Hysterectomy or surgical removal of the uterus/womb is the most common procedure performed in gynaecology. The uterus and at times along with the tubes and ovaries are removed for various indications. Some of the common indications are prolapse of the uterus, uterine fibroid, excessive/uncontrolled uterine bleeding, adenomyosis, endometrial hyperplasia and many more.
Hysterectomy can be performed by many methods. The commonest method
is abdominal hysterectomy, where an incision is made on the abdomen and
the uterus is removed. This method leaves a huge scar, is more painful
and needs longer hospital stay.
Another method commonly done nowadays is minimally invasive/key-hole
surgery. Small incisions are made on the abdomen and instruments are
used to remove the uterus. This method, although has small scars is
expansive and has higher risk of injury to surrounding organs.
Hysterectomy can also be done through the vagina. This is the
scarless method. An incision is made on the vagina and the uterus is
removed. After removal, the vagina is closed and the wound remains
inside and invisible. Repair of surrounding structures or pelvic
reconstructive surgery can also be performed to restore the function of
the vagina, bladder and rectum for sexual, urinary and bowel problems.
The advantages of this method are :
- Short hospital stay - only 1 or 2 nights
- Less pain, bleeding and risk of injury to surrounding organs
- Safest method of hysterectomy
- Less anaesthesia required - surgery performed under spinal anaesthesia
- Cheaper cost of surgery
- Faster recovery and mobility after surgery
- Safe method in high risk women - those with diabetes, high blood pressure or other medical problems
- NO SCAR
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