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Hysterectomy refers to a surgery that is done to remove the uterus. The uterus means the womb where a baby grows during pregnancy.
Types of Hysterectomy
- Partial hysterectomy – removes just the uterus, leaving the cervix (the lower part of it that is attached to the vagina) intact.
- Total hysterectomy – removes the uterus and the cervix completely.
- Total hysterectomy with salpingo-oophorectomy – includes removal of one or both ovaries and fallopian tubes as well.
Routes & procedure of Hysterectomy
- Abdominal – By giving incision on the abdomen
- Vaginal – Through vagina – usually done when one has uterine prolapse where the uterus is already coming out from the vaginal.
- Laparoscopic method – using long, thin instruments passed through small abdominal incisions.
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Hysterectomy Risks & Side Effects
A hysterectomy is generally very safe, but with any major surgery comes the risk of complications.
Risks associated with an abdominal hysterectomy include:
- Infection
- Bleeding
- Adverse reaction to anaesthesia
- Damage to your urinary tract, bladder, rectum or other pelvic structures during surgery
- Earlier onset of menopause even if the ovaries aren’t removed
Incisions (Cuts) Involved
- Laparoscopic Method – One 1 cm and three 5mm incisions are usually required which are almost invisible later.
- Open Surgery – Either horizontal incision in the lower abdomen or a vertical incision is required of the approximate length of 5 to 6 inches.
Hysterectomy Educational Videos
Why it’s done
- Fibroids – Probably the most common reason for hysterectomy these days. If fibroids are causing trouble like – persistent bleeding, anaemia, pelvic pain or bladder pressure etc, this surgery can be recommended. A hysterectomy is the only certain, permanent solution for fibroids which are benign uterine tumours. Many women with fibroids have minimal symptoms and require no treatment (especially if they are very small). So you must seek an opinion from a good specialist to know if you need surgery or not.
- Uterine prolapse – Descent of the uterus into your vagina can happen when supporting ligaments and tissues weaken. Uterine prolapse can lead to urinary incontinence, pelvic pressure or difficulty with bowel movements. A hysterectomy may be necessary to treat these conditions.
- Gynecologic cancer – Depending on specific cancer you have and how advanced it is, surgery may be recommended.
- Endometriosis – Hysterectomy may be needed in some of these cases as most can be managed with the salvation of the uterus In endometriosis, the inner lining of the uterus (endometrium) grows outside the uterus onto ovaries, fallopian tubes, or other pelvic or abdominal organs.
- Abnormal vaginal bleeding – Heavy, irregular or prolonged periods may be an indication for this surgery.
One must bear in mind that hysterectomy ends the ability to become pregnant. If you think you might want to become pregnant, ask your doctor about alternatives to this surgery.
During hysterectomy surgery, your surgeon might also perform a related procedure that removes both of your ovaries and your fallopian tubes (bilateral salpingo-oophorectomy). You and your doctor should discuss before surgery whether you need this procedure or not. Dr Jasmeet Singh Ahluwalia is the best hysterectomy Surgeon Jalandhar
Advantages of Laparoscopic Surgery
- Much smaller incisions (cuts)
- Much less painful
- Much better recovery
Life after hysterectomy
- Menstrual periods will not happen as the uterus has been removed. This will be good in certain ways as blood is not lost from the body.
- There will be relief from symptoms for which surgery was done.
- You won’t be able to become pregnant.
- Menopausal symptoms may start if you did not have them before.
Frequent Questions - FAQ's
We usually discharge our patients from the hospital between 3 to 5 days after surgery. Most of our patients go back to their daily physical activity after 5 to 7 weeks of surgery.
Although hysterectomy surgery is under the dose of anesthesia. But, patients might feel pain and discomfort after surgery. And it’s completely normal. In that case, we’ll provide you with some sort of painkillers or other medication.
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Amrit Kaur2023-11-30Dr Mandeep is a very hardworking and nice doctor.my result came positive and I'm very thankful to mam and all the staff members 🙏🙏
