HYSTERECTOMY

Hysterectomy, is the surgical removal of the uterus. It may also involve removal of the cervix, ovaries, fallopian tubes and other surrounding structures. It can be total or partial removal.

Most hysterectomies are performed to treat conditions such as-:

– fibroids
– heavy bleeding.
– adenomyosis
– uterine prolapse.
– Uterine cancer.

There are different types of hysterectomy–
1- Total Hysterectomy

The entire uterus and cervix are removed. This is usually performed abdominally with an incision most often made along the bikini line.

2- Sub-Total Hysterectomy (Partial)

leaves the cervix intact but the rest of the uterus is removed.

3- Abdominal Hysterectomy

This operation is performed through an incision in the stomach. It is the most common form and typically required longest recovery time.

4- Vaginal Hysterectomy

This operation is performed through the vagina. Whether your doctor performs the procedure vaginally or with a small incision in the abdomen, will depend on the size of the uterus and the cause of surgery to begin with.

5- Laparoscopic Hysterectomy

Laparoscopy is the latest procedure to assist with hysterectomy procedure. In this surgery organs are visualized and manipulated through a laparoscope. Uterus is removed either vaginally or through a small incision in the abdomen. This procedure results in much quicker recovery, (about 1 to 2 weeks) with far less disruption of the bowel and pelvic floor.

All of the above could be with or without Bilateral Salpingo-oophorectomy (The uterus, fallopian tubes, cervix and ovaries are removed as well).

Complications-
-Infection
– Blood loss and anaemia
– Bladder dysfunction or cystitis
– Bowel dysfunction
– Damage to bladder, bowel and Ureters
– Depression or sexual dysfunction
– Long ters- prolapse, wound pain and earlier menaupause.