Hysterectomy (Removal of the Womb)
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If a women is having problems with periods, such as pain, heavy flow causing large volumes of blood loss or irregularity of periods, several medical treatments can be tried. If these are ineffective, then the only solution may be to remove the womb (uterus) ad this operation is called a hysterectomy. These symptoms happen often as a result of fibroids or other conditions of the womb.
A hysterectomy can be done through an incision through the tummy or through the vagina. At the same time as removing the womb, the fallopian tubes and ovaries can also be removed (bilateral salpingo-oopherectomy), or retained as required if the operation is done with an open incision through the tummy.
After a hysterectomy, a women will have no more periods and will never be able to fall pregnant again.
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Description of Hysterectomy (Removal of the Womb)
Abdominal Hysterectomy: a general anaesthetic is used and an incision made along the lower part of the tummy, over the pelvis at the "bikini line". The uterus is then separated from the surrounding tissues and taken out. In a sub-total hysterectomy, the cervix is retained whereas in an total hysterectomy, the cervix is completely removed as well. If the ovaries and tubes are diseased, then these are taken out at the same time. The vaginal incision is closed off and then the operation completed by closing the tummy incision. If the ovaries are removed, you may develop the symptoms of menopause such as hot spells or flushes and dizziness. This can be treated with HRT (hormone replacement therapy).
Vaginal Hysterectomy: is procedure is generally prefered as the healing times are quicker. A general anaesthetic is used. An incision is made in the upper end of the vagina and therefore, no visible scars are present. The womb is then taken out through the vagina and the vaginal wound closed. However, if it is deemed necessary to remove the Fallopian tubes and ovaries also, an abdominal incision may be required. This is also possible if difficulties are encountered through the operation, such as the womb being to large to remove vaginally.
Laparoscopic Hysterectomy: the womb is removed in much the same way as in a vaginal procedure but a laparoscope is inserted through the tummy to release the womb from the surrounding structures.
Medical Facts
Hysterectomies are done because of the following reasons;
1. Cancer of the cervix
2. Cancer of the lining of the womb (endometrial cancer)
3. Large or multiple non-cancerous growths called fibroids
4. Endometriosis: this is invasion of the womb or nearby structures by cells of the womb lining. This can cause pain, irregular bleeding and scar tissue formation inside the pelvis.
5. A uterie prolapse where the womb is displaced downwards through the vagina
6. Excessively painful periods.
How You Will Feel:
After an abdominal hysterectomy, expect a 5-6 day hospital stay. After a vaginal hysterectomy, the stay will be around 3 days.
Pain killers are used fater the operation and a vaginal sanitory pad used to collect blood from the vagina which will be present for a few days. A catheter may be inserted into the bladder and removed before discharge from hospital. You can bath or shower as required as long as the abdominal wounds are kept as dry as possible.
Full recovery can take 3 months although a light job can be re-started after 8 weeks.
How Long Will you stay in Hospital after your Hysterectomy (Removal of the Womb)?
Single Day In-patient Care
What to do next:
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