Total Abdominal Hysterectomy (TAH)

Round and ovarian ligaments

What ligaments are ligated first in a TAH and LAVH?

Vaginal hysterectomy

What procedure ligates the uterosacral ligaments first?

Uterus

What structures are removed during a TAH?

Stick tie on a heaney needle holder (clamp is a ballantine)

In a TAH, what is commonly used as the "tie" in "clamp, clamp, cut, tie"?

O'sullivan-o'connor or bookwalter and heaney clamps (hysterectomy or ballantine)

Instruments unique to TAH?

Pack bowel with moist lap sponges and count with circulator

After placing a self-retaining retractor in the abdominal cavity, what needs to be done next?

Sponge stick

How is the bladder bluntly dissected from the uterus and cervix in a TAH?

Supine

Position in a TAH?

Hysterectomy

Removal of the uterus to treat cancer, chronic pelvic pain, abnormal uterine bleeding, myomas, endometriosis, prolapsed uterus

Jorgensen

Scissors used to remove uterus from the vaginal cuff in a TAH:

They project into the vagina

Why are the Jorgenson scissors and surrounding clamps considered contaminated in a TAH?

Class II clean-contaminated

Wound class of an LAH?