title: Size matters in planning hysterectomy approach.
abstract: Hysterectomy is the second most common gynecologic surgery; approximately 600,000 women undergo hysterectomies each year in the United States. Estimated uterine size, either by bimanual examination, ultrasonography, or both, is one of the major factors in evaluating the need for hysterectomy and in selecting the surgical approach. In this article, we review how physician-estimated uterine size can be confidently used in providing optimal hysterectomy care, as data indicate estimation is closely correlated with actual post-surgical pelvic specimen weight.
authors.affiliation: Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA yasmina.d.mohan@kp.org.
authors.forename: Yasmina
authors.initials: Y
authors.lastname: Mohan
authors.affiliation: Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
authors.forename: Vicki Y
authors.initials: VY
authors.lastname: Chiu
authors.affiliation: Department of Obstetrics and Gynecology, Kaiser Permanente Southern California, Orange County, CA, USA; Department of Obstetrics and Gynecology, University of California, Irvine CA.
authors.forename: Neal M
authors.initials: NM
authors.lastname: Lonky
mesh_terms: D005260:Female; D058869:Gynecological Examination; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data*; D007889:Leiomyoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D009929:Organ Size; D011300:Preoperative Care; D014463:Ultrasonography; D014481:United States; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014599:Uterus / Q000000981:diagnostic imaging / Q000473:pathology
keywords: Hysterectomy; approach; planning; uterine size