Removal of women’s uterus by a surgical procedure is termed as hysterectomy. The uterus is the place where the development of baby occurs during pregnancy. According to research, 300 women undergo the procedure of hysterectomy out of 1 Lakh women. You should not take hysterectomy lightly as it is major surgery.
It is advisable to get complete knowledge about it before undergoing this major surgery so that you may not regret your decision later. Remember, you will not be able to bear the child in the future after hysterectomy is being done.
Thus, therefore, if you wish to have children or to plan a baby then you should consult your doctor as this surgery cannot be reversed in any way. Take appointment from your doctor and find possible ways to delay the surgery.
Uses of hysterectomy in medical science
The hysterectomy is commonly performed after the birth of the child, however, can be evacuated for some different reasons. Hysterectomy is carried out to treat various types of malfunctions, illness or infections.
Hysterectomy is a procedure which will be done when no other remedy or medical procedure is benefiting the patient. In most of the cases, hysterectomy is performed under following conditions.
Chronic pelvic pain re Pelvic Inflammatory Disease (PID) damages the uterus and fallopian tube permanently. It is a bacterial infection and patient remains in pain all the time.
- Vaginal bleeding which becomes uncontrollable
If vaginal bleeding cannot be controlled and cured by any other procedure, then the hysterectomy may be the last resort to ease out the problem.
If cancer of ovaries, uterus or cervix is diagnosed through endometrial biopsy, the doctor may advise hysterectomy to avoid further damage to other surrounding parts of the body.
It is the disorder in the uterine lining in which lining of the uterine grows outside of the uterine cavity and causes bleeding and severe pain. In most of the cases, hysterectomy is advised by the doctor.
It is also the disorder of uterine lining like endometriosis. Unlike endometriosis, in adenomyosis, uterine lining grows inside the muscles of the uterus.
These are benign tumors and hysterectomy is the only option to cure the disorder. These tumors grow inside the uterus
Methods of hysterectomy
Hysterectomy involves different types of techniques which have been proceeded by surgeons all over the world. Some of the standard methods of hysterectomy include:
- Vaginal hysterectomy
It is comparatively difficult hysterectomy regarding special handling and must be done by the surgeon who is comfortable and expert at doing the vaginal hysterectomy. In most of the cases, vaginal hysterectomy is done if the uterus is dropping out, and is typical size. In this manner, up to 12 – 14 gestational size of the uterus can be removed.
In the vaginal hysterectomy, the patient has to stay for the shorter period in the hospital. Moreover, patients recover speedily in vaginal hysterectomy and can be back to their work within two to four weeks.
In the vaginal hysterectomy, by embedding the speculum into the vagina and anesthesia has been administrated, then an incision is sliced to open around the cervix at that cut all the supporting tendons.Now, the uterus and cervix are evacuated through the cut and out of the vagina, since it ‘s hard to save the cervix with this sort of approach.
During the procedure, if it seems necessary, the Fallopian tubes can also be removed. There is remote possibility that your specialist may need to change to the abdominal hysterectomy if experiencing the issue during surgery.
- Abdominal hysterectomy
This is the most well-known kind of hysterectomy. During the procedure, the specialist expels the uterus, including the cervix. The scar on the stomach area might be vertical or horizontal, contingent upon the reason the surgery is performed, and the extent of the region being dealt with.
Disease of the ovaries and uterus, endometriosis, and uterine fibroids are treated with this type of hysterectomy. An abdominal hysterectomy may likewise be done in some surprising instances of severe pelvic infection.
Apparently, a woman can’t conceive after this method, so it is not for the ladies who want childbearing unless there is a genuine condition, for example, malignancy (cancer). Abdominal hysterectomy enables the entire belly and pelvis to be analyzed, which is an edge in ladies with malignancy or exploring developments of vague or false reasons.
- Laparoscopic hysterectomy
Fundamental laparoscopic hysterectomies start with a short cut just below the navel and insert a laparoscopic apparatus. The specialist at that point analyzes the area of the pelvis with the instrument, choosing where to make extra cuts with the thin surgical instruments. The laparoscope is then utilized as a surgical guide while the specialist expels the uterus from the body.
In the procedure, the uterus is dissected into short segments which are the correct size to be expelled through the abdominal cuts. Only some small stitches are required to close these little incisions. Laparoscopic assisted vaginal hysterectomy and laparoscopic supracervical hysterectomy are the variations in the laparoscopic hysterectomy procedures.
With the laparoscopic supracervical hysterectomy, the cervix can stay untouched while evacuating the uterus. Leaving the cervix has many advantages, as it may provide support for some pelvic tendons. This methodology is becoming famous among doctors and patients.
Laparoscopic hysterectomies are suitable for just a few conditions, for example, little medium uterine fibroid evacuation, and less genuine instances of bleeding and endometriosis. Ladies who do not have a uterus of standard size may not be an appropriate contender for this technique.
Recovery after hysterectomy
You have to ensure that you have made the plans that are needed for the recuperation period. Right after surgery, your crucial signs should be checked regularly to ensure they are getting regular and by the second day, you ought to have the capacity to sit up without anyone’s help or assistance.
As we mentioned that hysterectomy is a major surgery, your way to recovery will be faster if you keep following tips in your mind. After your hysterectomy surgery is finished, you should begin to move your feet to ensure the circulation in your body.
- Taking a shower in the hospital during your stay will help you to feel relax however it is suggested to have a medical attendant/spouse/accomplice adjacent to offer assistance. Do not bend yourself for some time as you are still weak.
- Do not endeavor to wash your injury until unless your stitches are removed. These are typically taken out roughly five days after your operation.
- Try to eat something even if you are not feeling like to eat and drink sufficient amount of water. It will help to open your bowels without stressing.
- You may also find that you feel bad tempered for a brief span of time after the operation. Do not take tension; it is quite normal. You will likewise be very swollen, so it is wise to wear baggy garments for some time.
When you are back at home, keep these precautions in mind.
- No lifting, pulling or driving anything substantial for no less than three months. This implies no vacuuming; pressing; pushing heavy shopping trolleys; making beds or extraordinary cleaning.
- Do not drive for approximately one and a half month.
- Try to get as much help as you can.