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Overview

Hysterectomy - Treatment, Procedure And Side Effects

What is the treatment?

The word 'Hysterectomy' is derived from its Greek root 'Hysteria' which means the womb and 'Ektomia' implying to cut out of. A Hysterectomy surgery concerns the surgical removal of a woman's uterus. It can also mean the surgical removal of the uterus, ovaries and the cervix. So technically, a Hysterectomy surgery means that the woman can never be a biological mother again.

This type of a surgery, which is one of the most common gynaecological procedures performed, does become important in certain scenarios. It can either be a total (removal of the uterus along with the cervix) or a partial (removal of the uterus but not the cervix).

A Hysterectomy surgery can be carried out for the following reasons: uterine fibroids (the common non-cancerous growths on the uterus muscles), uterine prolapse (a benign condition wherein the uterus drops into the vagina from its usual spot), endometriosis (a condition characterized by the growth of the uterus lining tissues outside the uterus), cancer and hyperplasia ( thickening of the uterus lining resulting in bleeding).

Other reasons include pelvic pain that is chronic, chronic PID (Pelvic Inflammatory Disease) and heavy, persistent bleeding.

How is the treatment done?

A Hysterectomy Surgery usually takes about two hours at the maximum. General anesthesia is administered after which, an IV catheter will be inserted to supply medications and other fluids.

The process of hysterectomy depends on the type of the surgery. In the case of abdominal hysterectomy, first, an incision (either transverse or vertical) of about 7 inches is made in the lower abdomen. The supportive tissues and the blood vessels around the uterus are excised and then the uterus is taken out through the incision. Finally, the incision is closed. A major advantage of this type is that hysterectomy can be performed even if there is scarring or presence of large fibroids. In the case of vaginal hysterectomy, an incision is made around the top of the woman's vagina. After the ligaments, fallopian tubes and the blood vessels are cut off, the uterus is taken out through the vagina. The advantage here is that scarring is minimal with almost no operative pain. The patient can resume normal activities within a month. However, the chances of complications are more in the case of a vaginal hysterectomy. In the case of Laparoscopically assisted vaginal Hysterectomy, the same procedure is followed with a laparoscope assisting the doctor.

Who is eligible for the treatment? (When is the treatment done?)

The Hysterectomy surgery is opted for only if other methods haven't been able to provide results. The most common eligibility criteria include:

  • Heavy periods: Often caused by the presence of fibroids, heavy periods can pose other problems such as menstrual cramps, irritability and nausea.
  • Uterine prolapse: This is characterized by the uterus dropping into the vagina as a result of the weakening of the supportive ligaments and tissues.
  • Pelvic pain: This can be because of endometriosis, adenomyosis, incomplete treatment of PIDs and/or fibroids.
  • Cervical or ovarian cancer

Who is not eligible for the treatment?

There are no non-eligibility criteria as such, however:

  • The woman should talk it out with the doctor regarding her sex life post hysterectomy as a woman's libido could take a beating and also suffer from sexual dysfunction.
  • Also, if the woman is running a temperature, the surgery should not be carried out.

Are there any side effects?

The possible side effects include:

  • Damage to the surrounding organs
  • Problems related to anesthesia, such as heart or breathing problems
  • Formation of blood clots in the lungs or legs
  • Heavy bleeding
  • Infections
  • Premature menopause in case the ovaries have been removed as well
  • Pain during engaging in sexual intercourse

What are the post-treatment guidelines?

The basic post-operative guidelines are:

  • The woman should avoid lifting any heavy weight post surgery.
  • The woman must also avoid bathing in tubs for a period of about 5-6 weeks post surgery.

How long does it take to recover?

For an abdominal hysterectomy, complete recovery can take about a month to 8 weeks. However, for vaginal/laparoscopically assisted vaginal hysterectomies, the downtime is much shorter; about 1-2 weeks.

What is the price of the treatment in India?

The price of hysterectomy in India will range between Rs.1,82,000 to Rs.2,40,000.

Are the results of the treatment permanent?

Yes, a Hysterectomy surgery offers a permanent solution to the treatment of fibroids.

