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Problems about hysterectomy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   I had a hysterectomy 2 weeks ago it was supposed to be a total hysterectomy but ended up being a sub total. I have received a copy letter from the consultant saying that my operation was complicated that my cavity was 12cms and I had a very bulkky womb. He also stated that it was difficult to access my oreroacral ligaments. He stated that they did an open procedure he then states I bled from the stump. Can you let me know what all this means and why I could of had these complications
Doctor :   Hi
Doctor :   Let me go through your query.
User :   ok
Doctor :   Could you let copy- paste the entire discharge summary, which would be very easy to comprehend.
Doctor :   I have gone through.
Doctor :   Ok , You meant Utero-sacral ligaments.
User :   i can let you know what the whole letter says the discharge letter just states I had a hysterectomy I received the letter yesterday
User :   the letter says
Doctor :   In certain scenarios when the gynecologist or the surgeon feels that the Total hysterectomy may be a bit cumbersome procedure and may cause more damage than help they switch over to sub-total right on the O.T. table.
User :   We carried out a difficult subtotal hysterectomy on this lady who I inherited from another consulatan who has now retired. I considered doing a vaginal hysterectomy but this lady's cavity was 12cm and she had a very bulky uretus with very difficult access to the uterosacral ligaments
Doctor :   Could you let copy- paste the entire discharge summary, which would be very easy to comprehend.
Doctor :   Ok, I got it. Thank you.
User :   we did this through an open procedure and it was long and complicated I was unable to reach the tip of the cervix and did a subtotal. We checked the ureters and retrograde checks on the table. She bled from the stump and was in all a difficult case
User :   that is the whole letter
Doctor :   Usually a total is done through the Vagina called Vaginal hysterectomy but in your case it had been an open one .
Doctor :   If they feel that it can get too complicated because of the size or some fibroids which could be difficult to retract through the vagina, they go for the open method, and leave the cervix part of the uterus.
User :   i understand that I just want to know why the operation proved to be complicated and what is the cavity?
User :   do I have any long term problems I need to worry about?
Doctor :   Could you let me now your age , as in elderly woman this is usually performed.
User :   im 41
Doctor :   Ok, to reduce the complications they have opted fro the open method.
Doctor :   To answer your two questions let me put them under following points : Doctor :   1.The Uterine cavity was too large in your case which usually after involution is 5-7 cms. which was 12cms. in your case.
Doctor :   Do you follow?
User :   yes
User :   what causes that?
Doctor :   2.The Stump is the posterior part of the Uterus between the rectum and the Utero-cervical region.
User :   ok
Doctor :   So as per the treating surgeon, he could not reach the cervix posteriorly as the Stump bled heavily and because of this he went for a sub-total.
Doctor :   Oh! I am sorry i typed capitals by mistake.
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