Difference between revisions of "Hysterectomy for fibroids grossing"

Hysterectomy for fibroids grossing (view source)

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 In prophylatic procedures for [[BRCA|BRCA1 mutation or BRCA2 mutation carriers]], the ovaries and tubes, endometrium, and lower uterine segment should all be [[submitted in total]].<ref name=pmid24495259>{{Cite journal  | last1 = Downes | first1 = MR. | last2 = Allo | first2 = G. | last3 = McCluggage | first3 = WG. | last4 = Sy | first4 = K. | last5 = Ferguson | first5 = SE. | last6 = Aronson | first6 = M. | last7 = Pollett | first7 = A. | last8 = Gallinger | first8 = S. | last9 = Bilbily | first9 = E. | title = Review of findings in prophylactic gynaecological specimens in Lynch syndrome with literature review and recommendations for grossing. | journal = Histopathology | volume = 65 | issue = 2 | pages = 228-39 | month = Aug | year = 2014 | doi = 10.1111/his.12386 | PMID = 24495259 }}</ref>
+==Opening==
+===Orientation of hysterectomies===
+*Less peritoneum on anterior (as the [[urinary bladder]] is there).
+**'''P'''osterior '''p'''eritoneal edge: '''p'''ointy (upside down triangle).
+***Anterior peritoneal edge: rounded/non-pointy.
+*Tubes on anterior-lateral aspect.<ref>{{Ref Lester3|425}}</ref>
+**Round ligaments posterior to tubes.
 ==Protocol==
 Specimen type: total hysterectomy.