A hysterectomy removes the uterus surgically, and mostly the cervix too. Depending on the purpose of the surgical operation, a hysterectomy may also contain removing surrounding organs and tissues, together with the fallopian tubes and ovaries. The uterus is wherein a baby grows all through pregnancy. Its lining is the blood that is shed all through the menstrual period. Therefore, the person loses the ability to get pregnant and will not get periods after a hysterectomy.
Table Of Contents
- What are the types of Hysterectomy?
- Why is a Hysterectomy needed?
- Surgical procedures
- What are the benefits of Laparoscopic Hysterectomy?
What are the types of Hysterectomy?
The doctors determine the type of Hysterectomy to be performed depending upon the patient’s condition.
Total Hysterectomy:
This involves removing the uterus and cervix leaving the ovaries.
Supracervical Hysterectomy:
The upper part of the uterus is taken away, leaving the cervix.
Total Hysterectomy with bilateral salpingo-oophorectomy:
The uterus, cervix, fallopian tubes (salpingectomy), and ovaries (oophorectomy) are removed in this procedure. If the patient has not experienced menopause, removing the ovaries will begin menopausal signs and symptoms.
Radical Hysterectomy with bilateral salpingo-oophorectomy:
This involves removing the upper portion of the vagina, uterus, fallopian tubes, ovaries, cervix, and surrounding tissue along with lymph nodes. This type of Hysterectomy is necessary when there is cancer.
Why is a Hysterectomy needed?
- Heavy or abnormal vaginal bleeding that is not managed with different treatment methods.
- Severe ache with menses that is not controlled by way of different treatment techniques
- Leiomyomas or uterine fibroids (noncancerous tumors).
- Cervical or uterine cancer or abnormalities which can lead to cancers
- Accelerated pelvic ache associated with the uterus but no longer controlled by different remedies.
- Conditions with the uterus lining like hyperplasia, recurrent uterine polyps, or adenomyosis.
- Uterine prolapse – when the uterus has “dropped” into the vaginal canal due to weakened supporting muscular tissues that may cause urinary incontinence or problems with bowel movements.
Surgical procedures
There are currently three surgical procedures for hysterectomies:
- Vaginal Hysterectomy: This includes removal of the uterus through the vagina. This technique is better than the open, conventional Hysterectomy but does not allow the surgeon to view the surrounding organs, including the bladder.
- Laparoscopic-assisted vaginal Hysterectomy: Here, a portion of the operation (intra-stomach) is done with the laparoscope, and the rest of the operation (vaginal incision, excision of cervical tissues) is finished transvaginally.
- Total Laparoscopic Hysterectomy: The whole surgery is done using the laparoscope, and the surgical specimen is eliminated through the vagina.
- Abdominal Hysterectomy includes a 6 to 12-inch incision made in the abdominal wall.
- Robot-assisted radical overall laparoscopic Hysterectomy: It involves the usage of a state-of-the-art robot platform that gives a complete view of the surrounding organs with greater specific control over incisions.
What are the benefits of Laparoscopic Hysterectomy?
A laparoscopic hysterectomy requires only some small incisions compared to a conventional abdominal hysterectomy that’s achieved via a 3-6 inch incision. As a result, there is less scarring, less blood loss, and less post-operative pain.
A laparoscopic hysterectomy is normally done as an outpatient procedure, whereas an abdominal hysterectomy normally requires 2-3 days of hospital stay.
The healing period for this laparoscopic procedure is 1-2 weeks, compared to 4-6 weeks after an abdominal hysterectomy. It enables the patient to return to normal daily activities quickly.
The risk of blood loss and infection is lower with laparoscopic Hysterectomy compared with abdominal Hysterectomy. It takes about the same time as an abdominal hysterectomy and entails no additional risk.
