Hysterectomy at 28 days
- Vaginal Hysterectomy
- Fastest return to normal activities
- Highest quality of life scores
- Lowest hospitalization and postoperative costs
V. Adverse Effects (serious complication rate: 10%)
- Mortality: 6 per 10,000 operations
- Urinary Incontinence (increases risk by 40-80%)
- Does not adversely effect sexual function
- Sexual well-being improves after Hysterectomy
- Roovers (2003) BMJ 327:774-8 [PubMed]
VI. Precautions: Prophylactic Oophorectomy at time of Hysterectomy
- Benefits
- Ovarian Cancer significantly reduced
- Note Hysterectomy alone also reduces risk by 35%
- Breast Cancer risk is reduced by 50%
- Ovarian Cancer significantly reduced
- Risks (if oophorectomy performed before age 45)
- Overall mortality increases
- Osteoporosis risk increases
- Cardiovascular disease risk increases
- Dementia risk increases
- References
VII. References
- Ryan (1999) Kistner's Gynecology, Mosby, p. 137-9
- Brown (2000) Lancet 356:535-9 [PubMed]
- van den Eeden (1998) Am J Obstet Gynecol 178:91-100 [PubMed]
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| Definition (CHV) | uterus removal |
| Definition (CHV) | uterus removal |
| Definition (CHV) | uterus removal |
| Definition (CHV) | uterus removal |
| Definition (MEDLINEPLUS) |
A hysterectomy is surgery to remove a woman's uterus or womb. The uterus is the place where a baby grows when a woman is pregnant. After a hysterectomy, you no longer have menstrual periods and can't become pregnant. Sometimes the surgery also removes the ovaries and fallopian tubes. If you have both ovaries taken out, you will enter menopause. Your health care provider might recommend a hysterectomy if you have
Dept. of Health and Human Services Office on Women's Health |
| Definition (NCI) | A surgical procedure to remove the uterine body (partial hysterectomy) or the uterine body and cervix (total hysterectomy). |
| Definition (NCI_NCI-GLOSS) | Surgery to remove the uterus and, sometimes, the cervix. When the uterus and the cervix are removed, it is called a total hysterectomy. When only the uterus is removed, it is called a partial hysterectomy. |
| Definition (CSP) | surgical removal of the uterus. |
| Definition (MSH) | Excision of the uterus. |
| Concepts | Therapeutic or Preventive Procedure (T061) |
| MSH | D007044 |
| SnomedCT | 236886002, 22650008, 149878002, 287922008, 149870009 |
| CPT | 1013911 |
| LNC | LP100604-0 |
| English | Hysterectomies, Uterus excision, Excision procedure on uterus, Hysterectomy NOS, hysterectomy, removal of uterus, hysterectomy (treatment), hysterectomy procedure, hysterectomies, hysterectomy procedures, Hysterectomy NOS (procedure), Hysterectomy Procedures, Hysterectomy (procedure), Hysterectomy, NOS, Hysterectomy (procedure) [Ambiguous], Hysterectomy |
| Dutch | hysterectomie NAO, hysterectomie, Hysterectomie, Uterusextirpatie |
| French | Hystérectomie SAI, Hystérectomie |
| German | Hysterektomie NNB, Hysterektomie, Uterusexstirpation |
| Italian | Isterectomia NAS, Isterectomia |
| Portuguese | Histerectomia NE, Histerectomia |
| Spanish | Histerectomía NEOM, resección del útero, procedimiento de resección uterina, histerectomía, SAI, Hysterectomy NOS, histerectomía, SAI (procedimiento), histerectomía (concepto no activo), histerectomía (procedimiento), histerectomía, Histerectomía |
| Japanese | 子宮摘出, 子宮摘出ＮＯＳ, ｼｷｭｳﾃｷｼｭﾂ, ｼｷｭｳﾃｷｼｭﾂNOS |
| Swedish | Hysterektomi |
| Czech | hysterektomie, Hysterektomie, Hysterektomie NOS |
| Finnish | Hysterektomia |
| Russian | EKSTIRPATSIIA MATKI, GISTEREKTOMIIA, ГИСТЕРЭКТОМИЯ, ЭКСТИРПАЦИЯ МАТКИ |
| Croatian | HISTEREKTOMIJA |
| Polish | Wycięcie macicy, Histerektomia |
| Hungarian | Hysterectomia k.m.n., Hysterectomia |
| Norwegian | Fjerning av livmor, Hysterektomi |
