Hysterectomy

Hysterectomy


Definition: The procedure is associated with removal of the uterus through laparoscopic or conventional open surgery; with vaginal as well as abdominal incisions. If required, ovaries can also be removed, depending upon the patient’s health.

Why did it need?

Hysterectomy is advised in conditions that include

  • Uterine/Ovarian cancer
  • Uterine fibroids
  • Endometriosis
  • Pelvic Adhesions
  • Uterine bleeding not controlled by medicine
  • Uterine prolepses
  • Adenomyosis
  • Complications during childbirth

 

Facts and figures

  • Hysterectomy is the second most common surgeries performed on 5,56,000 women annually; confirming to be 1 in 3 women over 60 years of age.
  • 55% of the total hysterectomies are performed on women between 35-40; however, the number of women in their 30s-40s undergoing the surgery is increasing.
  • The United States is ranked first with the highest rate of hysterectomies.
  • It is estimated that 30% of hysterectomies are unnecessary.

 

Advantages

  • Hysterectomy can cure multiple indications like uterine cancer, uterine fibroids, and endometriosis.
  • Significant improvement has been reported in health, post hysterectomy in women suffering from uterine bleeding.
  • The operation improves a woman's quality of life. According to a study 71% of women who had hysterectomies, reported feeling better mentally, physically, and sexually after the operation.

 

Disadvantages

  • Depression and loss of libido, post hysterectomy
  • Hormone replacement therapy is advised in case of removal of ovaries, due to increased risk of osteoporosis and heart disease.

 

Risk and complications associated with hysterectomy surgery includes

  • Hemorrhage in the pelvic region
  • Infection
  • Damage to adjacent organs- bladder or bowel injuries
  • Anaesthesia reaction
  • Unwanted scarring on the abdomen

 

Preoperative preparation

  • Complete physical examination
  • Blood and urinalysis
  • X-rays and USG
  • Consultation 7 days prior to the procedure for medicinal D0’s and Don’ts.
  • Quit unhealthy habits, like smoking, drinking, etc.
  • Post-operative rehabilitation can be arranged through family, friends,andcaretaker.
  • 7-8 hours of fasting is advised prior to surgery.

 

Postoperative care

  • Open surgery needs hospitalization for 4-5 days, whereas laparoscopic incision is a one-day procedure.
  • The medications will be given to control pain and to prevent infection
  • The patient who needs remove ovary may need to start hormone replacement therapy

 

Do’s, Don’ts and Precautionto be followed after the surgery includes

  • Do follow the medication schedule and diet suggested by the dietician.
  • Don’t indulge in heavy physical activity for 1-2  weeks after the operation
  • Avoid sexual activity, use of douche, tampons for 6 weeks post surgery.