Hysterectomy Surgery

A hysterectomy is a surgical procedure carried out to remove a woman's uterus. Various underlying reasons necessitate this operation. 


Some common indications for hysterectomy in Patna, Bihar are:

·        Uterine Fibroids: These can lead to significant pain and excessive bleeding.
·        Uterine Prolapse: When the uterus descends into the vaginal canal from its normal position.
·        Uterine Cancer: Hysterectomy may be performed for women with uterine cancer.
·        Abnormal Uterine Bleeding: Excessive or irregular vaginal bleeding.
·        Adenomyosis: A condition characterized by thickening of the uterus.
·        Severe Pelvic Pain: Persistent pain in the pelvic region. 

Types of Hysterectomy 

The surgical approach for hysterectomy depends on the specific condition and the extent of removal required. There are three primary types of hysterectomy:

·        Supracervical Hysterectomy: Also known as subtotal hysterectomy, this surgery removes the upper part of the uterus while leaving the cervix intact.
·        Radical Hysterectomy: Primarily for uterine cancer cases, it involves complete removal of the uterus and surrounding tissues, including the cervix.
·        Total Hysterectomy: This procedure removes the entire uterus along with the cervix. 

Surgical Techniques

Medical practitioners in Patna, Bihar utilize various surgical techniques for hysterectomy, selecting the most suitable one based on factors such as the surgeon's expertise, the patient's health, and the underlying condition. Some techniques include:

·        Open Surgery: The most common approach involves making an incision in the abdomen (up-down, side-side, or around the stomach) to remove the uterus. Recovery typically requires 2-3 days in the hospital.
·        Minimally Invasive Procedures (MIP): These include laparoscopic approaches:
·        Vaginal Hysterectomy: The uterus is removed through an incision in the vagina, leaving no external scars.
·        Laparoscopic-Assisted Vaginal Hysterectomy: A combination of laparoscopy and vaginal incision aids in uterus removal.
·        Laparoscopic Hysterectomy: The uterus is removed via small abdominal incisions, aided by laparoscopic tools and camera.
·        Robot-Assisted Laparoscopic Hysterectomy: Similar to laparoscopic, but with a robotic system controlled externally, offering enhanced precision. 

Risks

While most hysterectomies are performed without major complications, potential risks include:

·        Urinary Incontinence
·        Vaginal Prolapse
·        Severe Pain
·        Vaginal Fistula Formation
·        Wound Infections
·        Haemorrhage 

Organs Besides the Cervix and Uterus That May Be Removed: During a hysterectomy, ovaries and fallopian tubes may also be removed if deemed necessary:

·        Bilateral Salpingo-Oophorectomy: Removal of both ovaries and fallopian tubes.
·        Oophorectomy: Removal of ovaries only.
·        Salpingectomy: Removal of fallopian tubes. 

Conclusion

Hysterectomy is a surgical solution to alleviate issues like pain and excessive bleeding. While risks are present, with proper care and follow-up, individuals can recover successfully from the surgery, improving their quality of life. 

To book an appointment at Big Apollo Spectra Hospital, Patna, call 0612-3540100.