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Abdominal Hysterectomy for Uterine Fibroids

Col. Arthur C. Wittich, DO
Fort Belvoir Community Hospital (Retired)

1. Introduction

2. Incision and Access to the Abdominal Cavity

3. Exposure of Uterus

4. Division of Right Utero-Ovarian Pedicle

  1. Division of Round Ligament
  2. Separation of Anterior Layer of Peritoneum
  3. Transection of Pedicle
  4. Extension of Incision

5. Division of Left Utero-Ovarian Pedicle

  1. Division of Round Ligament
  2. Separation of Anterior Layer of Peritoneum
  3. Transection of Pedicle

6. Division of Right Uterine Vessels

7. Division of Left Uterine Vessels

8. Ligation and Tagging of Uterosacral Ligaments

9. Excision of Uterus

10. Excision of Cervix

11. Closure of Vaginal Cuff

12. Closure

  1. Examination of Specimen