Uterus Removal Surgery (Hysterectomy)

What is hysterectomy?

Hysterectomy is one of the safest surgical operations. This operation, performed under general anesthesia, where the patient does not feel any pain, can be performed in 4 different ways. The appropriate decision is made after the examination. In case of removal uterus with surgery, there's no way will ever get pregnant again. Due to many different reasons, this surgery may need to be performed, and most of the time, the procedure for removal uterus with surgery is preferred as a last resort.

How is hysterectomy performed?

First of all, depending on the operating technique of choice for hysterectomy surgery, how the surgery is performed is also changing. If vaginal technique is preferred, a cut is applied to the vagina to remove the uterus tissue. Sometimes in the operation with vaginal technique, laparoscopic method can be utilized. In the abdominal method, a cut is applied to your abdomen and the tissue is removed from the place where this cut is applied. The laparoscopic method has been more preferred recently.

Laparoscopic hysterectomy is performed through the application of 3 holes in the skin. The camera is transported through this hole into the abdomen, and the operation in the uterus, is carried out by this procedure. Although the laparoscopic method in terms of the patient's recovery process and comfort seems to be a more ideal option, it should be decided by your physician which method of surgery to choose from. Because not every method is appropriate for every patient. The ideal option for some patients is vaginal technique, while for some patients, abdominal method can become a mandatory choice for removal uterus.

What is Total laparoscopic hysterectomy?

Total laparoscopic hysterectomy surgery since the 1990 years has been an important part of gynecological surgery. This operation, which is applied to the wall of the abdomen through 3 holes of 5 mm to 10 mm, also uses cameras in very small dimensions. One of the holes is applied to the belly button and the other two are applied to the left side of the abdomen. Hysterectomy performed with the help of the camera is usually performed for removal of uterus, but if necessary, the removal of fallopian tubes or ovaries can also be included in this procedure.

The hysterectomy operation is one of the most surgically safe methods. Your doctor will decide the best method for this operation, which can be performed in different ways. This post-op recovery time, which lasts approximately 2 hours, can vary according to the surgical method and according to the treatment carried out. You should listen carefully to and follow your doctor's advice. Minor and moderate pain can be controlled by painkillers in the first process.

How long does a uterus removal surgery take?

Patients can also wonder how long it takes to operate hysterectomy. However, the duration of the operation may vary depending on which tissue to be removed by surgery. The preferred method for surgery and the patient's condition can also affect the duration of the surgery.

The operation can only be extended if fallopian tubes and ovaries are included in this operation while the surgery, which is performed only in accordance with the uterus procedure, is shorter. As a result, hysterectomy can be completed between 1 hours and 2 hours, and the duration of the operation can be extended by up to 3 to 4 hours. Your doctor will inform you about the estimated time of the operation prior to surgery.

How Much Are the Uterus Removal Surgery Prices?

Patients may also want to know the price of hysterectomy. However, it is important to note that prices can also vary depending on which technique this surgery is performed. Depending on whether all or part of the uterus has been taken, there may be a change in prices. So talking about a clear price can be deceptive in this situation. Such as the doctor's experience is one of the reasons why there is a change in the budget that needs to be allocated for the uterus surgery.

However, we can also point out that this operation, which includes the general process of uterus, does not require a budget of very high numbers. First, you need to examine by your doctor and determine which method of surgery to perform. You will then receive a clear price information.

What is Laparoscopically Assisted Vaginal Hysterectomy (LAVH)?

Laparoscopic assisted vaginal hysterectomy, or LAVH, is one of the approaches to hysterectomy. In this method, uterus, fallopian tubes and also ovaries are evacuated from the womb. During this process, the uterus is first separated from its bonds in the pelvic region.

If the surgery involves fallopian tubes and ovaries, then these tissues are separated from the vessels and all of these tissues are removed from a small area of incision applied to the vagina. This will also complete the removal of uterus process. This method is characterized by less traumatic physical than other methods. The healing time in the tissues is shorter and there is a healing process that is less painful, especially than the abdominal method.

What Are Hysterectomy Types?

The method to be used in surgery is determined by the patient's condition and the purpose of the operation. Abdominal method is preferred, especially in cases of cancer suspicion. In some patients, hysterectomy cannot be performed via vaginal method. In general, the types of surgery are as follows:

• Vaginal hysterectomy,
• Abdominal hysterectomy,
• Laparoscopic hysterectomy,
• Robotic hysterectomy.

And there are no surgical marks on the body, when the vaginal hysterectomy was preferred, and the tissue was removed from the vagina. Sometimes this surgery can be performed with laparoscopic help. When abdominal method is preferred, removal of uterus is performed by the incision applied to the abdomen. When this technique is applied, the recovery time may be slightly longer than any other method. The laparoscopic surgery technique is also known as the ‘closed method’. It is viewed with a micro camera for the abdomen and the pain sensation may be much less after the operation.

The method called robotics can actually be considered as a type of laparoscopic approach. The tools used in this procedure are linked to a robot controlled by the doctor.

What Are The Causes of Hysterectomy?

Gynecological cancer types are the most important and most common causes of hysterectomy surgery. Surgery is preferable to prevent cancer from spreading all over the body, so cancer cells are also evacuated from the body. Another reason is myoms.

Myoms with benign lump in the body don't always require surgery. Some do not cause any discomfort, but some are known to cause many complaints, such as anemia, infertility or constant pain. In this case, hysterectomy can be performed. Myoms are one of the most common causes of this surgery.

Chronic pelvic pain is one of the causes getting into trouble of the daily life of patients. The pain that happens just below the belly doesn't pass, and it often even causes patients to give up their working life. Therefore, removal of uterus is preferable in the case of chronic pelvic pain. Chocolate cyst disease is another reason for this surgery. Pelvic organ prolapsed, uterus sagging, is listed as causes for hysterectomy. Sometimes there's an abnormal cervical hemorrhage problem. In this case, hysterectomy can be used as a last resort.

How is Post-op Patient Care?

After the operation, the recovery time can vary depending on which technique is used to perform hysterectomy. Patients are advised not to take heavy lifting, sexual intercourse and to pay maximum attention to vaginal cleaning, hygiene for a while. Also, patients do not have menstrual bleeding after removal of uterus.

Depending on the preferred surgical technique, clinical rest may be required for a few days. Mild pain is expected, and it will be possible to control this pain with the use of painkillers prescribed by your doctor. Taking your doctor's advice and warnings into account will help you experience a more comfortable recovery.