Total hysterectomy: abdominal and laparoscopic

Laparoscopic Hysterectomy total AbdominalTotal hysterectomy: abdominal and laparoscopicA 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 procedure. 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. 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. The procedure is 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. The procedure is also avoided in premenopausal women. The option of the total abdominal hysterectomy in cases of cancer is always a better and viable option is it provides the surgeon a comprehensive view of all the surrounding abdominal anatomy, and this helps classification and appreciation of the spread of the cancer. In case the growth is found to have metastasized in other abdominal location excision is possible then and there only without putting the patient under the knife again.Laparoscopic total hysterectomy this is a procedure which was popularized in the late 1970′s and has since garnered great popularity among gynecologists and patients alike. This is because laparoscopic method is not all that invasive and also the post operative recovery period is significantly shorter with a much reduced chance of infection developing. The procedure is done via the vaginal canal and is done in a manner which allows for the removal of the uterus including the ovaries or without the ovaries through the vaginal canal. Another procedure was later developed called laparoscopic assisted supracervical hysterectomy which allows the removal of the entire uterus without actually removing the cervix. This is done so that women can maintain a pleasurable sex life post procedure.Side effects of total hysterectomy : 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 procedure