Hysterectomy – Best Surgical Care at Nyle Hospital

A hysterectomy is the surgical procedure carried out to remove the uterus of woman. The uterus serves as the important part of reproductive organ which holds the baby throughout the gestational period. During hysterectomy, the uterus is completely removed from the woman’s body. Most often, the surgeon may be accompanied with the removal of fallopian tubes and ovaries. After the surgery, a woman can no longer experiences menstrual cycle nor can become pregnant. Different Ways of Surgical Procedure Hysterectomy can be done in many different ways such as:

A surgical cut is made near the belly button (called abdominal or open surgery)

3 or 4 small incisions are made in the belly for insertion of laparoscope

A surgical cut is made in the vagina for inserting a laparoscope

3 or 4 small incisions are made in the belly for performing robotic surgery

The choice of surgery is decided based on the patient’s medical history and the purpose of doing this surgery. Based on woman’s preference, the doctor may proceed with the suitable method.

Different Types of Hysterectomy

There are 4 different types of Hysterectomy surgery including:

Partial or Sub-total Hysterectomy – In this type, the fallopian tubes and upper 2/3rd of the uterus are removed along with cervix preservation.

Hysterectomy and Ovarian Conservation – In this surgery, the fallopian tubes, cervix and uterus are removed and the ovaries are preserved. This type is also called as total hysterectomy.

Hysterectomy with Oophorectomy - The uterus, fallopian tubes, cervix and one or both ovaries are removed in this type.

Radical or Wertheim's Hysterectomy – In this procedure, the uterus, fallopian tubes, ovaries, cervix, upper portion of vagina and surrounding lymph nodes are removed. This surgery is performed to treat some of the gynaecological cancers.

Reasons for Doing Hysterectomy

A hysterectomy is suggested not just for simple reasons; it is performed when other therapy fails. Some of the reasons include:

Growth of fibroids (benign tumours) in the uterus

To treat endometriosis, a condition wherein the inner lining of the womb develops in the abdomen leading to severe bleeding and pain

Prolapse of uterine, wherein the uterus is found to droop along the cervix and protrude out of the vaginal opening

For treating cervix, uterus or ovarian cancer

Uncontrolled vaginal bleeding

Severe pelvic pain

Due to adenomyosis, wherein the inner lining of the uterus extends into the middle layer

Pelvic inflammatory disease

Complications and Risks

Hysterectomy complications are based on the type of hysterectomy carried out and the health status of the patient. The most commonly occurring complications include the post-operative infection and fever. Other risky problems include haemorrhage, blood clot formation in the lungs, urinary disorders and damage of the nearby organs during surgery. Apart from these, the woman experiences the usual risks associated with the use of anaesthesia.