hysterectomy

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hysterectomy

(hĭstərĕk`təmē), surgical removal of the uterusuterus,
in most female mammals, hollow muscular organ in which the fetus develops and from which it is delivered at the end of pregnancy. The human uterus is pear-shaped and about 3 in. (7.
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. A hysterectomy may involve removal of the uterus only or additional removal of the cervix (base of the uterus), fallopian tubesfallopian tube
, either of a pair of tubes extending from the uterus to the paired ovaries in the human female, also called oviducts, technically known as the uterine tube.
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 (salpingectomy), and ovariesovary,
ductless gland of the female in which the ova (female reproductive cells) are produced. In vertebrate animals the ovary also secretes the sex hormones estrogen and progesterone, which control the development of the sexual organs and the secondary sexual characteristics.
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 (oophorectomy). It may be performed through a conventional abdominal incision or through the vagina. It is performed in cases of malignant tumors, endometriosis, prolapsed uterus, or fibroids that cause bleeding and pain. An emergency hysterectomy is sometimes necessary to end uterine hemorrhaging.

Removal does not physically interfere with sexual activity, but it does eliminate the uterine contractions of orgasm. It also eliminates the possibility of childbearing and precipitates menopausemenopause
or climacteric
, transitional phase in a woman's life when the ovaries stop releasing eggs, ovarian production of estrogen and other hormones tapers off, and menstruation ceases.
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 in premenopausal women. Surgical removal of the ovaries eliminates their production of estrogenestrogen
, any one of a group of hormones synthesized by the reproductive organs and adrenal glands in females and, in lesser quantities, in males. The estrogens cause the thickening of the lining of the uterus and vagina in the early phase of the ovulatory, or menstrual, cycle
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 and progesteroneprogesterone
, female sex hormone that induces secretory changes in the lining of the uterus essential for successful implantation of a fertilized egg. A steroid, progesterone is secreted chiefly by the corpus luteum, a group of cells formed in the ovary after the follicle
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 along with these hormones's protective benefits to the heart, bones, and skin.

Some women's health advocates have questioned what they feel is the overuse of hysterectomy in the United States, where it is the second most common surgical procedure. Some studies have judged that up to 25% of hysterectomies performed in the United States are unnecessary and that more conservative treatments (laparoscopic surgery, hormone therapy, or simple removal of fibroids) would suffice in these cases.

hysterectomy

[‚his·tə′rek·tə·mē]
(medicine)
Surgical removal of all or part of the uterus.

hysterectomy

surgical removal of the uterus
References in periodicals archive ?
CONCLUSION: This study establishes the effectiveness of wound infiltration using local anesthetics (bupivacaine/ropivacaine) along with fentanyl as a part of multimodal analgesia for postoperative pain relief after total abdominal hysterectomy with bilateral salpingo-oophorectomy under spinal anesthesia.
Exploratory laparotomy, diverting colostomy, total abdominal hysterectomy, and bilateral salpingoophorectomy, removal of right ovarian mass and left DJ stenting was performed.
Results: Out of the total 45 cases, the procedure that resulted in most surgical site infections was emergency lower segment caesarean section (LSCS) followed by total abdominal hysterectomy.
The difference between the postoperative complications was insignificant between Vaginal Hysterectomy and total abdominal hysterectomy.
The 50 patients were randomised into two groups with 25 each, which include total abdominal hysterectomy using traditional suturing technique in one group and LigaSure vessel sealing system in the other.
My son was born in 2011 after a very difficult labour in which I lost a lot of blood and needed a total abdominal hysterectomy.
For this analysis, vesicovaginal fistulas and urinary tract injuries were tracked for total abdominal hysterectomy, subtotal abdominal hysterectomy, and total vaginal hysterectomy with or without laparoscopic assistance.
Total abdominal hysterectomy with bilateral salpingo-oophorectomy was done.
Comparison of the postoperative course for women undergoing robotic assisted total abdominal hysterectomy (TAH) and traditional (open) TAH.
8% of women who had symptomatic uterine fibroid had total abdominal hysterectomy with or without bilateral salpingo- oophorectomy in Enugu, Nigeria (5).
A 55-year-old woman with a history of stage IA, well-differentiated endometrial adenocarcinoma and extensive uterine leiomyomas for which she had undergone total abdominal hysterectomy five years earlier presented to the emergency department with tachycardia, chest pain, shortness of breath, episodic hemoptysis, and bilateral lower extremity edema.