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?