Your uterus is the main child bearing reproductive organ of your female body. And the uterus is normally what carries the foetus in pregnancy till childbirth.
There are two parts of the uterus, the upper part called the body and the lower part extending into vagina called the cervix.
What is Hysterectomy?
Hysterectomy is the surgical removal of the uterus. It can be of two types-
- Open or abdominal hysterectomy &
- Vaginal or laparoscopic hysterectomy.
When is a Hysterectomy indicated?
Surgical Removal of the uterus is indicated if you have large fibroids (these are noncancerous growths in the uterine wall), progressive endometriosis (these are noncancerous growths in the uterine lining), uterine prolapse (a fall or slippage in the position of the uterus) or uterine cancers.
What are the differences between Open Hysterectomy & Laparoscopic Hysterectomy?
Open Hysterectomy: Traditionally, abdominal hysterectomies are done by open surgery, which requires a wide incision below the navel. This procedure can be quite painful, involve heavy medications, maybe a risk of infection and significant blood loss. A long recovery phase (often upto 6 weeks) is necessary for healing. To add to that, you may have a scar left by the incision.
Laparoscopic Hysterectomy: While open hysterectomy is a relatively safe procedure, it may not be appropriate or necessary for all individuals or conditions. If it is done via multiple small incisions, it is called laparoscopic surgery.
The potential benefits of Laparoscopic Hysterectomy over Traditional Hysterectomy include significantly lesser pain than closed hysterectomy, lesser blood loss and need for blood transfusion, less risk of infection, shorter hospital stay, quicker recovery time, smaller incisions for minimal scarring, better healing outcomes and good patient satisfaction, in some cases.
What care do you have to take post the surgery?
A lot of post-operative care must be taken for two weeks after surgery. Avoid heavy physical activities for at least six weeks. Smoking is best stopped as it interferes with healing.
Your treatment plan after surgery will be decided by your doctor upon consultation with you. If you decide to go ahead with hormone replacement therapy, it is best to do so in consultation with your medical team.