A hysterectomy is a procedure that removes the uterus, ovaries, fallopian tubes, and cervix. There are various ways to perform this procedure, and one of the most common is laparoscopic surgery. Laparoscopic hysterectomy is a minimally invasive procedure to remove the uterus, offering a safe and effective solution.
During the procedure, a tiny camera is inserted through the belly button, allowing doctors to view internal organs. The surgery is performed under anesthesia. In some cases, a woman’s uterus is removed but the cervix is left intact—this is called a laparoscopic supracervical hysterectomy.
• Conditions
• Process of Laparoscopy
• 10 Reasons for Hysterectomy
• Alternatives
• Tests performed
• Types
• Side Effects
• Recovery
• Pros and Cons
• What to Expect
• Cost
Doctors recommend laparoscopic hysterectomy for patients suffering from the following conditions:
• Chronic pelvic pain
• Endometriosis
• Pelvic inflammatory disease
• Infertility
• Removal of fibroids, uterus, lymph nodes, and ovarian cysts
• Ectopic pregnancy
The process involves several key steps:
1. Preparation and positioning
2. Insertion of a urine manipulator
3. Abdomen entry and placement of the trocar
4. Hugging the ovaries
5. Mobilization of the bladder
6. Securing the uterine vessels
7. Separating the uterus and cervix from the vaginal apex
8. Removal of the uterus
9. Closure of the vaginal cuff
10. Closure of the port site
Choose the safest and most advanced laparoscopic hysterectomy for relief from fibroids, endometriosis, uterine prolapse, gynecologic cancer, chronic pelvic pain, and other uterine problems.
1. Uterine Fibroids- Noncancerous growths in the uterus can cause pain and heavy bleeding. If other treatments fail, a hysterectomy may be necessary.
2. Cancer- Hysterectomy may be recommended for cancer of the cervix, ovaries, uterus, or endometrial tissue. It can also be suggested to prevent future cancer in high-risk cases.
3. Endometriosis - Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus, causing irregular periods and severe pain. Medical procedures and hormone therapy are typically tried before opting for a hysterectomy.
4. Adenomyosis- This condition occurs when the uterine lining grows into the muscle of the uterus, causing the uterine wall to thicken, leading to pain and heavy bleeding. Hormone therapy and medication are often tried first.
5. Infection- Pelvic Inflammatory Disease (PID) can cause severe pelvic pain due to bacterial infection. If untreated, it can damage the uterus, making a hysterectomy necessary.
6. Hyperplasia- A thickened uterine lining, often due to excess estrogen, can lead to heavy, irregular bleeding and increase the risk of uterine cancer.
7. General Abnormal Bleeding- Heavy, irregular menstrual bleeding may result from conditions like fibroids, cancer, infections, or hormone imbalances. When other treatments fail, hysterectomy provides relief.
8. Uterine Prolapse- When the uterus slips from its normal position and falls into the vagina, it is called uterine prolapse. This condition can cause urinary, pelvic, and bowel issues. A hysterectomy is considered when other treatments are ineffective.
9. Placenta Accreta- This occurs when the placenta grows too deeply into the uterine wall during pregnancy. A cesarean section combined with a hysterectomy is often required to prevent significant blood loss.
10. Delivery Complications- In cases of severe bleeding during cesarean or vaginal deliveries, a hysterectomy may be performed to save the patient’s life.
Before surgery, doctors may order various tests, including:
• Blood tests
• Electrocardiogram (EKG)
• Urinalysis
• Chest x-ray
• Pelvic ultrasound (if needed)
Other common tests include:
• CBC count
• Endometrial sampling
• Ultrasonography
• ECG
• CAT scan
• Tumor markers
• Barium enema
• Chest radiography
• Papanicolaou test
• Cystoscopy
1. Radical Hysterectomy
2. Total Hysterectomy
3. Supracervical Hysterectomy
4. Hysterectomy with Oophorectomy
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