Types of Hysterectomy – Which is the Best?
Hysterectomy: in Hyderabad Gynaecologist recommends hysterectomy (surgery for the removal of the uterus) for various reasons including abnormal menstrual bleeding, endometriosis, Uterine prolapse (dislocation of the uterus from its place into the vagina); thickening of the uterus (adenomyosis), cervical polyp, cervical dysplasia (precancerous condition of the cervix), chronic pelvic pain, post-menopausal bleeding, uterine, ovarian and cervical cancers and adnexal pathology. Uterine bleeding cause pain and other issues. The bleeding can be due to several causes including uterine fibroids, cervical and uterine cancers. The most prominent reason for the hysterectomy is uterine fibroids. If you are searching for the best option for hysterectomy in Hyderabad, then read the following:
If all the other treatment approaches didn’t fetch any success after having being tried, then the gynaecologist recommends hysterectomy for non-cancerous reasons. Gynaecologists and gynecologic oncologists who specialize in using different surgical approaches for hysterectomy, select the best one based on the purpose of hysterectomy and the patient’s overall health.
Types of Hysterectomy
Your gynaecologist will decide whether you need a myomectomy or hysterectomy depending on the cause and the reason for the hysterectomy.
Sub-total hysterectomy (Supracervical) – gynaecologists remove only the upper part of the uterus sparing the cervix.
Total Hysterectomy – Doctors remove the whole uterus and cervix.
Radical Hysterectomy – Doctors remove the whole uterus, cervix, the top part of the vagina and tissues on either side of the uterus. This type of surgery is performed to remove cancer.
When only ovaries are removed then the procedure is called oophorectomy and when only tubes are removed then it is known as salpingectomy.
Hysterectomy and Bilateral salpingectomy-oophorectomy – In this type of procedure, doctors remove the entire uterus, both the tubes and ovaries.
The hysterectomy technique will partly determine healing time and the kind of scar, if any, that remains after the operation.
There are two surgical approaches – one is open surgery (traditional approach) and the other is a minimally invasive procedure.
Abdominal hysterectomy is a common procedure for the treatment of almost 50% benign conditions of the uterus. It is an open surgical procedure. In which, a gynaecologist makes 6-to-7-inch incision side-to-side across the tummy. The gynaecologist accesses the uterus through this incision, cut it and removes it through the incision. The patient may spend three to four days in the hospital following a hysterectomy.
Minimally Invasive Procedures
Vaginal hysterectomy: The gynaecologist makes small in the vagina and then removes the uterus through the vagina. There is no visible scar left as the procedure is minimally invasive.
A gynecologic oncologist or a surgical oncologist who specializes in laparoscopic surgery makes three to four small incisions in the abdomen. The doctor uses thin tube-like instruments and passes them through these incisions to cut and remove the uterus. They use a morcellator to cut the uterus into small pieces and remove it through these incisions. The laparoscope used in this procedure has high-intensity light and a camera at the front. This helps in mapping the image from the camera on to the screen to perform and monitor the procedure.
Advantages of Laparoscopic surgery
- Less scarring
- A few small incisions
- Minimal blood loss
- Shorter hospital stay
- Less post-operative pain
- Faster recovery
- Low risk of infection
Meet your gynaecologist to know whether you are a suitable candidate for laparoscopic hysterectomy. To remove all your doubts and concerns about any of the above-discussed procedures and to know which procedure is suitable for you. If you are planning a hysterectomy in Hyderabad, fix an appointment with Dr Geetha Nagasree. She will suggest a suitable procedure based on your previous medical history, symptoms, thorough physical examination, uterus size, overall health and individual preferences.