Monday, 23 May 2016

Hysterectomy Surgery - How Safe and Effective Is This Surgery?

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:
·       Urinary incontinence
·       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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