Hysterotomy

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Cancer Surgeon

This abortion procedure (although comparatively rare) is essentially the same as a caesarian section birth: the mother’s abdomen is cut open and the child – typically still alive – is removed from the womb.

Who Should Undergo and Expected Results?

Also called uterotomy, hysterotomy refers to an incision in the uterus. This type of incision can be used in a number of medical procedures including foetal surgery, caesarian section, and delayed abortion or abortion performed past the first trimester. It can also be indicated in the event of haemorrhage in the second trimester and in cases of a failed induction following previous uterine surgery.

Hysterotomy is a major surgical procedure. It becomes necessary when certain medical conditions require doctors to access the uterus or the foetus inside it. It is typically a part of the process if corrective measures have to be taken long before the foetus is to be delivered. The goal of this type of surgery is to allow the foetus to remain in the uterus until such time that it has matured enough that it can be safely delivered.

Common conditions that require foetal surgeries that can be performed via hysterotomy include:

  • Neural tube defects, such as myelomeningocele
  • Congenital cystic adenomatoid malformation
  • Congenital heart disease
  • Congenital diaphragmatic hernia
  • Foetal tumours
  • Sacrococcygeal teratoma
  • Pulmonary sequestration
  • Urinary tract obstruction
  • Twin to twin transfusion syndrome (TTTS)

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