Hysterectomy

Women with uterine disorders now have more choices than ever before - aggressive or minimally invasive surgery, hormonal manipulation, laser ablation, and so on. It is no longer acceptable simply to offer a choice of abdominal or vaginal hysterectomy to the patient with abnormal bleeding, whether due to fibroids, uterine cancer, or the menopause. Exciting new techniques in laparoscopic surgery and advances in reproductive endocrinology give the gynecologist more options when deciding on treatment plans. This clinical reference discusses the basic science and underlying pathophysiology, patient selection, the new techniques of minimally invasive surgery, endometrial ablation, and so on, and applies these to patient management, enabling the trainee and practitioner to make appropriate and informed choices