What are the alternatives to the treatment?

Some of the alternatives to Hysterectomy include embolization, endometrial ablation, and myomectomy.

Safety: Medium Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Recovery Time: Medium Price Range: Rs. 1,82,000 - Rs. 2,40,000

Popular Health Tips

Dysfunctional Uterine Bleeding - How To Deal With It?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
Dysfunctional Uterine Bleeding - How To Deal With It?

As a woman goes through life, her hormonal levels change quite dramatically and this can be quite impactful. However, sometimes the impact is not a good one! This can be said to be the cause when it comes to dysfunctional uterine bleeding. This sort of bleeding occurs when the levels the hormones are at cause the menstrual cycle of the woman to become erratic.

Understanding the Diagnosis
When it comes to the diagnosis of an issue such as this, the process must include the ruling out of other more serious problems such as fibroids, a miscarriage, or even cancer which has affected the cervix or the uterus of the woman.

Treatment options
A doctor, post-ruling out these situations, will inform the patient, if dysfunctional uterine bleeding is what is being experienced. When it comes to the matter of how dysfunctional uterine bleeding is to be dealt with, it can be said that the best thing which is to be done is to sit down with the doctor and have a comprehensive chat with respect to what the solutions which are available at hand are.

  1. One of these solutions happens to be hormone treatment. However, it is to be kept in mind that this is usually only made use of in order to stop dysfunctional uterine bleeding which is very severe.
  2. If the woman is not experiencing bleeding which is this bad, a good solution could be non-steroidal anti-inflammatory drugs, which are also known by their abbreviation, which is NSAIDs. Drugs such as ibuprofen are used quite widely when it comes to treating the issue of dysfunctional uterine bleeding. That being said, the matter of the best solution is something which is very subjective and the best judge of the same is only the doctor who has been apprised of all the facts which pertain to the case at hand.
  3. It is only in extreme cases that the uterus as a whole is removed, a process which goes by the name of hysterectomy. This sort of solution is only recommended when a woman does not wish to have any more children.
  4. If a woman who has been experiencing the problem of dysfunctional uterine bleeding is aged between the years of 19 and 39, a good and apt solution would be a combination of low dose hormonal contraceptive treatment along with progestin therapy.

A dysfunctional uterine bleeding is something which can mar a woman’s daily life, but it really needs not be the case!

In case you have a concern or query you can always consult an expert & get answers to your questions!

2553 people found this helpful

Ways to Treat Heavy Menstrual Bleeding

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Noida
Ways to Treat Heavy Menstrual Bleeding

Every woman has a unique system, especially when it comes to matters like menstrual cycles and pregnancy. There are some women who go through normal bleeding while for others, it may be less than ideal. Also, there are women who may experience a condition known as Menorrhagia which is characterised by excessively heavy bleeding during menstrual cycles. Cramping and bleeding for longer than a week are the most common symptoms of this condition. Here are ways to treat this condition.

  1. Basis of Treatment: The main cause will dictate the basis of treatment for this condition. Your overall medical history and state of health will be taken into account along with the future of your childbearing plans. The gynaecologist will also study the effect of this condition on your lifestyle and examine your tolerance towards certain supplements and medicines.
  2. Medication: The doctor may prescribe iron supplements in case of anaemia due to the condition. Further, non-steroid anti-inflammatory drugs like naproxen and ibuprofen may be prescribed too. Oral contraceptives and progesterone are also helpful in such cases while Tranexamic acid can reduce the excessive blood loss. The doctor may also insert an intrauterine device to release levonorgestrel to make the uterine lining thin.
  3. Dilation and Curettage: The doctor will dilate or open up your cervix in this procedure to suction away tissue from the uterine lining. One may need additional sessions if the condition recurs.
  4. Focused Ultrasound Ablation: This procedure aims at treating the excessive bleeding by shrinking the fibroids that may be causing the same. This is also similar to a procedure known as uterine artery embolisation which blocks the uterine arteries in order to shrink these fibroids.
  5. Myomectomy: In this procedure, the doctor will surgically extract those fibroids which are causing the excessive bleeding during menstrual cycles. The procedure is conducted either through laparoscopy or incisions in the vagina and cervix, depending on the size, location and number of fibroids.
  6. Endometrial Ablation: Using this procedure, the doctor will permanently do away with the lining of the uterus, which is also known as the endometrium. This will be done by inserting an electrosurgical wire loop to remove the lining. Pregnancy is usually not recommended after this surgery.
  7. Hysterectomy: This is a surgical procedure that is recommended for very severe cases. In this procedure, the doctor will surgically remove the uterus as well as the cervix. This is a permanent procedure that will put an end to the menstrual periods altogether. The procedure will be conducted by administering anaesthesia first, and will require hospitalisation as well. The doctor may also remove the ovaries of the patient with this procedure for premature menopause. If you wish to discuss any specific problem, you can consult a gynaecologist.
3972 people found this helpful

