Nerve Sparing Abdominal Hysterectomy
Step by step
Abdominal cavity approach
Either a transverse muscle-splitting (Pfannenstiel) or a lower midline (vertical) incision can be used. The various types of incisions are elaborated on in the module ‘Abdominal wall incisions’.
The choice of incision depends on any previous abdominal surgery, the risk of incisional hernia, the need to explore the upper abdomen, the size and the mobility of the uterus and the desired cosmetic result. In case of a prior surgical incision, the old incision can be used to avoid additional scarring.
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