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Hysterectomy

Related Terms

Excision of the Uterus
Laparoscopic-assisted Abdominal Hysterectomy
Partial Hysterectomy
Supracervical Hysterectomy
TAH-BSO
Total Abdominal Hysterectomy
Total Laparoscopic Hysterectomy

Comorbid Conditions

Heart disease
High blood pressure
Metastatic cancer

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Length of disability may be influenced by the individual's age, the underlying cause for the hysterectomy, the type of hysterectomy (partial, total, radical), the approach (abdominal, vaginal, laparoscopic), and the severity of any postoperative complications.

Duration Trends from Reference Data

DURATION TRENDS

ICD-9-CM: 68.4

Cases	Mean	Min	Max	No Lost Time	Over 6 Months
2190	53	0	121	0.1%	0%

Percentile:	5^th	25^th	Median	75^th	95^th
Days:	28	42	50	62	88

DURATION TRENDS

ICD-9-CM: 68.5

Cases	Mean	Min	Max	No Lost Time	Over 6 Months
843	48	5	113	< 0.1%	0%

Percentile:	5^th	25^th	Median	75^th	95^th
Days:	21	38	45	58	79

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

	ICD-9-CM:
	68.3 -	Hysterectomy, Subtotal Abdominal
	68.31 -	Laparoscopic Supracervical Hysterectomy [LSH]; Classic Infrafascial SEMM Hysterectomy [CISH]; Laparoscopically Assisted Supracervical Hysterectomy [LASH]
	68.39 -	Subtotal Abdominal Hysterectomy, NOS, Other; Supracervical Hysterectomy
	68.4 -	Total Abdominal Hysterectomy ; Hysterectomy: Extended
	68.41 -	Laparoscopic Total Abdominal Hysterectomy; Total Laparoscopic Hysterectomy [TLH]
	68.49 -	Other and Unspecified Total Abdominal Hysterectomy; Hysterectomy: Extended
	68.5 -	Hysterectomy, Vaginal
	68.51 -	Laparoscopically Assisted Vaginal Hysterectomy (LAVH)
	68.59 -	Vaginal Hysterectomy, Other and Unspecified
	68.6 -	Radical Abdominal Hysterectomy; Modified Radical Hysterectomy; Wertheims Operation
	68.61 -	Laparoscopic Radical Abdominal Hysterectomy; Laparoscopic Modified Radical Hysterectomy; Total Laparoscopic Radical Hysterectomy [TLRH]
	68.69 -	Other and Unspecified Radical Abdominal Hysterectomy; Modified Radical Hysterectomy; Wertheims Operation
	68.7 -	Radical Vaginal Hysterectomy; Schauta Operation
	68.71 -	Laparoscopic radical vaginal hysterectomy [LRVH]
	68.79 -	Radical Vaginal Hysterectomy, Other and Unspecified; Hysterocolpectomy; Schauta Operation
	68.9 -	Hysterectomy, Other and Unspecified; Hysterectomy NOS

Definition

Hysterectomy is the surgical removal of the uterus. It is the second most common major surgical procedure performed in the US; 600,000 women undergo hysterectomy annually (Parker). Types of hysterectomy include total (or complete) hysterectomy, in which the uterus and cervix are removed; radical hysterectomy, in which the uterus, cervix, upper part of the vagina, and some surrounding tissue and lymph nodes are removed; and partial or supracervical hysterectomy, in which the upper part of the uterus is removed but the cervix is left intact. A radical hysterectomy is the most extensive surgery and is indicated in certain forms of cancer, including cancer of the cervix. A total hysterectomy with bilateral salpingo-oophorectomy involves removal of the uterus, cervix, fallopian tubes, and ovaries. Removal of the ovaries initiates menopause in premenopausal women.

The primary reasons to perform hysterectomy are fibroids (40%), abnormally heavy or frequent bleeding (10%), and endometriosis, a condition affecting the uterine lining (13%) (Parker). All types of hysterectomy end menstruation and a woman's ability to become pregnant.

Source: Medical Disability Advisor

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