Types of Hysterectomies

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Hysterectomy is defined as the removal of whole or part of the uterus. It is quite a common procedure performed on many women due to various reasons. It has been estimated that every third women has a hysterectomy by the age of sixty.

Hysterectomy is performed because of many reasons. It is performed generally when other treatment options has failed. Hysterectomy is used in uterine fibroids causing excessive bleeding or pain; prolapse  of the uterus; cancer involving the uterus, ovaries, or the cervix; endometriosis; abnormal vaginal bleeding; chronic pain of pelvis; or adenomyosis.

The hysterectomies can be chosen according to the condition of the women. There are four types of hysterectomies that can be chosen from which includes Total hysterectomy, Hysterectomy with bilateral salpingo-oophorectomy, Supracervical hysterectomy, and Radical hysterectomy.

Total hysterectomy is done in two ways, known as Total abdominal hysterectomy and Total vaginal hysterectomy. Total abdominal hysterectomy refers to the removal of uterus as well as cervix through an incision on the abdomen. The incision is usually about 3 to 5 inches long and can either be vertical extending from the belly button to the pubic line, or horizontal along the pubic line. It is performed in cases of abnormal vaginal bleeding which is heavy and is associated with pain, as well as cancer of the uterus or ovaries, endometriosis, and large fibroids. Total abdominal hysterectomy leaves a scar behind which most women are uncomfortable with. Furthermore, the recovery time is also long, requiring six to eight weeks for a woman to fully recover. On the other hand, Total vaginal hysterectomy refers to the removal of uterus and the cervix through the vagina. This type of hysterectomy is performed in cases where the uterus is not large, such as uterine prolapse, endometrial hyperplasia, or cervical dysplasia.

Hysterectomy with bilateral salpingo-oophorectomy refers to the removal of both ovaries and fallopian tubes together with the uterus, through an abdominal incision. Generally, this is done in cases of cancer involving the ovaries, fallopian tubes, or the uterus. Moreover, it is also sometimes performed in complicated cases of pelvic infection.

Supracervical hysterectomy is the type of hysterectomy which leaves the cervix behind while removing the uterus. This procedure is performed in some cases of endometriosis. This type of hysterectomy is simpler with less recovery time; however, the risk of vaginal prolapse is much higher.

Radical hysterectomy is an extensive surgery that removes the uterus, upper part of vagina, as well as all the surrounding tissue of the uterus. It is performed in cases of cancer.



Category: Health
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