Hysterectomy is the
removal of the uterus from the female body to prevent the chances of cancer or
other problems. Hysterectomy is also frequently performed for benign tumors
like growths inside the uterus which is made up of muscle and other connective
tissues. Hysterectomy is the most commonly performed gynaecological surgical
procedures in women. Hysterectomy surgery renders the patient unable to bear a
child in future and also affects the levels of hormones in the body.
Hysterectomy surgery is only advised under specific conditions only.
Hysterectomy
surgery is performed for the following reasons:-
1. Cancer of the uterus, cervix or ovaries.
2. Abnormal bleeding in vagina.
3. Pain in Chronic pelvic.
4. Adenomyosis which means thickening of the uterus.
5. Uterine fibroids causing bleeding or pain.
6. In the case of, Uterine Prolapse the uterus drops
from its original position into the vaginal canal.
7. Endometriosis.
Hysterectomy
surgery performed when other treatments have failed to rectify the above
problems. The surgery is recommended to women after studying the cause and the
type of surgery is suggested accordingly. In some cases, only the uterus is
removed whereas in other cases both the uterus and the cervix are removed. In the
case of supracervical hysterectomy, only the upper part of the uterus is
removed. In a total hysterectomy, the whole uterus and cervix is removed.
However in the radical hysterectomy the entire uterus, the top part of the
vagina, cervix and other tissues that are on the side of the uterus is removed.
There are different techniques for performing hysterectomy surgeries. Doctors
recommend the type of surgery depending upon the cause and overall health of
the patient. The two kinds of the technique are the open surgery and the
minimally invasive procedure.
·
Traditional or Open
Surgery:-
Open Surgery is the
most common type of approach to treating hysterectomy. Abdominal hysterectomy
is an open surgery. In this procedure, the surgeon makes an incision up to 5-
to 7-inches on the upper side or side of the belly. The surgeon then removes
the uterus through this incision. Generally, a woman spends more than three
days in the hospital after the surgery. Scar is visible after the procedure.
·
Minimally Invasive Procedure:-
There are different
types of approaches to minimally invasive procedure.
1. Laparoscopic hysterectomy: - Laparoscopic
hysterectomy procedure is performed using a thin tube called a laparoscope
which has a camera at the end which is inserted in the belly through small
cuts. In the case of a single site laparoscopic procedure, only one small cut
made in the belly button. The surgeon performs the hysterectomy from outside
the body, monitoring the operation on a video screen.
2. Vaginal hysterectomy: - In this procedure the
surgeon makes an incision in the vagina and removes the uterus through this
incision. The incision is then closed.
No visible scars appear after this procedure.
3. Laparoscopic-assisted vaginal hysterectomy: - In
this procedure, laparoscopic surgical tools are used by the surgeons to remove
the uterus through an incision made in the vagina.
4. Robot-assisted laparoscopy hysterectomy: - This procedure uses robotic assistance. The
procedure is similar to the laparoscopic hysterectomy procedure. The surgeon
controls the robotic system of surgical tools from outside the body. The
advanced technology used in this procedure allows the surgeon to use natural movements
of the wrist and view the hysterectomy procedure on a three-dimensional screen.
5. Minimally invasive procedure provides more benefits
as compared to open surgery. Minimally invasive procedure provides faster
recovery, shorter stay in the hospital, less scarring and pain. Women
undergoing this procedure resume back to their routine within three to four
weeks as compared to the traditional procedure which requires around five to
six weeks to resume back to the routine.
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