Vaginal hysterectomy treatment is recommended for several gynecologic problems, including fibroids, uterine prolapsed, abnormal vaginal bleeding, chronic pelvic pain, endometriosis and cancer of the uterus, cervix, endometrium or ovaries. Vaginal hysterectomy is the preferred procedure as it is minimally invasive and recovery time is shorter.
Vaginal hysterectomy is performed under general anesthesia. An incision is made inside the vagina to insert the instruments, while the uterus is removed through the vaginal opening. Absorbable stitches are used to control any bleeding inside the pelvis.
On the other hand, laparoscopic hysterotomy is performed through small abdominal incisions. Long, thin surgical instruments are inserted through the incisions to separate the uterus from the other organs. The uterus is removed through an incision made in your vagina.
Risks of vaginal hysterectomy include heavy bleeding, blood clots in the legs or lung infections, damage to surrounding organs and adverse reaction to anesthesia. A vaginal hysterectomy cannot be performed in patients with severe endometriosis or scar tissue, abdominal hysterectomy is the alternative for such cases.
The recovery period is shorter for vaginal hysterectomy in comparison to abdominal hysterectomy. The patient can return to routine tasks in a couple of days however, complete recovery may take three to four weeks. Post-operative care should be followed with diligence to aid the healing process. Lifting heavy weights should be avoided for six to eight weeks after the surgery. The patient should not indulge in sexual intercourse for a few months or until advised by the doctor.
Complications are rare, however in the case of severe nausea, vomiting or bleeding that's heavier than a menstrual period you must consult your doctor immediately.
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