What is called Hysterectomy?
A hysterectomy is a procedure to remove a woman's uterus or womb through an incision in the Lower Abdomen. The most common reasons for having a hysterectomy are Heavy Periods due to fibroids, Pelvic pain due to endometriosis, Pelvic Inflammatory Disease (PID), Adenomyosis or Fibroids and prolapse of the uterus. After a hysterectomy there will not be menstrual periods and can't become pregnant. There are two common types of Hysterectomy, a partial hysterectomy and Total Laparoscopic Hysterectomy. Partial Hysterectomy is done to remove only Uterus and Total Laparoscopic Hysterectomy removes both Uterus and Cervix. Sometimes the surgery also removes the ovaries and fallopian tubes.
Why Hysterectomy is Recommended to a Patient?
- Fibroids are the most common reason for women to have a hysterectomy. Fibroids that grows from wall of the uterus called myomas which are made of muscle and fibrous tissues. Most women above 35 years have fibroids but they dont show any symptoms of Fibroid complications.
- Endometriosis that hasn't been managed well by medicine or surgery can have Hysterectomy. During the surgical procedure surgeons remove the endometrial tissue and the uterus, with or without the ovaries. Hysterectomy relieves the symptoms of endometriosis for many people, but the condition can recur after the surgery, and the symptoms can persist.
- Uterine prolapse occurs when the uterus drops into the vagina due to Pregnacy, Child Birth, Hormonal Changes, Obesity and severe coughing. Hysterectomy removes the uterus that drops into the vagina when non surgical treatments fail or doenst yeild any results
- Gynaecological Cancer of the uterine, cervix, or ovaries - A hysterectomy may be recommended to treat endometrial, cervical, ovarian and uterine cancers. The type of hysterectomy performed depends on the type of cancer, as well as its extent. The procedure may involve removing the ovaries and fallopian tubes in a surgery called a salpingo-oophorectomy. Other options include chemotherapy and radiation based on the type and advancement of the cancer.
- Hysterectomy for Heavy Menstrual Bleeding (Menorrhagia). Heavy menstrual bleeding and painful periods can be the result of a number of conditions including endometriosis and uterine fibroids or when other medical treatments have failed. Heavy menstrual bleeding is a common disorder women report to their physicians, experienced by approximately 1 in 5 women. Hysterectomy can be an effective treatment of heavy bleeding but it does render the woman unable to have more children.
- Hysterectomy for Chronic pelvic pain - Hysterectomy may alleviate chronic pelvic pain, especially when it is due to uterine disorders such as adenomyosis or fibroids or when other medical treatments have failed.
Is a hysterectomy considered a major surgery?
A hysterectomy is major surgery, but with new technological advances with Surgical Laparoscopy, the discomfort, risk of infection and recovery time has all been decreased.
What Are The Types Of Hysterectomy at Sunrise Hospital?
- Laparoscopic supracervical hysterectomy (LSH) - Supracervical hysterectomy (SH) is a surgical procedure to remove only the uterus. Its a minimally invasive procedure with several small abdominal incisions to a woman's uterus. During the procedure thecervix and fallopian tubes are not removed.
- Total laparoscopic hysterectomy (TLH) - Total laparoscopic hysterectomy is a surgical procedure for the removal of the uterus. It is a minimally invasive procedure where the uterus is separated from the adjacent structures and removed in small pieces through small incisions or through the vagina.
- Laparoscopically assisted vaginal hysterectomy (LAVH) - Laparoscopically assisted vaginal hysterectomy (LAVH) removes the uterus by making one or more small cuts (incisions) in the belly and taking out through the Vagina. In some cases, the ovaries and fallopian tubes are taken out at the same time.
- Total Vaginal hysterectomy (TVH) A total vaginal hysterectomy is a surgical procedure during which a woman's uterus and cervix are removed through the vagina. Vaginal hysterectomies are the most minimally invasive approach available for hysterectomy since they are performed through a natural route with no external incisions.
How Is A Hysterectomy Procedure Carried Out?
A general anesthesia is given to the patient undergoing hysterectomy. To empty the bladder, a urinary catheter is passed through the urethra. This catheter is removed only post-surgery. A sterile solution is used to clean the abdomen and vagina, and a cut is made in the lower abdomen.
How long do you have to be on bed rest after a hysterectomy?
The recovery time depends on your age and your general health condition.
Normally after Laparoscopic hysterectomy patients are able to leave the hospital between 1 and 4 days of the surgery. Patient are adviced for a follow up 4 to 6 weeks, but follow-up appointments with the hospital are not usually needed unless there are complications. .
How long are you in hospital after a hysterectomy?
It takes about 6 to 8 weeks to fully recover after having an abdominal hysterectomy. Recovery times are often shorter after a vaginal or laparoscopy hysterectomy
What Can You Expect During Post-Surgical Care For Hysterectomy?
It takes about six weeks for most women to get back to your normal after hysterectomy. During that time patients are recommended to
- Get plenty of rest.
- Avoid heavylifting for a full six weeks after the operation.
- Stay physicaly active for the first 6 weeks after your surgery
- No sexual activity for atleast 6 weeeks.
- Follow your doctor's recommendations about returning to your other normal activities.
What Can you Expect Life After Hysterectomy?
A hysterectomy permanently changes some aspects of your life. For instance:
- You'll no longer have menstrual periods.
- Most of the time, you'll get relief from the symptoms that made your surgery necessary.
- You won't be able to become pregnant.
- Removing Ovaries with Hysterectomy can start early Menopause
- If you have a partial hysterectomy, your cervix remains in place, so you're still at risk of cervical cancer. You need regular Pap tests to screen for cervical cancer.
- Higher chances of maintaining good sex life due to relief from the chronic pain or heavy bleeding that was caused by a uterine problem. The relief of symptoms may greatly enhance your quality of life. You may have an improved sense of well-being and a chance to get on with your life.
Do you get scars from a hysterectomy?
Laparoscopic hysterectomy usually leaves 2 to 4 small scars at various locations through the abdomen. Laparoscopic hysterectomy scars are much less visible than abdominal scars.
Dr Hafeez Rahman MBBS, MD, DNB, FCLS
Founder Chairman and Sr. Consultant Gynecologist & Laparoscopic Surgeon
Dr. Hafeez Rahman is a Consultant Gynaecologist & Laparoscopic Surgeon and the Head of the Department of Obstetrics & Gynaecology at Sunrise Hospital since October 2005, performed highest number of laparoscopic surgeries i.e. more than 120,000 laparoscopic surgeries. Moreover, he performed first laparoscopic cancer surgery in UAE, Bangladesh and laparoscopic radical surgery in Sri Lanka and he has successfully performed over 35,000 laparoscopic hysterectomies (TLH) so far. He is often invited by the governments and private institutions of UAE, Bangladesh, Malaysia, South Africa and Sri Lanka for laparoscopic surgical procedures and has trained and assisted numerous gynaecologists across the world in laparoscopic procedures.