Hysterectomy - Tips to Help You Recover Fast!

DGO , MBBS
Gynaecologist, Pune
Hysterectomy - Tips to Help You Recover Fast!

The surgical procedure that is used for uterus removal of a female patient is known as a hysterectomy. From uterine fibroids to cancer in the uterus, there may be a variety of reasons for carrying out this procedure. Here is everything you need to know about the procedure and recovery.

Causes: There are a number of reasons for which one may have to undergo a hysterectomy. If uterine fibroids and other kinds of growth are causing severe pelvic pain and bleeding, then it may be required. This also applied to particularly painful endometriosis. Abnormal vaginal bleeding as well as severe and chronic pelvic pain, are enough of reasons by themselves for going in for this kind of surgery to remove the uterus. Also, when the uterus slides away from its normal position and slips into the vaginal canal, this signifies a condition known as Uterine Prolapse, which will also require treatment in the form of a hysterectomy. Andenomyosis is another reason why this surgery may be required, as this condition results in the thickening of the organ. Finally, if the patient is suffering from cervical or ovarian cancer, then the doctor may recommend this surgery to remove the uterus in case the tumour found has been tested as malignant.

Technique: There are various techniques that may be followed in the course of this surgery, depending on the location, the size and the severity of the condition and the growth that is associated with it. 

  1. Open Surgery Hysterectomy: This involves an incision of six to seven inches, in the belly of the patient so as to act on the abdominal region. After recovery, there will be a visible scar on the stomach of the patient.
  2. MIP Hysterectomy: The various approaches for this technique include vaginal hysterectomy, laparoscopic hysterectomy, laparoscopic assisted vaginal hysterectomy, and robot assisted laparoscopic hysterectomy.

Risks: While this is mostly known as a low risk procedure, there may be various risks after the surgery including urinary incontinence, vaginal prolapse, formation of fistula where an abnormal link may form between the bladder and the vagina and finally, persistent pain. Infection, haemorrhage and blood clots may also happen in extreme cases.

Recovery: The female patient will automatically start menopause once this uterus removal procedure has been carried out. Usually, the doctor will ask you to refrain from lifting heavy weights for a few weeks after the surgery and also, to abstain from sex for a while. Most female patients reported complete cure of the problem following this surgery. Also, it is not common to find too many side effects after the surgery.

Tips

  1. Walking after a month. 
  2. Simple streching exercises after a month. 
  3. Plenty of fruits and vegetables in diet. 
  4. Water intake around 6 to 7 glasses. 
  5. Calcium supplements. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
2790 people found this helpful

Know Everything About Fibroid

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Know Everything About Fibroid

Fibroids are the most frequently seen tumors of the female reproductive system. Fibroids, also known as uterine myomas, leiomyomas, or fibromas, are firm, compact tumors that are made of smooth muscle cells and fibrous connective tissue that develop in the uterus. It is estimated that between 20 to 50 percent of women of reproductive age have fibroids, although not all are diagnosed. Some estimates state that only about one-third of these fibroids are large enough to be detected by a doctor during a physical examination.

In more than 99 percent of fibroid cases, the tumors are benign (non-cancerous). These tumors are not associated with cancer and do not increase a woman's risk for uterine cancer. They may range in size, from the size of a pea to the size of a softball or small grapefruit.

