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Question
Posted by: zzzibi | 2007/03/02

hysterectomy

Ineed to undergo an abdominal hysterectomy as a result of various myoma inside the uterus and quite large in size.

Can this be done by making use of an epidural/spinal block rather than administering general anaesthesia?

Can you please explain the steps in the procedure to me, for example cut on bikini line through how many layers and which layers. clamping of which arteries, loosening of uterus etc. etc as well as stitching up every layer. Where does the bladder lie during the procedure, and how does one make sure not to accidently puncture the colon? Sorry about these funny questions, but a "friend " is scaring me to death.

Many thanks

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Our expert says:
Expert ImageGynaeDoc

You can have this done under epidural/spinal. The skin cut will depend on the size of the fibroids. If very big, it may not be possible to do a bikini cut. After the skin, the layer s which are cut through are fat, rectus sheath and peritoneum. The arteries clamped and cut are the ovarian and uterine arteries, and the uterus has to be cut free from the broad ligament and transverse cervical ligaments. The colon is usually pushed out of the way with swabs. If stuck to the uterus, this can be a problem. The bladder lies in front of the uterus and is also pushed down. Once again, if the anatomy is distorted, injury can occur.

Best wishes

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Our users say:
Posted by: zzzibi | 2007/03/07

Thank you so much, Gynaedoc!

Reply to zzzibi

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