What is a hysterectomy?

Hysterectomy is surgery to remove the uterus. It is a very common type of surgery for women .

Why is hysterectomy done?

Hysterectomy is used to treat many women’s health conditions. Some of these conditions include the following:

  • 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

Are there alternatives to hysterectomy?

In some cases, medications or other procedures that allow you to become pregnant now or in the near future can be tried before having a hysterectomy. Some women wait to have a hysterectomy until after they have completed their families. If you choose another option besides hysterectomy, keep in mind that you may need additional treatment later.

What structures are removed during a hysterectomy?

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.

What other organs besides the cervix and uterus may be removed during a total hysterectomy?

One or both of your ovaries and fallopian tubes may be removed if they are abnormal (for example, they are affected by endometriosis). This procedure is called salpingo-oophorectomy if both tubes and ovaries are removed; salpingectomy if just the fallopian tubes are removed; and oophorectomy if just the ovaries are removed. Your surgeon may not know whether the ovaries and fallopian tubes will be removed until the time of surgery. Women at risk of ovarian cancer or breast cancer can choose to have both ovaries removed even if these organs are healthy in order to reduce their risk of cancer. This is called an elective salpingo-oophorectomy.What will happen if my ovaries are removed before I have gone through menopause?

You will experience immediate menopause signs and symptoms. You also may be at increased risk of osteoporosis.Hormone therapy can be given to relieve signs and symptoms of menopause and may help reduce the risk of osteoporosis. Hormone therapy can be started immediately after surgery. Other medications can be given to prevent osteoporosis if you are at high risk.

 What are the different ways hysterectomy can be performed?

A hysterectomy can be done in different ways: through 3 ways

Abdominal  hysterectomy 

2 Vagina hysterectomy

3  Total Laparoscopy Hystrectomy ( TLH)

4  3 D– Total Laparoscopy Hystrectomy ( TLH)

 

The total laparoscopic hysterectomy (TLH)  is a minimally invasive and most advance  surgical procedure , now a days Sahaj hospital is providing a step ahead 3D Total Laproscopic Hystrectomy  to remove the uterus.With the use od advanced 3D laproscooic surgery which provides DEPTH PERCEPTION which result in precision in surgery, less surgical time and blood loss,  there by enhancing faster and safer patient recovery.

A small  incision is made in the navel through which a tiny camera is inserted. The surgeon watches the image from 3D spice camera on a  3D TV monitor while performing the procedure.offers women an option that is far less invasive than other surgical approaches.

The surgical removal of the uterus can be lifesaving for those suffering from gynecological cancers or the severe pain and heavy bleeding due to Fibroids  or endometriosis.

 

tlh

Today, there are several surgical approaches that are far less invasive than a total abdominal hysterectomy, which is still widely performed. Using a laparoscope — a slender, fiber-optic tube equipped with a miniature camera, lights and surgical instruments — surgeons have the ability to see inside the abdomen and technical access to the uterus, ovaries and fallopian tubes without having to make a large incision.

In the past few years, many gynecologists have performed a portion of the hysterectomy using a laparoscope. Called a laparoscopically assisted vaginal hysterectomy (LAVH), the procedure requires an incision deep within the vagina, through which the uterus and related organs are removed. The LAVH still involved a transvaginal approach and decreased healing time, similar to a total vaginal hysterectomy.