Causes: While it is not clearly known what causes fibroids, it is believed that each tumor develops from an aberrant muscle cell in the uterus, which multiplies rapidly because of the influence of estrogen.

Risk Factors:

  • Age: Women who are approaching menopause are at the greatest risk for fibroids because of their long exposure to high levels of estrogen.
  • Obesity
  • Race: African-American heritage also seems to be at an increased risk, although the reasons for this are not clearly understood.
  • Parity: Some studies, of small numbers of women, have indicated that women who have had two liveborn children have one-half the risk of developing uterine fibroids compared to women who have had no children. Scientists are not sure whether having children actually protected women from fibroids or whether fibroids were a factor in infertility in women who had no children.

Symptoms:

Some women who have fibroids have no symptoms, or have only mild symptoms, while other women have more severe, disruptive symptoms. The following are the most common symptoms for uterine fibroids:

  • Heavy or prolonged menstrual periods

  • Abnormal bleeding between menstrual periods

  • Pelvic pain (caused as the tumor presses on pelvic organs)

  • Frequent urination

  • Low back pain

  • Pain during intercourse

  • A firm mass, often located near the middle of the pelvis, which can be felt by the doctor on examination

In some cases, the heavy or prolonged menstrual periods, or the abnormal bleeding between periods, can lead to iron-deficiency anemia, which also requires treatment.

Diagnosis: Fibroids are most often found during a routine pelvic examination. This, along with an abdominal examination, may indicate a firm, irregular pelvic mass to the physician. In addition to a complete medical history and physical and pelvic and/or abdominal examination, diagnostic procedures for uterine fibroids may include:

  • Transvaginal ultrasound (also called ultrasonography). An ultrasound test using a small instrument called a transducer, that is placed in the vagina.

  • Magnetic resonance imaging (MRI). A non-invasive procedure that produces a two-dimensional view of an internal organ or structure.

  • Hysterosalpingography. X-ray examination of the uterus and fallopian tubes that use dye and is often performed to rule out tubal obstruction.

  • Hysteroscopy. Visual examination of the canal of the cervix and the interior of the uterus using a viewing instrument (hysteroscope) inserted through the vagina.

  • Blood test (to check for iron-deficiency anemia if heavy bleeding is caused by the tumor).

Treatment: Since most fibroids stop growing or may even shrink as a woman approaches menopause, the doctor may simply suggest "watchful waiting." With this approach, the doctor monitors the woman's symptoms carefully to ensure that there are no significant changes or developments and that the fibroids are not growing.

In women whose fibroids are large or are causing significant symptoms, treatment may be necessary. Treatment will be determined by the doctor based on:

  • Your overall health and medical history

  • Extent of the disease

  • Your tolerance for specific medications, procedures, or therapies

  • Expectations for the course of the disease

  • Your opinion or preference

  • Your desire for pregnancy

In general, treatment for fibroids may include:

  1. Hysterectomy. Hysterectomies involve the surgical removal of the entire uterus.

  2. Conservative surgical therapy. Conservative surgical therapy uses a procedure called a myomectomy. With this approach, physicians will remove the fibroids, but leave the uterus intact to enable a future pregnancy.

  3. Gonadotropin-releasing hormone agonists (GnRH agonists). This approach lowers levels of estrogen and triggers a "medical menopause." Sometimes GnRH agonists are used to shrink the fibroid, making surgical treatment easier.

  4. Anti-hormonal agents. Certain drugs oppose estrogen (such as progestin and Danazol), and appear effective in treating fibroids. Anti-progestins, which block the action of progesterone, are also sometimes used.

  5. Uterine artery embolization. Also called uterine fibroid embolization, uterine artery embolization (UAE) is a newer minimally-invasive (without a large abdominal incision) technique. The arteries supplying blood to the fibroids are identified, then embolized (blocked off). The embolization cuts off the blood supply to the fibroids, thus shrinking them. Health care providers continue to evaluate the long-term implications of this procedure on fertility and regrowth of the fibroid tissue.

