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MRCOG, Laparoscopic Suturing Skills in Surgical Disciples, Medical Writing Course, Laparoscopic Training, Diploma in Gyanecology Endoscopy, Diploma in Minimal Access Surgeries, MD - Obstetrtics & Gynaecology, Fellowship in Basic Endoscopy Training, FOGSI Ethi Skills Course, Training Course in Ultrasound-Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi  •  17 years experience
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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.

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