Laparascopic hysterectomy vaginal and supra cervical

Total Hysterectomy laparoscopic SupracervicalLaparascopic hysterectomy vaginal and supra cervical A hysterectomy is the surgical removal of the uterus through the abdominal wall or through the vagina. The process by which the uterus is removed through the vagina in particular is known as laparoscopic hysterectomy. The procedure in which the abdominal route is taken in specific by maing an incision in the abdomen is known as total abdominal hysterectomy. The presence of benign or malignant tumors is the most frequent cause for performing hysterectomy.The 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.Vaginal hysterectomy procedure or also known as laparoscopic assisted vaginal hysterectomy has become really popular in nowadays wih 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.Recovery: 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 musculoseletal disorders in women post procedure. Procedural side effects include , hemorrhage, risk of infection and side effects related to anesthesia used in the procedure. Eventually women may also need to start treatment with oral hormone replacement therapy. This is generally a consideration made to ease the transition of women into menopause, the risk being that HRT may increase the risk of breast cancer in menopausal hysterectomized women . Some women opt for laprascopic assisted supracervical hysterectomy, in this procedure the cervix is left in place so that they still maintain certain levels of sexual satisfaction. Women with bilateral oopherectomy typically have reduced levels of testosterone this leads height loss as a result of reduced bone density and ofcourse it effects the sexual drive too.