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Preview Form Medium Preview Form Printed on Jun 26, 2015 Technical Skills Evaluation: Abdominal Hysterectomy Insufficient contact to evaluate (delete evaluation) INSTRUCTIONS: The Milestone rating

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1. Prepare the patient: Before the surgery, ensure that the patient is fully informed about the procedure and the expected outcomes. Obtain necessary consent forms and medical history records.
2. Pre-operative preparations: The patient may need to follow specific instructions provided by the surgeon, such as fasting or stopping certain medications prior to surgery. Carry out any required blood tests, imaging scans, or other pre-operative assessments as recommended.
3. Anesthesia: Administer the appropriate anesthesia to ensure the patient's comfort during the surgery. This may include general anesthesia or regional anesthesia, depending on the specific case and the patient's health condition.
4. Incision and Access: Make an incision in the abdominal area to gain access to the uterus. The size and location of the incision may vary depending on factors such as the patient's anatomy, the reason for the surgery, and the surgical technique chosen.
5. Removal of the uterus: Carefully detach the uterus from its surrounding structures, such as the ligaments and blood vessels. Remove the uterus from the body, taking precautions to minimize bleeding and prevent damage to nearby organs.
6. Closure: Close the incision made in the abdominal area using sutures or surgical staples. Ensure proper wound closure to promote healing and minimize the risk of complications such as infection or hernia.
7. Post-operative care: Monitor the patient in the recovery area, ensuring vital signs are stable and pain is adequately managed. Provide clear instructions regarding post-operative care, including wound care, pain medication, activity restrictions, and follow-up appointments.

Who needs abdominal uysterectomy?

1. Patients with certain gynecological conditions: Abdominal uysterectomy may be necessary for individuals with various gynecological conditions, such as uterine fibroids, endometriosis, uterine prolapse, or certain types of cancer affecting the uterus.
2. Women experiencing heavy or abnormal menstrual bleeding: If medical treatments have proven ineffective in managing heavy or abnormal menstrual bleeding, an abdominal uysterectomy may be considered as a possible solution.
3. Women who have completed their childbearing: Abdominal uysterectomy is often recommended for women who have completed their desired family size and have no plans for future pregnancies. It offers a permanent solution for contraception and may also be considered in cases of severe pelvic pain or other related conditions.

It is important to note that the decision to undergo an abdominal uysterectomy should be made in consultation with a qualified healthcare professional, considering the individual's specific circumstances and medical history.

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