Hysterectomy: what is
A hysterectomy is the surgical removal of the uterus (or womb). The uterus is a muscular organ with a cavity therein called uterine cavity. The function is to accommodate the baby and allow growth during pregnancy. The uterus has two parts: a top or uterine body, where the uterine cavity is; and a lower or cervix. Hysterectomy may be total, excising both parties; or subtotal, should remove only the uterine body.
Diseases or gynecological problems requiring a hysterectomy
The main reasons for hysterectomy include:• Uterine fibroids: nodular formations are benign but can cause chronic pain and very abundant menstrual bleeding.• excessive menstrual bleeding leading to anemia and repeated boxes that do not respond to hormonal treatment.• Severe Endometriosis is a self-limiting disease with menopause and benign but in severe cases of chronic pain, may require removal of the uterus.• Uterine Prolapse: it means the descent of the uterus through the vagina, often resulting feeling of vaginal weight and recurrent infections.• Cervical cancer• Cancer of the uterine body, most often endometrial• Ovarian cancer
Techniques for hysterectomy and when to choose them
Hysterectomy can be done in three ways:• Vaginal, if uterine prolapse.• Abdominal through a large incision can be transverse (as a C - section) or longitudinal to very exceptional cases of very large uteri (myoma or multiple advanced ovarian cancer).• Laparoscopy: a surgical technique is minimally invasive. Today, experts surgeons in gynecology experienced, they performed almost 95% of hysterectomies by laparoscopically.
What is the mini-invasive laparoscopic hysterectomy
Laparoscopic minimally invasive hysterectomy involves making the removal of the uterus through an incision of 10 mm in the navel, where a camera that can see an external monitor is introduced; and three incisions of 5 mm below the pelvis, where the material is introduced to perform the procedure.
The abdominal cavity is distended with gas previously extracted at the end of the intervention. The uterus, once inserted des-anchor points is extracted vaginally, closing with points the roof of the vagina, and ending the operation. Under normal conditions usually it lasts around 45-60 minutes. Patients often have a very quick and effective recovery in the vast majority of cases due to minimal surgical invasion. Thus, they can be discharged on the same day or the next day, eating, walking, urinating on their own and tolerating the pain with a simple analgesic orally.
Routine postoperative patient during hysterectomy
The patient can do normal life after surgery, as well as their level of pain it will allow. This includes any type of everyday activity such as lifting light weight, wander both inside and outside the home, up and down stairs, or eating all kinds of food and preferably not fried in small quantities, spread over several meals.
Also, depending on the type of work you do, you can reincorporate as soon as the patient wishes, to the extent you feel comfortable with their level of pain. Moreover, you can return to driving a car once you feel safe to operate the pedals quickly and is not taking any medication that alters consciousness or sleep. The only formal limit having laparoscopic hysterectomy is sexual abstinence for 40 days. This is always recommended to prevent the roof of the vagina sutured during surgery opens.
Edited by Patricia Crespo Pujante