58180 Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s)

Name of the Procedure:

Supracervical Abdominal Hysterectomy (Subtotal Hysterectomy)

• Common name: Partial Hysterectomy
• Technical term: Supracervical Hysterectomy

Summary

A supracervical abdominal hysterectomy is a surgical procedure to remove the uterus while leaving the cervix intact. This procedure may also involve the removal of one or both fallopian tubes and/or ovaries.

Purpose

• Addresses various medical conditions affecting the uterus.
• Aimed at alleviating symptoms or treating diseases such as fibroids, endometriosis, chronic pelvic pain, or abnormal bleeding.
• The goal is to improve quality of life by removing the source of the problem.

Indications

• Presence of symptomatic uterine fibroids
• Severe endometriosis
• Chronic pelvic pain
• Heavy or abnormal uterine bleeding
• Uterine prolapse

Preparation

• Pre-procedure instructions may include fasting for 8-12 hours before surgery.
• Adjustments or temporary cessation of certain medications, especially blood thinners.
• Preoperative blood tests, imaging studies (like ultrasound or MRI), and medical evaluations.

Procedure Description

1. Anesthesia: Administering general anesthesia to ensure the patient is asleep and pain-free.
2. Incision: Making a horizontal or vertical incision in the lower abdomen.
3. Accessing the Uterus: Carefully navigating to the uterus.
4. Uterus Removal: Detaching the uterus while preserving the cervix. If necessary, the fallopian tubes and/or ovaries are also removed.
5. Closure: Closing the incision with sutures or staples.
6. Recovery: Monitoring in a recovery room post-surgery.

Tools and equipment:

• Scalpel, surgical scissors, clamps, sutures, and sometimes laparoscopic instruments.

Duration

Typically takes 1.5 to 3 hours, depending on complexity.

Setting

Performed in a hospital operating room.

Personnel

• Lead Surgeon
• Surgical Assistants
• Nurses
• Anesthesiologist

Risks and Complications

• Common: Infection, bleeding, and reaction to anesthesia.
• Rare: Injury to nearby organs (bladder, bowel), blood clots, or delayed healing.

Benefits

• Relief from symptoms such as pain, bleeding, and pressure.
• Potentially improved quality of life within weeks to months post-procedure.

Recovery

• Immediate post-op: Monitoring in a recovery room for 1-2 hours.
• Short-term care: Hospital stay of 1-2 days. Pain management with prescribed medications.
• Long-term care: Avoid heavy lifting or strenuous activities for 4-6 weeks. Follow-up appointments to monitor healing and address any complications.

Alternatives

• Medications (hormonal treatments).
• Less invasive surgeries (e.g., myomectomy, endometrial ablation).
• Each alternative has individual pros and cons depending on the patient's specific condition and health.

Patient Experience

• During: No awareness or pain due to general anesthesia.
• After: Pain and discomfort managed with medication. Some patients may experience fatigue, bloating, and changes in bowel or bladder habits.
• Ongoing: Gradual improvement in symptoms that prompted the surgery. Regular follow-up and adherence to post-op care instructions are crucial for optimal recovery.