Hysterectomy – Treatment, Symptoms and Procedure
A hysterectomy is a procedure that involves the total removal of a woman’s uterus. A hysterectomy for reasons other than cancer, is generally performed after all other options have been exhausted. In India, the rates of performing the hysterectomy procedure fall in the range of 4% to 6%, which is significantly lower than the global average of 10% to 20%, although studies suggest that there needs to be a more thorough consensus undertaken in order to calculate the exact number of hysterectomy cases in India.
• A Supracervical hysterectomy, which involves the removal of only the upper portion of the uterus, keeping the cervix intact and in its original position.
• A total Hysterectomy, which involves the complete removal of the uterus as well as the cervix.
• A radical hysterectomy, which involves the removal of the uterus, the cervix, the tissues lining the walls of the uterus as well as the upper portion of the vagina. A radical hysterectomy is generally performed only when the woman suffers from cancer.
The most common reason behind the requirement of the hysterectomy procedure is the removal of uterine fibroids. Other reasons requiring a hysterectomy include the following:
• Cancer of the uterus, most often endometrial cancer
• Cancer of the cervix or a precancerous condition of the cervix called cervical dysplasia
• Cancer of the ovary
• Childbirth complications, such as uncontrolled bleeding
• Long-term (chronic) pelvic pain
• Severe endometriosis that does not get better with other treatments
• Severe, long-term vaginal bleeding that cannot be controlled by medicines or other surgeries
• Slipping of the uterus into the vagina (uterine prolapse)
• Tumours in the uterus, such as uterine fibroids
• Adenomyosis, which causes heavy, painful periods
At Apollo Spectra, we provide you with multiple options to choose from, suiting your specific needs. Depending on factors such as the woman’s overall health, her history of medications as well as the facilities available at the center, a surgeon may perform a hysterectomy using varied approaches.
There are usually two main approaches that are followed for a hysteroscopic procedure at Apollo Spectra, which include the following:
• Open or Traditional surgery: an open or traditional hysterectomy involves an abdominal hysterectomy. Almost 65% of all hysteroscopic procedures are performed using this approach. In order to perform the abdominal hysterectomy, an incision of about five to seven inches is made in your abdomen, by your surgeon. This incision may be made either vertically or horizontally. Once the incision is made according to the surgeon’s wish, the uterus is then removed through this incision.
• Minimally invasive procedure surgery (MIP): a Minimally Invasive Procedure calls for the least possible size of the incision to be made. There are various approaches that can be used for a Minimally Invasive Procedure. These include the following:
• Laparoscopic hysterectomy: the laparoscopic hysterectomy is performed by making use of the tube having a lit camera at the end. The tube, along with the surgical tools, are then inserted into the body through the several incisions made in the abdomen.
In case the procedure being followed is a single site laparoscopic procedure, the surgeon will make a single cut inside your belly button through which the tools are inserted into the body. The surgeon then performs the hysterectomy from outside the body with the help of a console on a video screen.
• Vaginal hysterectomy: in the vaginal hysterectomy procedure, a cut is made in the vagina, through which the uterus is then removed. This procedure is known to not leave any scars after the incision is sealed.
• Robot-assisted laparoscopic hysterectomy: in the robot-assisted laparoscopic hysterectomy procedure, a sophisticated system of surgical tools are controlled by a surgeon from outside the bod in order to remove the uterus. During the course of the procedure, the surgeon is able to see through the layers of the uterus with the help of a three dimensional screen.
• Laparoscopic-assisted vaginal hysterectomy: in the laparoscopic-assisted vaginal hysterectomy, laparoscopic tools are inserted into the body, post which, the surgeon removes the uterus through an incision made in the vagina.
• Post a hysterectomy, a woman is unlikely to bear children.
• In case you have had your ovaries also removed during a hysterectomy, you are likely to go into abrupt menopause. In such cases, women may also experience hot flashes, thinness of the vagina adding up to uncomfortable penetrative intercourse, vaginal dryness as well as loss of libido.
• Women who have had a hysterectomy for eliminating fibroids usually experience a relief from the symptoms of uterine fibroids post a hysterectomy.
Most women who undergo a hysterectomy do not experience any significant side effects, complications or problems post the procedure. However, hysterectomy is a major procedure and thus, is not completely devoid of any risks. Some complications that may arise post a hysterectomy include the following:
• Fistula formation: a condition wherein an abnormal connection gets formed between the urinary bladder and the vagina
• Chronic pain
• Vaginal prolapse: a condition wherein a part of the vagina comes out of the body
• Urinary incontinence: a condition that refers to the loss of bladder control
The recovery time for a hysterectomy depends on the kind of approach chosen to perform the surgery.
• A laparoscopic hysterectomy usually takes less than two weeks to recover from.
• Women who have undergone a vaginal hysterectomy usually need about two weeks for total recovery.
• The abdominal hysterectomy is a major surgery and generally needs about six weeks or more to recover from.
• Smaller incisions
• Less post-operative pain
• Quick Recovery
• Reduces the risks of complications
Apollo Spectra offers the most sought after minimally invasive procedures. We believe that our patients are our first priority and their comfort is very important for us. Our team of surgeons are pioneers in conducting the procedure of hysterectomy and for delivering promising results.
Our skilled experts at Apollo Spectra, ensure that they perform the surgery with precision and care, striving to achieve best results and perform minimal invasion. Our patient’s safety and comfort is of great importance to us, which is why, we offer care to the patient, post their surgery. So you don’t have to worry about your loved ones, as you are in the right place.
What are the things to avoid post a hysterectomy?
In the weeks immediately following a hysterectomy, it is suggested that you refrain from bending at the waist too often or lifting heavy things. Take a break from the gym and give your body ample amount of rest post a hysterectomy.
How long after my hysterectomy can I fly again?
The changes in air pressure high up in the air can cause damage to your wounds. Your risk of developing deep vein thrombosis also increase if you fly too soon after a hysterectomy.
Our experts at Apollo Spectra, therefore, advise you to refrain from flying for several weeks post your hysterectomy.