Gynecological Surgeries & Procedures: A Complete Guide for Students & Practitioners

1. Diagnostic Procedures

1.1 Hysteroscopy

  • Definition: A minimally invasive procedure to examine the uterine cavity.
  • Indications:
    • Abnormal uterine bleeding
    • Endometrial polyps
    • Submucosal fibroids
  • Complications:
    • Uterine perforation
    • Infection

1.2 Laparoscopy

  • Definition: A minimally invasive technique using a laparoscope for visualizing pelvic organs.
  • Indications:
    • Endometriosis
    • Tubal ligation
    • Ovarian cyst removal

2. Therapeutic Surgeries

2.1 Dilation & Curettage (D&C)

  • Definition: A surgical procedure to remove endometrial tissue.
  • Indications:
    • Abnormal uterine bleeding
    • Miscarriage management
    • Endometrial biopsy

2.2 Myomectomy

  • Definition: Surgical removal of fibroids, preserving the uterus.
  • Indications:
    • Heavy menstrual bleeding
    • Fibroid-related infertility

2.3 Hysterectomy

  • Definition: Complete removal of the uterus.
  • Types:
    • Total Hysterectomy – Removal of uterus & cervix
    • Subtotal Hysterectomy – Uterus removed, cervix retained
    • Radical Hysterectomy – Uterus, cervix, and surrounding tissues removed
  • Indications:
    • Fibroids
    • Endometrial hyperplasia
    • Gynecological cancers

3. Fertility-Preserving Surgeries

3.1 Tuboplasty

  • Definition: Surgical reconstruction of fallopian tubes to restore fertility.
  • Indications:
    • Tubal blockage
    • Previous tubal ligation reversal

3.2 Salpingostomy

  • Definition: Creation of an opening in the fallopian tube to remove ectopic pregnancy.

4. Gynecologic Cancer Surgeries

4.1 Radical Hysterectomy

  • Definition: Removal of uterus, cervix, parametrium, and vaginal cuff.
  • Indications:
    • Cervical cancer
    • Endometrial cancer

4.2 Oophorectomy

  • Definition: Surgical removal of ovaries.
  • Indications:
    • Ovarian cancer
    • BRCA mutation carriers (risk reduction)

4.3 Pelvic Exenteration

  • Definition: Removal of all pelvic organs (uterus, ovaries, bladder, rectum).
  • Indications:
    • Advanced gynecological malignancies

5. Urogynecologic Procedures

5.1 Colporrhaphy

  • Definition: Surgical repair of vaginal wall prolapse.
  • Indications:
    • Cystocele
    • Rectocele

5.2 Sling Procedure (for Urinary Incontinence)

  • Definition: A surgical mesh sling is placed around the urethra to prevent leakage.


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