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Hysterectomy

Hysterectomy is a gynecological procedure, which is done either through laparoscope or as a standard open surgery in which the incision is made in the vagina or on abdomen for the removal of the uterus (womb) from the body. In some cases, ovaries are also removed along with uterus, which depends entirely on the health condition of the patient.

Hysterectomy is the second most common operation performed on women. The number of hysterectomies performed on younger women aged 30s and 40s is increasing, and 55% of all hysterectomies are performed on women ages 35–49. It is estimated that 30% of hysterectomies are unnecessary.

Necessity of Hysterectomy:

Hysterectomy is performed in conditions such as:

  • Cancer of the uterus or Ovaries
  • Complications during childbirth
  • Uterine fibroids ,endometriosis
  • Pelvic adhesions resulting in prolapsed uteri
  • Uterine bleeding not resolved by medicine(DUB)

Benefits of Hysterectomy:

  • In cases of uterine cancer, hysterectomy saves the life of the woman
  • Many complains and problems due to uterine fibroids and endometriosis, prolapsed uterus can be averted
  • There is overall improvement in health after the hysterectomy in case of severe uterine bleeding
  • According to a study 71% of women who had hysterectomies, reported feeling better mentally, physically, and sexually after the operation, so the operation improves a woman's quality of life.

Risk and complications associated with hysterectomy surgery includes:

  • Damage to adjacent organs such as bladder
  • Anesthetic reaction
  • Bleeding in the pelvic region
  • Unpleasant scarring in the abdomen
  • Some women feel depressed.
  • If the ovaries are also removed, women may need to take hormone replacement therapy, as removal of ovaries increased the risk of osteoporosis and heart disease
  • Infection

 

Preparation before Hysterectomy surgery:

  • Total physical examination
  • X-rays and USG
  • Blood and urinalysis
  •    A week before the tentative schedule of surgery, consult the doctor regarding the continuation or discontinuation of your list of medicines
  • Inform the surgeon regarding the habit of smoking and alcohol
  • Quit smoking at once
  • For emotional support during the post-operative rehabilitation, arrangements with family and/or friends
  • The night before surgery, do not eat or drink anything after midnight

Hysterectomy surgery after care:

  • Most of the patients may need to stay at hospital for about 4-5 days after the abdominal hysterectomy, but in the case of laparoscopic surgery, they need lesser hospital stay.
  • Medications may be prescribed for controlling pain and for prevention of  infection
  • Hormone replacement therapy may be required by the patient whose ovary needs to be surgically removed

Special precautions following surgery:

  • Follow the medication schedule and diet prescribed by the doctor and dietician.
  • For a period of 6 weeks post surgery, avoid sexual activity
  • Avoid douche, tampons or any other vaginal inserts for 6 weeks
  • Indulging in heavy physical activity for 1-2  weeks after operation is not advised

Generally, it takes 6 to 8 weeks for full recovery for most patients.


 

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