Hysterectomy

Question 1

Steps of hysterectomy

Answer 1

Laparotomy, development of the visual field
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2. Ligate and cut the round ligament
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3. Clamp, cut, and ligate the ovarian ligament and Fallopian tube (or the infundibulopelvic ligament)
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4. Mobilization of the bladder
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5. Clamp, cut, and ligate the uterine artery and vein
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6. Push down the cutting stump with gauze
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7. Clamp, cut, and ligate the sacrouterine ligament and the posterior half of the cardinal ligament
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8. Clamp, cut, and ligate the vesicouterine ligament and the anterior half of the cardinal ligament
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9. Clamp the boundary between the portio vaginalis and the vagina
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10. Incise the vagina and remove the uterus
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11. Disinfect the vagina and close the vaginal cuff
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12. Hemostasis
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13. Close the retroperitoneum
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14. Close the abdominal wall