What is a hysterectomy?
The procedure for
treatment of many female disorders and ailments are known, one of which is
hysterectomy. This is a process to
remove uterus from body of a female and other reproductive organs too. This is required for various kinds of
disorders.
According to the studies
it is one of the most common surgeries in females ranking at number second, in
child bearing age group of women. With records of NHS (National Health
Service), UK, approx 20 % of women at age of 55 years have this surgery for
some or other reasons.
“Hysterectomy “is derived
from hystera, a Greek word which means “womb”, and suffix -ectomy is a” cutting
out”, came from Greek term ektome.
Reasons for Having a
Hysterectomy
· Unusual
vaginal bleeding that is not controlled by other treatment strategies
· Extreme endometriosis (uterine tissue that develops outside the uterus)
· Leiomyomas
or uterine fibroids (kind tumors) that have expanded in size are excruciating
or are the cause of bleeding.
· Expanded
pelvic agony identified with the uterus however not controlled by other
treatment
· Uterine
prolapse (uterus that has "dropped" into the vaginal waterway because
of debilitated bolster muscles) that can prompt urinary incontinence or trouble
with discharging stools and causing constipation.
· Cervical
or uterine cancer or variations from the norm that may prompt growth for
disease like cancer.
· Heavy
and painful periods
· Pelvic
inflammatory disease (chronic pelvic pain)
What are different Types of Hysterectomy?
There are three types of hysterectomy,
they are
· A subtotal hysterectomy – in this method
only uterus is eliminated surgically , cervix is not removed.
· A total hysterectomy - here the
complete body of the uterus and the cervix both are removed surgically.
· A total hysterectomy with
bilateral salpingo-oophorectomy - here the complete
reproductive system the uterus, fallopian tubes, cervix, and ovaries are all
surgically removed. The other name for the process is Radical
hysterectomy.
Surgical techniques and methods to
perform hysterectomy
Specialists use distinctive methodologies for hysterectomy,
contingent upon the specialist's experience, the explanation behind the
hysterectomy, and also a lady's general wellbeing. The hysterectomy strategy
will incompletely focus recuperating time and the sort of scar, if any, that
remaining parts after the operation.
There are two ways to deal with surgery – a conventional or open
surgery and surgery utilizing a minimal invasive method or MIP
Open Surgery
Hysterectomy- conventional method (abdominal
hysterectomy)
A
stomach hysterectomy is an open surgery. This is the most widely recognized way
to deal with hysterectomy, representing around 65% of all methods.
To
perform a stomach hysterectomy, a specialist makes a 5-to 7-inch entry point,
either here and there or side-to-side, over the paunch. The specialist then
uproots the uterus through this cut.
MIP Hysterectomy (minimal invasive method)
·
Vaginal hysterectomy: the incision is made
over vagina to remove uterus. No scar is developed by closing the cut.
·
Laparoscopic
hysterectomy: the surgical method involves a laparoscope, a tube with a
lighted camera, and instruments inserted in the belly via small cuts. The
surgeon operates all tools performing the hysterectomy from outside the body, by
viewing on screen through camera inserted.
·
Laparoscopic-assisted
vaginal hysterectomy
·
Robot-assisted
laparoscopic hysterectomy
How is Laparoscopic
Assisted Vaginal Hysterectomy (LAVH) performed?
Laparoscopically
Assisted Vaginal Hysterectomy (LAVH) - laparoscopic surgical procedures are
utilized to uproot the uterus and/or tubes and ovaries through the vagina. At
the point when the tubes and ovaries must be removed it used to be important to
make a cut through stomach. LAVH expands the likelihood of doing this through
the vagina. Patients generally need to have benign conditions that prompt hysterectomy
and have a uterus with small size. LAVHs are turning out to be more general for
patients with a uterine prolapse. Specialists say that conventional vaginal
hysterectomies give them less space to work and no legitimate chance to take an
observation at the pelvic organs - the camera toward the end of the laparoscope
permits him/her too see inside the belly.
What are the advantages
and risks of LAVH?
Advantages
· Permits
specialist to analyze pelvic organs and evacuate sores (cysts), scar tissue
(grips), fibroids, and regions of disease affected by infection.
· At
the point when compared to stomach hysterectomy, this process needs a shorter
hospitalization and causes less torment.
· Lesser
recovery time
· Littler
scars on the stomach area than with an abdominal hysterectomy.
Risks and complications
Most ladies who experience hysterectomy
have no major issues from LAVH. But some complications may occur, as with any
surgery, hysterectomy can bring about for a little minority of ladies. Those
inconveniences include:
·
Anesthesia problems (such as breathing or heart problems)
· Pain
How Safe and Effective Is
This Surgery?
Hysterectomy Surgery in India is a long term beneficial surgery and effective method to treat
various female affecting disorders and reproductive organ troubles.
The advanced methods
make appropriate treatment options with minimum risks giving a healthy life
ahead.
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