- Hysterectomy (removal of the uterus) - a terrible need
- Cancer of the reproductive system
Cancer of the reproductive system
Cancer of the uterus and cervix are usually coupled with the need to remove the cancerous organs (uterus and cervix). The decision about the operation was adopted, based on the type of cancer and the extent of spread of the disease. Endometrial cancer, uterine cancer, cervical or tubal
Fallopian tubes: an important part of the reproductive system
also requires the removal of organs.
Endometriosis
In some cases, excessive bleeding after endometriosis
Endometriosis - a serious problem with serious consequences
appoint a hysterectomy. It is the second most common cause of this operation.
Fibroids:
although most amenable fibroids nonsurgical treatment, in some cases the only effective treatment for fibroids is hysterectomy.
Uterine prolapse
By moving into the vaginal cavity of the uterus may affect other vital organs such as the bladder. Uterine prolapse, or displacement may occur as a result of childbirth, obesity, a sharp decline in estrogen levels
Estrogen - the key to bone health
postmenopausal, and also because of the weakness of the pelvic ligaments and tissues.
Also, a hysterectomy is performed with a serious disruption of the menstrual cycle, dysmenorrhea
Dysmenorrhea - the basis of infertility
. Sometimes, a hysterectomy is needed in severe inflammatory diseases of the pelvic organs.
Types of hysterectomy
Total (total) hysterectomy involves removal of the uterus and cervix. This operation is also called oophorectomy.
In partial hysterectomy remove only the upper part of the uterus and the cervix remains in place. This operation is often referred to as supravaginal hysterectomy.
When radical hysterectomy removed uterus, cervix, and upper vagina supporting fabric.
Surgery to remove the uterus doklimatkericheskom age can cause a number of serious and long-term complications that can be avoided if a hysterectomy after menopause. In addition to emotional disorders (depression, anxiety) in women after hysterectomy doklimaktericheskogo age often develop osteoporosis, a loss of sexual desire. Some women fear that a hysterectomy would hurt their sex life. In cases where surgery is reduced by the length of the vagina, women experience pain during sexual intercourse. Many patients doklimaktericheskogo age undergoing hormone replacement therapy after a total hysterectomy and removal of ovaries.
Vaginal hysterectomy
When vaginal hysterectomy in the upper part of the vagina is performed incision and through which the uterus is removed. This is shown in the case of prolapse, and if the uterus small. After a vaginal hysterectomy on a patient's body does not remain scars. Recovery after surgery is quite fast (compared with abdominal hysterectomy). This type of hysterectomy is performed using a laparoscope which is inserted into a small incision in the lower abdomen. With the laparoscope the surgeon inspects the pelvic organs. In order to separate her uterus and vaginal hysterectomy using special surgical instruments.
Recovery after a hysterectomy
Since hysterectomy is performed under anesthesia for the recovery operation will require several hours. Back to normal life will be in a few weeks, during which the woman was operated on a regular basis for inspection. Possible complications after hysterectomy: blood clots, bleeding and infection. The recovery period after the hysterectomy takes an average of 4 to 8 weeks. After surgery, it is important to rest as much as possible and to start with the simplest of actions. No increase in temperature is excluded. In rare cases, the damage occurs during surgery and abdominal structures of the abdominal cavity. In women after vaginal hysterectomy often have difficulty urinating.
After a hysterectomy increases the risk of loss (prolapse) vaginal vault (upper vaginal vault is lowered due to the reduction of support structures). Recovery from a vaginal hysterectomy and laparoscopic takes just a couple of weeks. By the usual life of the patient is returned as soon as able to travel freely.
- Try to get up and move more in the ward, to improve blood circulation and prevent blood clots. Blood clots may form in the large veins of the legs and in the lungs.
- Do not lift for at least six months after hysterectomy.
- Choose a balanced diet with the substitution of iron - a rebuke healing.
- Try to limit your fluid intake to avoid constipation.
- Do the exercises prescribed by the doctor.
- When pain, nausea, heavy bleeding or signs of infection, call your doctor.
Abdominal Hysterectomy
Abdominal hysterectomy is shown in those cases when the uterus is increased, or when there are large fibroids, endometriosis and extensive adhesions. In the case of cancer of the uterus, ovaries or cervix also perform abdominal hysterectomy (performed vertical sectional view taken along a line or a bikini, a maximum length of 10-15 centimeters). Uterus and the cervix is removed by cutting from the upper part of the vagina, which sutured. Abdominal hysterectomy reduces the likelihood of damage to the urinary tract, but it entails a longer recovery period.
Laparoscopic hysterectomy
With laparoscopic hysterectomy do three or four small incisions in the abdomen through which a laparoscope is passed into the abdomen or pelvis. The uterus was cut into small pieces and removed through the tube, which is introduced into the peritoneal cavity. After laparoscopic hysterectomy does not require a long recovery, but the surgery is expensive abdominal and vaginal hysterectomy.
