Hysterectomy

 

Hysterectomy is one of the most common treatment methods in recent times, despite the development of other treatment methods, but especially in the case of advanced age, doctors still resort to the process of removing the uterus to ensure that the disease does not return.

The female reproductive system consists of external and internal organs.

The function of the external organs is to assist sexual intercourse and to facilitate the entry of the man’s sperm into the vagina and through it to the cervix and uterus. They also secrete various substances to prevent infections, and these organs are:

• labia majora
• labia minora
• Barthlon's glands
• clitoris

As for the internal organs, their function is pregnancy and procreation and giving the female her characteristics through the secretion of various hormones, and it consists of:

• the vagina
• the womb
• fallopian tubes
• ovaries

The organ that is most susceptible to disease is the uterus, where thousands of women suffer from uterine diseases annually, and its disorders constitute about 2-4% disorders in humans.

The function of the uterus is one of the most important functions for the continuation of human life on earth, as it provides an appropriate environment and incubation for the growth and development of the fetus before it can live on its own outside the mother’s body.

A hysterectomy is a procedure or surgery to remove the uterus and may involve removing the ovaries, fallopian tubes, and nearby tissues.
After this operation, the woman will not be able to get pregnant and give birth in any way.

The operation to remove the uterus is the second most common operation in women after childbirth by caesarean section, Cesarean Delivery, where about 400,000 hysterectomies are performed in the United States of America per year.

 

There are many reasons for doing this process, including:

• Heavy vaginal bleeding of unknown etiology and refractory to conventional treatment methods.
• Chronic pelvic pain: We resort to hysterectomy as a last resort for pelvic pain after exhausting other therapeutic solutions, as hysterectomy is a big step and it must be ensured that there is no other solution before doing it.
• uterine myomas Andfibroids: These are benign tumors that are very common in women of reproductive age. Hysterectomy due to fibroid is the definitive solution to this problem because often these tumors recur and reappear after other treatments.
• Prolapse (prolapse) of the uterusUterine prolapse leads to several problems, the most important of which are urinary problems in the patient.
• Endometriosis: It is the growth of tissue similar to the lining of the uterus outside the uterus, and a hysterectomy is performed in case of repeated recurrence of the condition.
• Cancers of the female reproductive system: including uterine cancers, I dont know, ovary Andthe vagina.
  

  Uterine cancer is one of the most common indications for hysterectomy, as it is characterized by frequent recurrence, making hysterectomy the most effective treatment method.

The matter varies according to the reason that prompted the doctor to think about the hysterectomy, in addition to the patient’s condition and whether she wanted to have children or if she made the decision to stop having children, as performing the hysterectomy will prevent the patient from having children permanently and may enter her in early menopause (if she did not enter the age of despair already) if the ovaries were also removed.

 

In the case of muscle tumors or fibrous You can wait and watch for it to shrink and go on its own after menopause, and other minimally invasive surgeries can also be done as excision of leiomyomas or fibrous Laparoscopic (tumor removal only) and many other operations.

 

In the case of Endometriosis The doctor can prescribe various hormonal drugs that help alleviate the condition or treat it permanently, and the ectopia can be removed locally using the endoscope.

 

In some cases, performing different exercises to strengthen the muscles that stabilize the uterus is useful, such as Kegel exercises to strengthen the pelvic muscles when there is indicative of mercy.

 

However, total hysterectomy remains the best and least recurring option and is suitable for women who have entered menopause, as many previous treatments carry a high recurrence rate or may not be curative enough.

 

There are several types of hysterectomy due to different Etiology, surrounding factors, and the need for excision of adjacent organs in some cases.

 These types are:

• Partial or supracervical hysterectomy: Where only the uterus is removed and the cervix is preserved.
• Total hysterectomy: In this process, the uterus is removed and the entire cervix is removed.
• Total (total) hysterectomy with removal of the ovaries and fallopian tubes.
• Radical hysterectomy: In which the uterus, cervix, the upper part of the vagina and the adjacent lymphatic tissues and base are removed, and often the ovaries and fallopian tubes are removed with them. This method is often used as a final solution for the treatment of malignant or recurrent cancers.
  

  Types of hysterectomy

Before the procedure, the doctor explains the steps of the surgery and the risks and complications that the patient should expect and may order blood and urine samples in some cases or even perform a pelvic ultrasound.

Abdominal hysterectomy

Transvaginal hysterectomy

Laparoscopic/Robot Assisted Hysterectomy

The doctor inserts the endoscope through one of the small incisions in the intestine and also inserts other medical and surgical instruments through the other incisions, and the uterus is removed in small pieces, each piece separately.

Usually four or three incisions are made and the doctor inserts the laparoscope through the incision near the belly button.

 

As for the robot-assisted hysterectomy, the doctor uses a robotic arm to control the surgical tools, where the uterus and the doctor on a computer screen remotely control the surgical tools.

He did not see any difference in the surgical results between using the robot to perform the operation or not using it, but the operation with the help of the robot takes longer than the rest of the methods.

 

Laparoscopic surgery has several benefits, including reducing the risk, the time, the recovery period, and the length of stay in the hospital, as the patient can often go home the day after the operation.

As with a transvaginal hysterectomy, the full recovery process from a laparoscopic hysterectomy takes about four weeks.

Hysterectomy is a safe operation with few complications, but like any surgery, hysterectomy (especially abdominal) carries risks, some of which are:

• Inflammation or infection of surgical incisions.
• Heavy bleeding during or after hysterectomy, but minor bleeding is normal.
• Damage to the urinary tract or to the adjacent intestine.
• Cardiac and respiratory problems caused by anesthesia.

Long-term complications of hysterectomy

Swelling and numbness at the incision site.

Abdominal sagging due to the surgical incision if it is from the abdomen.

Early menopause symptoms if the ovaries are removed.

Expected results vary according to the surgery performed, and also vary greatly depending on the age and health of the patient.

If the ovaries are removed, the woman will enter early menopause and her menstrual cycle will stop, and major hormonal changes will occur that may affect her life, psyche, and even her sexual life.

 

In most cases, women return to a normal sexual life after the hysterectomy, but sometimes the sexual life may be disturbed, and women may enter a stage of depression because they feel inferior after the hysterectomy.

Other complications can appear as attacks of high fever, sweating and poor appetite, or even vaginal discharge that was not present before.

The patient should consult the doctor if these complications appear on her. The doctor can then prescribe some sedative medications, reassure the patient and help the family understand the matter and understand what is going on with the patient.

Why should I choose treatment in Turkey?

Turkey is distinguished by the presence of the best hospitals equipped with advanced technologies and a medical staff who has successfully performed this type of operation a large number of times.
Recently, Turkey has become one of the leading countries in the field of medical tourism in the world, due to the provision of appropriate treatment in advanced centers and at a low cost.
Bimaristan Medical Center It is your first choice For treatment in Turkey.
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