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
- Pelvic Adhesions
- Uterine bleeding not controlled by medicine
- Uterine prolepses
- 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.
- 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.
- 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
- Damage to adjacent organs- bladder or bowel injuries
- Anaesthesia reaction
- Unwanted scarring on the abdomen
- 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.
- 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.