Abdominal / Vaginal / Laparoscopic Hysterectomy

Hysterectomy, in the literal sense of the word, means merely removal of the uterus.

However other organs such as ovaries, fallopian tubes, and the cervix are very frequently removed as part of the surgery.

Radical hysterectomy: complete removal of the uterus, cervix, upper vagina, and parametrium. Indicated for cancer. Lymph nodes, ovaries, and fallopian tubes are also usually removed in this situation, such as in Wertheim's hysterectomy.
Total hysterectomy: complete removal of the uterus and cervix, with or without oophorectomy.
Subtotal hysterectomy: removal of the uterus, leaving the cervix in situ

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Preparation

For patients at risk, thromboembolism prophylaxis is begun preoperatively, or pneumatic compression boots are applied in the OR Prophylactic antibiotic agent should be given as a single dose 30 minutes prior to the incision Incision choice - transverse or vertical Need for exploration of the upper abdomen, Size of the uterus, Presence of prior incisions, desired cosmetic results

Procedure

Hysterectomy can be performed in different ways. The oldest known technique is vaginal hysterectomy. Abdominal hysterectomy is done through laparotomy. In modern medicine today, total laparoscopic techniques have been developed

Post-procedure

Not necessary to leave a bladder catheter in place postoperatively, IV fluids for the first 24 hours to ensure that the patient remains well hydrated, Early feeding of a regular diet can stimulate the bowel and decrease the length of hospitalization, Deep breathing to prevent atelectasis Ambulation is encouraged Intermittent compression boots.

What are the benefits & risks of Abdominal / Vaginal / Laparoscopic Hysterectomy?

The outcomes of Abdominal / Vaginal / Laparoscopic Hysterectomy depend on several factors and conditions suffered by the patient in the past.

The benefits of Abdominal / Vaginal / Laparoscopic Hysterectomy include

Abdominal hysterectomy has longest recovery period and return to normal activities and may have a higher risk of bleeding compared with laparoscopic surgery.
Vaginal or Laparoscopic technique preferred for people who are obese.

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