All you need to know about Hysterectomy

What is Hysterectomy?

A Hysterectomy is a surgical procedure. It means to remove the uterus surgically. Along with the uterus, the fallopian tubes and the ovaries may also be removed.

Who needs Hysterectomy?

Hysterectomy is commonly done for people presenting with the following problems.
a) Fibroids
b) Endometriosis
c) Adenomyosis
d) Prolapse
e) Abnormal Uterine bleeding
f) Chronic Pain
g) Malignancy/Cancer

What symptoms warrant Hysterectomy? (Hysterectomy Symptoms)

Pain and abnormal uterine bleeding (painful bleeding, increased bleeding) are the two most common symptoms that may require hysterectomy. Post menopausal bleeding may denote cancer and may warrant uterus removal. Anaemia is another condition which may hasten hysterectomy.

Hysterectomy treatment options:-

There are several treatment options for hysterectomy

a) Total hysterectomy—The entire uterus, including the cervix, which is the mouth of the uterusis removed.

b) Supracervical (also called subtotal or partial) hysterectomy—The upper part of the uterus is removed but the cervix is left in place.

c) Hysterectomy with removal of the fallopian tubes and ovaries.

Techniques/Routes of Hysterectomy

Vaginal Hysterectomy

The Uterus is removed through the vagina. This is the simplest form of Hysterectomy and most recommended in the medical Literature. The birth canal is the natural orifice and the uterus is removed in toto. The Laser and Vessel sealing devices are used here. Day care procedure with minimal pain and blood loss.

Abdominal Hysterectomy

This is a technique done by cutting open the abdomen. This is a procedure involving pain and has been relegated to the textbooks for teaching purposes as 99% of uteri can be removed through the Laparaocopic route.

Total Laparoscopic Hysterectomy

The Laparoscope along with laser and vessel sealing device and Harmonic scalpel are used for this type of Hysterectomy. It is a simple procedure with minimal morbidity.

Laser Hysterectomy

The recent advance in Hysterectomy is the use of the holmium yag laser in the surgery. The Holmium yag laser uses the green light laser beam to seal the blood vessels and cut the tissues seamlessly. Fibrosis does not occur and adhesion chances are minimal. Recovery is super quick.

Post operative Healing and Recovery

With advanced Laser techniques recuperation is easy and quick. Hospital stay is limited to 24-36hrs and recovery at home to 5 days. There is absolutely no need for bed rest. Patients can go about their daily routine and avoid lifting heavy weights in about 2 weeks.

Post Surgical Complications/Risks

There is very little risk involved in doing Hysterectomy at a dedicated Hysterectomy center. Risks/complications may usually involve bleeding, bladder /bowel problems, pain and infection. However, the Holmium Yag laser with a skilled surgeon behind the Laparoscope virtually eliminates these risks.

Alternatives for Hysterectomy

In the case of heavy menstrual bleeding alone, the alternative could be the use of a thermal balloon. The balloon cauterizes the lining of the uterus and can either stop bleeding completely or it may make it normal.

The Laser Pelvic Surgery Institute is the first of its kind center specializing in Laser Hysterectomy. With a State of the Art operation theater and an armamentarium filled with Vessel sealing devices, Harmonic Scalpels and Lasers and United States Fellowship trained Pelvic Floor Surgeons, surgery is done with minimal pain, short recovery and virtually no blood loss. The cost of surgery is also customized according to the patient, being very cost effective in the general ward and single rooms. Deluxe rooms and super deluxe suites are also available and can be chosen based on patient needs and affordability.

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