Hysterectomy is a surgery to remove the uterus. It is one of the most common types of surgery for women in the world. Hysterectomy is used to treat many women oriented health conditions. Some of these conditions involve:
- Uterine fibroids(this is the most common reason for hysterectomy)
- Endometriosis
- Pelvic support problems (such as uterine prolapse)
- Abnormal uterine bleeding
- Chronic pelvic pain
- Gynecologic cancer
There are different types of hysterectomy
- Total hysterectomy—the entire uterus, including the cervix, is removed.
- Supracervical (also called subtotal or partial) hysterectomy—the upper part of the uterus is removed, but the cervix is left in place. This type of hysterectomy can only be performed laparoscopically or abdominally.
- Radical hysterectomy—this is a total hysterectomy that also includes removal of structures around the uterus. It may be recommended if cancer is diagnosed or suspected.
Different Routes of Hysterectomy are as follows:
Laparoscopic hysterectomy
- A laparoscope (a thin tube with a video camera on the end) is inserted in the lower abdomen through a small incision in the belly button.
- Surgical tools are inserted through several other small incisions.
- Your uterus can be removed in small pieces through the incisions in your abdomen or through your vagina.
- Some people go home the same day or after one night in the hospital.
- Full recovery is shorter and less painful than an abdominal hysterectomy.
- We’re well known for our high success rate in laparoscopic hysterectomy surgeries.
Vaginal hysterectomy
- Your uterus is removed through an incision at the top of your vagina. There is no external incision.
- Dissolvable stitches are placed inside the vagina.
- Most commonly used in cases of uterine prolapse and other non-malignant (or noncancerous) conditions.
- Fewest complications and fastest recovery (up to four weeks) and is considered the preferred approach.
Abdominal hysterectomy
- Your uterus is removed through a six- to eight-inch-long incision in your abdomen.
- The incision is made either from your belly button to your pubic bone, or across the top of your public hairline. The surgeon will use stitches or staples to close the incision.
- Most commonly used when cancer is involves, when the uterus is enlarged or when disease spreads to other pelvic areas.
- It generally requires a longer hospital stay (two or three days) and a longer recovery time.