Operational Obstetrics & Gynecology

This video shows the surgical removal of a uterus, a total abdominal hysterectomy.

The free, short version was produced by the US Navy as training for medical personnel in isolated settings. It was included on the Operational Obstetrics & Gynecology CD. It may be freely downloaded.

The longer, updated version was produced by the Brookside Associates for civilian training. It is 5-minutes and is available for download. The same video but in high-resolution is available on CD or DVD.
 

Video Runtime 4:01 43 MB mpg Download Now

Total Abdominal Hysterectomy

"This training film was originally produced over 30 years ago. While techniques and equipment have changed, the basic procedure remains the same."

"Enter the abdomen in layers."

"Visualize the pelvic anatomy."

"Grasp the uterine corners for traction."

"Suture ligate the right infundibulo-pelvic ligament."

"Back clamp and cut."

"Suture ligate the right round ligament."

"Cutting through the round ligament opens up the broad ligament."

"Incise the peritoneal reflection."

"The bladder can then be reflected away from the cervix."

"Clamp across the uterine vessels."

"Cut across the clamped vessels."

"Suture ligate the tissue."

"Continue down the margin of the cervix, clamping, cutting and suture ligating."

"In this case, the uterus is separated from the cervix."

"Continue to work down both sides of the cervix, clamping, cutting and suture ligating."

"Enter the vagina with a scalpel."

"Separate the cervix from the vagina."

"Suture closed the vaginal cuff."

"In this case, the visceral peritoneum is closed, covering the raw surface."

"The abdominal peritoneum is closed."

"The fascia is closed."

"The skin is closed with interrupted vertical mattress sutures."