During an abdominal hysterectomy, the surgeon removes the uterus of the patient by making a large cut in the abdomen. The incision made in the abdomen can be vertical or horizontal. Both the incisions heal well in a few days and leave behind scars from the surgery.
During a vaginal hysterectomy, the surgeon removes the uterus by making a small incision inside the vagina. This type of surgery will leave behind no scars after healing, as there are no external cuts on the body.
During a laparoscopic hysterectomy, the surgeon will use a tiny instrument known as a “laparoscope”. A laparoscope is a thin, long tube with a high-intensity light and a camera on the front. The surgeon will make small incisions in the abdomen of the female. The laparoscope is inserted through incisions in the abdomen. There is no risk of scarring after the surgery in laparoscopic hysterectomy as 3 or 4 small incisions are made instead of one large one. Once the doctor can see the patient’s uterus via the camera on the laparoscope, the uterus is cut into small pieces and removed carefully, one piece at a time.
Hysterectomy is considered to be a safe procedure. However, being a major surgical procedure, there may be some risks associated with this surgery as well.
Adverse reaction to the anesthesia
- Heavy bleeding
- Infection around the incision
- Injury to surrounding tissues or organs, including the bladder, intestines and blood vessels
These risks and complications involved with hysterectomy are rare. However, if the female observes any of the symptoms above, she may need a second surgery to treat them.
In the hospital
After the hysterectomy, the patient may need to stay in the hospital for one night in case of laparoscopic hysterectomy and two to five days in case of vaginal or abdominal hysterectomy. During the hospital stay, the doctor will prescribe pain medication to the patient for the pain and monitor the vitals, including breathing and heart rate of the patient. The patient is also encouraged to walk as soon as she feels comfortable. Walking will help prevent formation of blood clots in the legs (which can happen if the patient avoids walking or minor physical movement after the surgery).If the female has had a vaginal hysterectomy, the vagina will be bandaged with gauze to control bleeding. The gauze will be removed by the doctor after a few days after the surgery. However, the female may have blood or brownish discharge from the vagina for about 10 days post-surgery. The female is suggested to use a sanitary pad, tampon or menstrual cup to protect the clothes from getting stained.
- After the discharge from hospital, it is important for the female to continue walking. The female is suggested to take small walks, which can even be inside the house or in the neighborhood. However, the female is advised to avoid certain activities during the recovery period. Such activities include:
- Pushing and pulling heavy objects
- Lifting heavy objects or any other activity that puts pressure over the abdomen area
- Bending forward or backwards
- Sexual intercourse
Benefits of Hysterectomy
What to consider before having a Hysterectomy?
Undergoing a hysterectomy is a big decision for any female. To begin with, it is a major surgery and may remove the uterus of the female. This surgery can change the woman’s body forever. The woman may have an early menopause. As the uterus is removed in the surgery, the woman can never have children again. This is the reason that the treatment option of hysterectomy is only brought to the table after other treatment options fail to succeed. The patient undergoing or planning for hysterectomy should discuss about the below mentioned things with her doctor beforehand.
- Would hysterectomy be suitable for me?
- What are the benefits and side-effects of undergoing a hysterectomy for my case?
- Do I have other options apart from hysterectomy?
- What will happen if I do not undergo a hysterectomy?
- How will hysterectomy relieve my symptoms?
- Which type of hysterectomy do I need?
- What are the chances of early menopause?
- Will I have to take regular medications after the surgery?
- Will I have behavioural or psychological changes?
If the female is suggested a hysterectomy as her last option but she still wants to have children, make sure to discuss this with the doctor. Adoption and surrogacy are two potential options for females in such cases.
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