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What Is A Hysterectomy?

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Hysterectomy is the most common non-obstetric surgical operation performed on women in the United States. Apparently, 0.3 percent of women undergo a hysterectomy at some point in their lives. The operation entails the removal of a woman's uterus. Your doctor may recommend this type of surgery for varying reasons, namely;

  • The presence of painful uterine fibroids that cause bleeding and numerous other challenges
  • Prolapsed uterus - a situation where the uterus slides into the vaginal canal
  • Uterine, cervical or ovarian cancer
  • Abnormal vaginal bleeding
  • Endometriosis
  • Chronic pelvic pain
  • Abnormal thickening of the uterus, popularly known as adenomyosis

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It is, however, worth noting that your doctor will recommend a hysterectomy when other treatments have failed as far as the noncancerous reproductive health problems are concerned. Individuals suffering from uterine, ovarian or cervical cancer will most likely undergo a hysterectomy. 10% of the time, hysterectomies are performed on patients with cancer.

There are different types of hysterectomy namely,

  1. Total hysterectomy – this type of hysterectomy entails the complete removal of the uterus and the cervix.
  2. Subtotal or partial hysterectomy – also known as supracervical hysterectomy, partial hysterectomy involves the removal of the upper part of the uterus with the uterus being left Hysterectomy of this nature is only performed abdominally or laparoscopically.
  3. Radical hysterectomy – It entails the removal of the entire uterus, the cervix and the other structures surrounding the uterus. Radical hysterectomy is only recommended where the presence of cancer is suspected or diagnosed.

This surgical operation is performed in either of three ways – vaginally, abdominally, or through laparoscopy. Your surgeon will determine the best approach depending on the reasons for hysterectomy and numerous other factors. In a vaginal hysterectomy, the uterus is usually removed via the vagina and includes no abdominal incisions. For some women, such as the ones with adhesions from previous surgeries, or those with excessively large uteruses, vaginal hysterectomy may not be appropriate for them.

In general, vaginal hysterectomy causes poses fewer risks compared to laparoscopic and abdominal hysterectomy. Further, the recovery time is usually shorter compared to the other two approaches and the patient can go back to his normal activities a lot sooner. As long as it is possible, many doctors will recommend vaginal hysterectomy as the first choice.

On the other hand, abdominal hysterectomy entails the removal of the uterus by making an incision in the lower abdomen area of the patient. The opening in the abdomen allows the surgeon to have a clear view of all the pelvic organs of the patient. The good thing with this type of hysterectomy is that it is suitable for women with adhesions from past surgery as well as those with very large uteruses. However, abdominal hysterectomy is associated with higher risks of complication such as blood clots, bleeding, wound infection, as well as nerve and tissue damage – compared to vaginal and laparoscopic hysterectomy. Besides having to endure a prolonged healing time, you may want to prepare yourself for a long stay in the hospital.

When it comes to laparoscopic hysterectomy, the surgeon makes a few incisions in the abdomen of the patient and then inserts a laparoscope to get a view of the pelvic organs. The uterus is then removed in bits via the incisions. He or she may also decide to make a larger incision in your abdomen to remove the uterus, or even remove it vaginally – a procedure known as a laparoscopic vaginal hysterectomy. Laparoscopic hysterectomy is a lot safer than abdominal hysterectomy, and one requires a shorter stay at the hospital after the surgery. Nevertheless, it is never without risks. You could suffer from damaged urinary tract and other organs. Laparoscopic surgery takes a longer time to perform compared to vaginal and abdominal hysterectomy.

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