A 35 year old female patient complains of irregular and

Last updated: 5/22/2023

A 35 year old female patient complains of irregular and painful menses and an unexplained abdominal mass The patient reports that she has six children On physical exam you palpate a large 15 cm in diameter mass in the lower abdomen The patient denies pain on deep palpation bowel sounds are present and normal Upon further testing it is advised that a hysterectomy should be performed On beginning the surgery the surgeon makes a midline incision inferior to superior to the umbilicus and notes that the patient has an enlarged uterus which is covered with large fibroid tumors The surgeon then inspects the ovaries and observes that they are normal in size and morphology She then proceeds to perform a partial hysterectomy The excised uterus weighed in at six kilograms a What is the difference between a partial total and radical hysterectomy What structures are removed and or remain b To remove the uterus what ligaments would need to be cut c What blood vessel would a surgeon be concerned about that supplies the most blood to the uterus d What other organs structures are located around the uterus that the surgeon would need to be cautious of during the hysterectomy surgery