Hysterectomy
is the surgical removal of the uterus or part of the uterus. A total
hysterectomy, the uterus, the cervix is also removed. Women can not
understand when hysterectomy was performed. It is necessary to correct one of
the following conditions. The most common reason is for tumors to grow to
remove fibroids in the uterus. Other reasons include abnormal bleeding,
endometriosis, uterine prolapse and cancer of the uterus, ovaries or cervix.
Let's take a look at the types of hysterectomy and the different surgical
procedures involved.
• Total
hysterectomy: This is the most common way to remove the whole uterus is
associated with the neck. The ovaries are retained.
• partial
or subtotal hysterectomy: the upper part of the uterus is removed while the
cervix can be maintained.
• Radical
hysterectomy: The most complete version of hysterectomy, the removal of the
uterus, ovaries, fallopian tubes, upper vagina, lymph nodes, lymph vessels and
ligaments associated basin includes .
Surgical
procedures of hysterectomy
In the
past, hysterectomy was performed through an incision in the abdomen. Today,
however, can be performed through the vagina. In vaginal hysterectomy, recovery
is faster. There are four ways a hysterectomy can be performed. Process depends
on the type of hysterectomy and why it is performed:
Total
abdominal hysterectomy (TAH)
Abdomninal
hysterectomy in a 4-6 cm cut is made in the abdomen. It is either horizontally
or vertically along the bikini line in the lower abdomen is the pubis to the
navel. The uterus is then removed through this incision. Horizontal cuts leave
a scar less visible. However, the vertical sections give surgeons more room to
work and better view of the abdomen. The procedure takes about one to three
hours. The advantage of this method is that there are views of the entire
abdomen and pelvis, which is particularly advantageous in patients with cancer
or if the case is unclear. However, it is more painful than vaginal
hysterectomy. Hospital stay 5-6 days and recovery time is about 6 weeks.
Vaginal
hysterectomy (VH)
In vaginal
hysterectomy, the surgeon makes an incision in the upper vagina. The uterus is
removed through the vagina. It should, when the entire abdominal cavity is not
necessary examination. The patient's legs, but will be with an ironing device.
It is not suitable for women who do not understand how the vaginal canal may be
too small. In the case of the uterus is too large, or the woman can not on
their feet in a stirrup device for too long, then an abdominal hysterectomy is
recommended lifted. It avoids a TAH as an abdominal incision and is therefore
preferably no visible scar. It is also less painful. However, the disadvantage
that it is difficult for the surgeon and the surrounding tissue of the uterus
seen. This method is not used when the ovaries or fibroids large to be removed.
The procedure takes about one to two hours. The patient may be required to
remain in hospital for 1-3 days and recovery time is usually 4 weeks. A vaginal
hysterectomy can be converted to an abdominal hysterectomy, there are
complications during surgery.
Laparoscopically
assisted vaginal hysterectomy (LAVH)
Assisted
laparoscopic hysterectomy and laparoscopic hysterectomy combined. Laparoscope
is a small tube that is inserted into the abdominal cavity of a small incision
in the abdominal wall. The laparoscope is like a telescope. It brings light
into the abdomen, the surgeon obtain support for streaming on the ground. The
laparoscopic instruments are used in the womb of their bands to solve as an
attachment to other structures in the basin. Similarly, the fallopian tubes and
ovaries are detached from their belts, they must be removed. They are then
removed through an incision in the vagina. The advantages of such a process is
that the cuts are made smaller and is less painful. In addition, recovery is
faster than conventional surgery. Hospital stay is 1-3 days and recovery time
is about 4 weeks. However, it is much more expensive than vaginal hysterectomy
and can be a lengthy operation.
It is the
latest method of hysterectomy, which leaves the cervix intact. It is described
as a painless procedure by doctors. LSH in a laparoscope in a trocar, which
gives the surgeon a magnified view of internal organs is used. The uterus is
removed through the navel. Ovaries may or may not be removed but the cervix
remains. Blood loss is less than with other methods. It is preferable to any
other method, because the pain of patients less, seamless necessary. Day
surgery is possible and the recovery time is the least that is 2-3 weeks. There
are also fewer side effects and complications involved in this process.
However, it is more than any other skill requires hysterectomy, so patients
should be careful to choose an experienced surgeon.
All
hysterectomy surgery include the patient in the hospital the same day as the
surgery approved. Options for patients for anesthesia before surgery. The
patient must have problems or questions they have about the procedure by the
surgeon. The length of hospital stay and recovery depends on the type of
surgery. Discuss all the options available to you before the surgery.
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