  6. Anti-inflammatory painkillers. This type of drug is often effective for women who experience occasional pelvic pain or discomfort. In case you have a concern or query you can always consult an expert & get answers to your questions!

2407 people found this helpful

Hysterectomy Surgery - Know the After Affects!

Advanced Infertility, MIS TRAINING, FICMCH, PGDS, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Faridabad
Hysterectomy Surgery - Know the After Affects!

What is a hysterectomy?

This is a surgery that is used to remove the ovaries or even the uterus. This surgery is usually conducted in order to deal with the extreme conditions that may be caused by the severe onset of various conditions related to the reproductive system of women. Read on to find out why this surgery carried out and what are the after effects?

Causes: This surgery can be carried out for a variety of reasons. One of the main reason is the manifestation of uterine fibroids that can cause severe pain and bleeding. These fibroids will have to be removed surgically and in case they have spread, the uterus will have to be removed entirely. Also, if the condition has spread to the ovaries, it may be imperative to remove the ovaries as well. Furthermore, if the patient is suffering from endometriosis, where the tissue has spread too much and cannot be contained merely by medication or other forms of treatment, then the doctor will have to conduct a hysterectomy surgery in order to remove the affected areas of the reproductive area. Also, other conditions for which this surgery may be required include adenomyosis, chronic pain in the pelvic area, cancer of the uterus, cervical cancer and uterine prolapse.

Procedure: A hysterectomy is performed under anesthesia, and the doctor makes a five to seven inch incision in the abdomen for an open surgery. The doctor will then continue to remove the uterus through this incision. Also, usually, the patient will have to spend about three to four days in the hospital following this surgery. A vaginal hysterectomy may also be conducted for certain cases, depending on the type and severity of the condition that has led to this form of treatment. For this kind of surgery, the incisions will be made in the vaginal area.

After effects: Starting from hormonal imbalances to early menopause, this surgery can leave significant after effects in its trail. The patients who have been through this surgery will be asked to abstain from heavy physical work that involves lifting heavy objects and bending. Also, the doctor will recommend abstinence from sex. One will have to avoid these things for a period of at least six weeks after the surgery. In many cases, the patient may also go through heavy menstrual bleeding.

Doctor visits: In case the bleeding and hot flashes are excessive, then the patient will have to consult a doctor and take further appointments so that the condition may not reoccur. Also, the doctor will usually prescribe supplements like vitamins, which must be taken on a regular basis after the surgery to avoid any complications at a later date.

2788 people found this helpful

Popular Questions & Answers

Respected Madam I am 70. Although you are very busy. Will you kindly help me with your suggestions My Sister, Patient Age -46, Suffering from Endometriosis along with Suspected Adenomyosis (?) ,ALTHOUGH AS PER USG REPORT NO ABNORMALITY IN UTERUS 1) Patient now Asymptomatic, Presently /Practically not much of a Problem 2) Tablet Endosis was taken for 6 months. 3) Two doctors have advised Hysterectomy, One doctor not agreeing. 4) .As there is not much of a problem now, if left in this condition whether the disease can worsen and lead to bigger problem 5) Hysterectomy with bilateral oophorectomy is the last line of treatment for endometriosis. The treatment usually depends upon the severity of the symptoms. If patient is asymptomatic then whether OPERATION is required 6) Once she attains menopause gradually whether the disease will become dormant because of lack of hormones 7) Whether Moderate Endometriosis can be treated with medication at this age 8) What is this Adenomyosis, Is it a tumour (?). As per my knowledge in Adenomyosis tissues/growth are inside the uterus and in endometriosis it is outside of the uterus 8) Whether Hysterectomy is a permanent cure for Endometriosis. 10) But Cyst size has Increased as seen from last USG report compared with last but one report? Comparison of Last Two USG Reports LAST REPORT LAST BUT ONE REPORT endometrial Thickness 8.3 mm 7.1 mm Right Ovary Normal 22X16 Normal Left Ovary Greater than 35X25 (45 X) Greater than 35X25 Left Ovary Contains Chocolate Cysts Cyst Size 28X24 23X23 As Hysterectomy with bilateral oophorectomy will have forced Menopause it may have side effects like hot flushes etc Any medication that can be taken now to remove slight uneasiness in abdomen With thanks and regards.

