Hysterectomy procedures; surgical and vaginal

Hysterectomy procedures; surgical and vaginalA hysterectomy is the surgical removal of the uterus, the procedure is generally performed by a gynecologist instead of a general surgeon. A hysterectomy maybe total meaning the removal of the body, fundus and cervix of the uterus. Or partial, which entails the removal of the uterine body but leaving the cervix in place. It is one of the most commonly performed gynecological surgical procedures. The procedure in itself is quite radical and is it renders the patient unable to bear children it is reserved for a few conditions. Like cancers of the reproductive system , prophylactically, in cases of endometriosis, post partum in women in cases of placenta praevia and many others. Vaginal hysterectomy procedure or also known as laparoscopic assisted vaginal hysterectomy has become really popular in nowadays with all those involved in the procedure: patient, doctor and family members. This is because the procedure is not all that invasive as a total abdominal hysterectomy neither is it that radical. The post operative recovery time in this procedure is also much lesser the total hospitalization time is also reduced as are the chances of post operative complications. The procedure is performed so in a manner so that the final removal of the uterus is done through the vagina. But this procedure gives the gynecologist the option of leaving the cervix behind, this is known as laprascopic assisted supracervical hysterectomy. This is done so that the patient can retain the pleasure of sexual activity post procedure. This is done using an instrument called the morcellator which cuts the uterus into small pieces which then are removed from the abdominal cavity through laprascopic ports. In cases of large multifibroid uteri total laprascopic hysterectomy can be performed with on site morcellation.Surgical hysterectomy procedures Total abdominal hysterectomy is the most common type of hysterectomy performed. The procedure entails, the doctor removing the uterus and the cervix surgically. This means generally a transverse or a horizontal incision is made into the abdominal wall, this is always dependent on the cause of the elective surgery, and the size of the area being treated. For this a whole host of diagnostic procedures are performed before hand to minimize the risk and also to have a precise idea of the anatomy involved. A total hysterectomy causes the patient to undergo menopause much earlier as well as with a bilateral oopherectomy which entails removal of both the ovaries the blood estrogen level starts to fall. This can cause heart disease as well as many musculoskeletal disorders in women post procedure. Procedural side effects include , hemorrhage, risk of infection and side effects related to anesthesia used in the procedureThe need for hysterectomy : the procedure is required in cases of cancer of the reproductive system , prophylactically, in cases of endometriosis, post partum in women in cases of placenta praevia and many others. The procedure is alsoh used in situations of ovarian cancers and uterine cancers, endometriosis and uterine fibroids. The procedure may also be employed in certain cases of very severe cases of pelvic pain, this is only after all other pharmacological options and non surgical options to alleviate the pain have been exhausted.