What women need to know about a hysterectomy

While there is controversy in some areas about the convenience or necessity of a hysterectomy, it mainly comes from those who have no problems. For women who bleed frequently and excessively, have pain from fibroid tumors or endometriosis, or who suffer from a number of other conditions that have a significant impact on their life, hysterectomy is not. the case is not an option.

Many women have a hard time having a hysterectomy for much longer than they could, and it’s common for women to say after their surgery, “I don’t know why I waited. as long as. Depending on the problem leading to the hysterectomy, a number of treatments and tests may be performed before choosing this operation. It is important that tests and evaluations have been completed to make sure this is right for you.

Price Once the hysterectomy decision is made, the next question is what to do with the ovaries. Do you leave them there or do you delete them? There are several considerations in this regard. If the ovaries are part of the problem, as in some cases of endometriosis, they probably should be removed. If the ovaries aren’t really part of the problem, we come back to a risk-benefit analysis. This analysis is based on age. Under 40, it is clearly recommended to keep the ovaries as much as possible. Over 45 years, fewer years of function remain in the ovaries than the future risk of ovarian pain, ovarian cyst problems, or ovarian cancer. The project that a woman will have surgery for an ovary left behind is 0.9%. It’s a relatively low risk, but for a woman who only works on the ovaries for one or two, removing it may be a good idea.

The next question is what type of hysterectomy is available. There are four types of hysterectomy, which are listed below:

  1. Abdominal Hysterectomy – This has been the old way of sleeping for many years and there is still a place where the uterus is very large or pelvic adhesions occur. Abdominal hysterectomy provided better ability to recognize pelvic structures and more space to remove the uterus, but significantly greater recovery than other methods. Recovery typically takes 2 days in the hospital and 4-6 weeks to return to work and feel relatively normal.
  2. Vaginal Hysterectomy – For many years this has been my favorite method whenever possible. It’s technically more difficult and requires a surgeon who feels comfortable this way. Some surgeons do not fall from the vagina until the uterus almost falls out and is normal in size. Others can perform this procedure in most cases and remove a uterus with a pregnancy size of 12 to 14. Vaginal hysterectomy is easier to heal, usually 2 nights in the hospital and 2 to 4 weeks. back to work.
  3. Laparoscopic hysterectomy – this procedure means different things to different people. Some people think of using the laparoscope to see if it is possible to do it vaginally. You can use a laparoscope to free the ovaries, but especially vaginally. Other doctors do the full hysterectomy with the laparoscope, which can be quite a long and lengthy operation due to the laborious work of a conventional laparoscope. There are surgeons in the country who can do a full hysterectomy with a laparoscope very well, but there aren’t many. There are others, and this is probably the largest group that performs laparoscopic supracervical hysterectomy. This means that the upper part of the uterus is removed, but the cervix is ​​preserved. Sometimes it happens because the patient prefers it or because the doctor thinks it is better in this case, but it often happens just because the doctor finds it easier to do this surgery than the old one. procedure. . difficult to remove the cervix with the laparoscope.
  4. daVinci Robot Hysterectomy – This is another form of laparoscopic hysterectomy. For the most part, this is my currently preferred hysterectomy method. The daVinci robot hysterectomy uses the daVinci robot, a very high-tech robot

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