MD
Gynaecologist, Mumbai
At46 with increasing cyst size and symptoms hysterectomy is a final solution howvever conservative mgt with dinoegest maybe tried for relief and that pt is perimenopausal.

I had hysterectomy in 2011 now often I feel very hot flushes in my face neck and back. I took estrogens medicine for one month. But after few days it starts again. How can I get relief with or without medicine.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
You are having menopausal symptoms ,which are due to decreased level of oestrogen in menopause. Before starting oestrogen replacement therapy you have to undergo a few tests like lipid profile, coagulation profile, mammography and ECG. If these tests are normal then hormonal replacement therapy is advised. For the time being you can take cam menopace ISO daily.
1 person found this helpful

Hi I'm from South Africa. I need to have a hysterectomy done .What are cost of hospital fees, Dr. and anesthetic ,theatre fees etc awaiting your response kind regards Mariam Patel.

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Noida
Hi Mariam, cost of hysterectomy depends upon the method of surgery. I suggest you to consult me privately to share relevant information.
1 person found this helpful

I have been advised hysterectomy and a correction of prolapsed bladder. Please tell me what is the procedure likely to be (will a mesh be used, stitches etc) and how many days I will have to spend in the hospital.

DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Its the cystocele repair with or without mesh with hardly 2 to 3 stiches under anasthesia. Hospital stay will be maximum 72 hours if everything goes uneventfull.
2 people found this helpful

I had total abdominal hysterectomy without ovaries 10 months ago till then I have brown discharge after every 28 days my pelvic scan is normal doctor found no point from where I bleed I am very dèepresed.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS, Fellowship in Assisted Reproductive technology
Gynaecologist, Noida
Hello, There could be vaginal abrasions which can cause bleeding or possibly during ovulation as your ovaries are intact or you may have vaginal vault healing which can often show darkish brown clotted blood discharge for 2-3 months.
2 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Total Laparoscopic Hysterectomy
Hello everybody, I'm dr. Pulkit Nandwani. I'm a consultant gynaecologist & laparoscopic surgeon at Saroj Medical Institute, Rohini. So if you are about to undergo any operation especially total laparoscopy hysterectomy for whatever the indication might be, this video would be very useful for you. Once an operation has been decided, the patient gets really scared because of the unknown factor. What will happen once you admitted in the hospital? What will happen after the operation? How will you go through it? Just knowing the basic details of the hospital and treatment will put you a lot at ease. So on the day when you're supposed to undergo total laparoscopy hysterectomy, you would be asked to come to the hospital for admission usually early morning with empty stomach. We might even ask you to have just a light diet the previous day or even liquid diet the previous day and then not take anything after that from twelve o'clock in the night and come stomach to the hospital in the morning with all your records, all the blood tests, the ultrasound reports, that would have been done previously when the operation would have been decided. Once you admitted in the hospital, a sister will be an incharge of you. You will be given a bed, you will be asked to change your dress, the area where we have to operate would be prepared by doing shaving of hair of that area and then and IV saline IV cannula will be inserted.

Following all the medications, all the glucose, all the IV fluids would be given through this cannula and you will not have any other pain except the cannula pain. After that, an anesthetist will come and have a word with you and have a pre-Anesthesia checkup will be done. Then at the scheduled time you will be shifted in the operation theatre. Once you're in the operation theatre, again through that IV cannula line itself medicines in the form of injections would be given. A mask would be put on your nose and you will be put to sleep. The whole operation which would be undertaken by a team of doctors along with a multitude of workers along with us technician, nurses and anesthetist. The whole procedure will take around one and a half hours to two hours and then post operations once we find that you're stable you would be shifted to the postoperative room where you would be kept there for another three to four hours just for extra monitoring.

