Hysterectomy

Indications of abdominal hysterectomy:
Remember TOMB
Trauma: Uterine perforation, cervical tear
Obstructive: Remember HARM

• Hydatidiform mole
• Atonic PPH
• Rupture uterus
• Morbid adherent placenta

Malignancy: Carcinoma of ovary / cervix / endometrium, Chorio carcinoma, uterine sarcoma.
Benign: Remember ABCDEF 

• Adenomyosis
• Benign ovarian tumors
• CIN
• DUB
• Endometriosis
• Fibroids, tubo ovarian mass.

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