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Hysterectomies: Subtotal Hysterectomy
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[H]ysterectomies may be "total," "partial," or "radical." Total hysterectomies require surgical removal of the uterus and cervix, while partial hysterectomies typically involve only the uterus. A radical hysterectomy calls for removing the uterus, cervix, ovaries, oviducts, lymph nodes, and lymph channels. Other variations can occur, too, such as a hysterectomy with bilateral salpingo-oophorectomy (taking out fallopian tubes and both ovaries, along with the uterus).
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Data were collected prospectively from 4609 women who had hysterectomies at St. John’s Mercy Medical Center in St. Louis, Missouri, between 1988 and 1993. The medical records department transcribed from the medical charts the diagnosis and pelvic pathology reports, route of hysterectomy, uterine weight (from the pathology record), complications (from the face sheet of the medical record), hospital charges, length of stay, age, race, and type of insurance (defined as private, managed care, Medicare, Medicaid, or self-pay).
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Why are only a quarter of all hysterectomies done with minimally invasive techniques, using smaller incisions and offering a quicker and easier recovery? Dr. John George was online Tuesday, Oct. 2 at 2 p.m. ET to explain the risks and benefits of a laparoscopic hysterectomy.
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Subtotal Hysterectomy