Later you'll be shipped out to the room. After the operation, once you wake up you will just have little grogginess, heaviness of the head which would be for the after-effects of the anesthesia. You would not be allowed to eat at that time. All the nutrients for the body will be given By the IV fluids in the form of glucose. All the medicines in the form of injections would be given. There would be a catheter inside the urinary bladder to allow drainage of urine. This catheter we will remove most probably the next day morning itself. So we will start giving you food either in the evening or the next day morning. Liquids will also be started first and gradually the food will be started. You might be asked to get off the bed on that evening.

This is the advantage of a total laparoscopy hysterectomy. The next day you will be kept inside the hospital, but you would be eating properly you would be walking around the hospital just for observation and the amount of injectable antibiotics. You would be kept inside the hospital. The next to next day you will be discharged. We put the dissolvable sutures over that, we put waterproof dressing. So the very next day of the operation and throughout after that you are allowed to take bath, just the vaginal hygiene has to be maintained at home. Heavy weightlifting or bending a lot would be just advisable not to do but other than that routine procedures and home routine activity at home is allowed. For a checkup you will have to come after a week. I hope the video was informative for you and would put you at ease.

I'm Dr. Pulkit Dhanwani and gynecologist and laparoscopic surgeon here at Saroj Medical Institute and if you want to contact me you can contact me by Lybrate or take an appointment at the hospital at Saroj Medical Institute. Thank you.
Play video
Hysterectomy
Here are symptoms,types and treatment of Hysterectomy

Good morning everybody. I m Dr. Pulkit Nandwani. I m a gynecologist and a laparoscopic surgeon I would like to explain to you regarding Hysterectomy. If you have been decided to undergo a hysterectomy by a doctor for whatever reason it can be due to heavy bleeding, if you are having fibroids or there s any type of cancer. Hysterectomy is usually the mode of answer.

Now understanding the procedure and how to go about it would be less stressful. There are three types of hysterectomy that we usually do.

Three ways of doing a hysterectomy.

One is the open method which is known as abdominal hysterectomy.
Secondly it is Vaginal.
Thirdly it is laparoscopic or the minimally invasive one.
Now in open abdominal hysterectomy we usually give 15 to 20 centimeter cut in the lower part of the abdomen and the bikini line. This cut is throughout inserted in the abdomen and via this cut the uterus is removed to the attachments and uterus is taken out by this cut only. Because of the big amount of cut they might be some pain after this hysterectomy.

Second form is Vaginal Hysterectomy in which there is no incision on the abdomen and usually the uterus is removed via only through the vagina. But this hysterectomy might have some limitations like all the patients cannot undergo a vaginal hysterectomy with very big size uterus, previous multiple surgical. In those patients, vaginal hysterectomy becomes a limitation.

The third is the laparoscopic or the minimally invasive hysterectomy. This hysterectomy is a minimally-invasive one in which the abdomen is not open only three to four small, 5 to 1 centimeter keyhole incisions are made in your abdomen below the navel. Through these small keyhole incisions specialized instruments are inserted and the uterus is dissected from all its attachment via these specialized instruments and throughout the procedure the surgeon is seeing a camera and which with visualizes your internal organs and the whole operation is done. This is known as the uterus is usually moved by the vagina, this is known as minimally invasive total laparoscopic hysterectomy.

There are many advantages of laparoscopic hysterectomy. Because of the small keyhole incisions throughout the surgery the bleeding is very less. The rate of infection is very less. We don t have to close those incisions much. Postoperatively the pain you experience will be very light as compared to abdominal hysterectomy. Because of less discomfort in the abdomen you re able to mobilize earlier. You able to walk early and recovery becomes faster. You will able to be discharged early from the hospital and you can even join your job back in a matter of one to two weeks.

Even for a next operation anytime, addition formation in which internal organs get stuck to each other after surgery is minimal following a laparoscopic surgery as compared to an open surgery because our hands do not touch the in organs anytime. There is no addition formation of the organs and they remain as such as if no surgery has been done.

If you want any further clarification on any laparoscopic surgery you can consult be on lybrate by audio or even video conferencing. Thank you.
Having issues? Consult a doctor for medical advice