Surgery to remove the uterus
Surgery to remove the uterus is considered the most common method of gynecological surgery. Hysterectomy is performed in the case of ineffectiveness of other available remedies. In many cases, surgery to remove the uterus can save a woman's life. In medical practice, there are also interventions involving not only this organ, but also ovaries and fallopian tubes. This operation is called oophorectomy.
Radical intervention in many cases is a difficult decision, despite the presence of even absolute indications for its conduct.
It should be noted that along with the discomfort and pain that arise after any surgical intervention, many patients after the operation to remove the uterus are emotionally depressed, feeling inferior and confused, various fears.
Indications for the operation should be considered:
- malignant neoplasm of the neck or body of the organ;
- adenomyosis or endometriosis( in the absence of effectiveness of other measures against the background of prolonged therapy);
- benign tumor( fibromioma);
- marked omission or dropout;
- pathologies that cause permanent pain in the pelvis.
Over the years, so-called abdominal access has been used for the intervention. The incision was performed by a surgeon on the anterior wall of the peritoneum. In modern medicine this method is practically not used. Today, surgery to remove the uterus is performed laparoscopically. Intervention is performed through minor incisions on the abdomen. The operation can also be carried out through the vagina, with all the seams remaining inside it.
It should be noted that the scope of a surgical procedure throughout the procedure may be different.
Supervaginal or subtotal hysterectomy involves amputation of the uterus with preservation of the cervix.
With total intervention, the organ and appendages are removed.
Radical hysterectomy involves the amputation of the ovaries, tubes, the cavity itself, the cervix surrounding the pelvic fat and lymph nodes, as well as the upper third of the vagina.
The method and extent of the intervention is chosen by the attending physician. At the same time, the features of the disease must be taken into account.
The laparotomy method is used when an operation for removal of the polyp uterus is shown, with an enlarged organ, the presence of pronounced adhesions. This method involves access through a cut on the anterior wall of the peritoneum.
Surgery for the removal of the uterus by more gentle methods( laparoscopic and vaginal) allows to shorten the period of recovery of patients. In most cases, the cervix is preserved, because it is healthy and does not require amputation. Thus, the ligamentous apparatus is preserved, the number of adverse events decreases( for example, urinary incontinence).In addition, this exercise reduces the likelihood of sexual disorders after intervention.
Patients in connection with the removal of the body can have quite natural questions about health, quality of life, appearance.
After the operation, pain is often noted at first. They are associated with the process of healing sutures or the formation of adhesions. There may be bleeding. The duration of recovery after intervention depends on possible complications. So, pronounced violations of urination, thrombosis, fever, suppuration of sutures are not uncommon.
After a total hysterectomy, there is a change in the location of the pelvic organs. This, in turn, adversely affects the work of the intestine and bladder.