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A subtotal or total hysterectomy is a surgical procedure that involves the removal of the uterus, which may be performed after a cesarean delivery. This procedure can be categorized into two types: a total hysterectomy, where the entire uterus along with the cervix is removed, and a subtotal hysterectomy, where the uterus is removed but the cervix is retained. The necessity for this procedure may arise from medical indications identified during pregnancy, such as cervical dysplasia or leiomyoma, or it may be performed as an emergency intervention following the cesarean delivery. The surgical approach begins with an incision at the peritoneum at the cervicovesical fold, followed by a series of dissection steps to carefully separate the uterus from surrounding structures. This meticulous process ensures that the surgical team can safely remove the uterus while minimizing risks to adjacent organs. The procedure concludes with the closure of the surgical site, ensuring proper healing and recovery for the patient.
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