WHAT IS HYSTERECTOMY?
The uterus in a woman’s body is the place a child develops when she is pregnant. Your Gynaecologist may advise a procedure called laparoscopically assisted vaginal hysterectomy (LAVH) to treat certain complications of the uterus.
Hysterectomyis the removal of the uterus surgically The medical procedure can be utilized to treat various unending torment conditions and specific kinds of malignancy and diseases. The degree of a hysterectomy fluctuates relying upon the purpose behind the medical procedure. By and large, the whole uterus is expelled.
WHY IS HYSTERECTOMY PERFORMED?
Laparoscopic surgeons perform Hysterectomy in the following cases:
- Abnormal vaginal bleeding which is not managed by other treatment options
- Severe endometriosis (uterine tissue that grows outside the uterus)
- Uterine Fibroids that have increased in size, are painful or are bleeding
- Uncontrolled pain in the pelvic region
- Uterine prolapse
- Cancers like uterine or cervical cancer or abnormalities that may lead to cancer for cancer prevention
Types of Hysterectomy
The Laparoscopic surgeon defines the plan of surgery depending upon the case. Few types of Hysterectomy are discussed below:
- Supracervical or subtotal hysterectomy: in this type of hysterectomy, The laparoscopic surgeon removes only the upper part of the uterus, keeping the cervix in its usual position.
- Total hysterectomy: A total hysterectomy with bilateral salpingo-oophorectomy is the removal of the uterus, cervix, fallopian tubes (salpingo) and ovaries (oophor).
- Radical hysterectomy: Radical hysterectomy is generally done in cases of cancer like cervical or uterine cancer. In this type of hysterectomy, the surgeon removes surgically the whole uterus, the cervix, tissue on the sides of the uterus, and the top part of the vagina.
- Oophorectomy – a procedure in which the ovaries may also be removed or may be left in place. Salpingectomy is a term used when the tubes are removed surgically. So, when the whole uterus, both fallopian tubes, and both ovaries are removed, that whole procedure is called hysterectomy and bilateral salpingectomy-oophorectomy.
Tests and Procedures
Certain tests and procedures help diagnose your problem and plan your treatment. These may include:
- Pap smear test: Cells are gently scraped from the cervix and vagina. These cells are checked for abnormal changes.
- Ultrasound whole abdomen: A probe is placed on the abdomen or gently put into the vagina. Sound waves than make pictures of the organs for your doctor to examine.
- Biopsy: A sample of tissue is taken from the cervix or the lining of the uterus. This sample is checked for abnormal cells.
- Hysteroscopy: A slender tube with a light and camera at the end is inserted into the uterus through the vagina. This lets your doctor look for problems, such as fibroids or polyps, and possibly treat them.
ARE THERE ALTERNATIVES TO HYSTERECTOMY?
A hysterectomy is the gold standard method to treat problems affecting the uterus. Still, we advise you to consult the best gynecologist in India to discuss what are other ways available to treat your specific problem.
Although Laparoscopic hysterectomy is generally safe and well tolerated by the patient, any surgery has risks. A few probable risks include:
- Infection at the surgical site
- Damage to the bladder and other nearby organs
- Heavy bleeding
- Blood clots in the legs or lungs
- Adverse reaction to anesthesia
Time taken during surgery is approximately 2 hours
Length of stay in hospital is 1-2 days
The patient is instructed to come for a follow up with the laparoscopic surgeon after a week of surgery.
BENEFITS OF LAPAROSCOPIC HYSTERECTOMY OVER OPEN SURGERY
Since it is a minimally invasive surgery, Laparoscopy lets you avoid having a large incision in the abdomen. Laparoscopy makes possible for the surgeon great precision, flexibility and control which eventually results in good success rate.
This “open” surgery is called abdominal hysterectomy. Compared to open surgery, laparoscopy has more advantages:
- Require shorter hospitalization
- faster recovery.
- Less internal scarring
- Minimal visible scars.
- Less pain post-surgery.
- lower chances of complications
- The patient can resume normal daily activities more quickly than one can do after open surgery.
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