Hysterectomy is surgery to remove the uterus. It is the second gynecological operation performed on women of reproductive age all over the world. After the uterus removal surgery, the woman cannot become pregnant and cannot menstruate. Hysterectomy can be performed in four different ways, depending on the reason. These;
Total hysterectomy: The entire uterus, cervix and ovaries are not removed.
Subtotal Hysterectomy: It is a hysterectomy method in which only the uterus is removed.
Radical hysterectomy: It is a method of hysterectomy usually performed in cancer patients. It is a uterine removal operation where the uterus, cervix, upper part of the vagina, pelvic region and tissues in the cervix, and if necessary, pelvic lymph nodes are removed.
Hysterectomy with Bilateral Salpingoopherectomy: It is the preferred type of hysterectomy if the patient is not of reproductive age. It involves the removal of both ovarian ducts along with the uterus.
Diseases that cause the removal of the uterus; Endometriosis (Chocolate cyst), Fibroid tumors and uterine prolapse. Apart from these, uterus removal operation can be performed in cases such as gynecological cancers, Myoma, Adenomyosis, Excessive menstrual bleeding, Chronic pelvic pain and Pelvic inflammatory disease. Especially if there is a family history of cancer, removal of the uterus may be recommended as a preventive treatment.
With Which Methods Can Uterine Removal (Hysterectomy) Surgery Be Performed?
Deciding how to perform hysterectomy surgery is determined by the location and condition of the fibroid, the patient's weight, the patient's indications, and the doctor and patient's decision. Hysterectomy can be performed with Robotic hysterectomy, Laparoscopic hysterectomy and Open surgery.
Completely scarless hysterectomy surgery can be performed with the single port method and the vaginal method.
Abdominal hysterectomy is not recommended very often nowadays, but in some cases it may be preferred by your doctor. It is the process of removing the uterus with an incision made from the abdomen, such as a cesarean section.
Laparoscopic hysterectomy is the procedure of removing the uterus with the help of laparoscopic devices through holes of a few cm from the abdomen. It provides much faster recovery compared to open surgery, and pain and blood loss are much less. Since there will be much smaller incisions in laparoscopic surgery, the scar is much smaller.
Robotic surgery can be considered the gold standard in hysterectomy, as in all operations. Because, in hysterectomy surgeries, with its clearer vision and more effective tools, it allows us to dominate the whole area as in open surgery, while minimizing the damage to the surrounding tissue with smaller incisions, it allows you to have a faster recovery and a less risky operation.
You can have surgery without any scars in hysterectomy surgeries. It is possible to perform surgery without scars in both laparoscopic surgery and robotic surgery methods.
It is the process of removing the uterus with laparoscopic equipment by making a small incision in the vagina.
Removal of the uterus through the vaginal route heals much faster than incisions made from the abdomen. The patient returns to daily life much faster. Your doctor will guide you after vaginal hysterectomy. You do not need to have stitches removed after a vaginal hysterectomy because the stitches will fall out after 30 days. However, vaginal hysterectomy unfortunately cannot be performed in all patients. There are factors that should be considered after the operation, in short, we can list the things to be done after vaginal hysterectomy as follows. You should avoid contact with hot water for the first few days, it is forbidden to have sexual intercourse, to lie in the sea, pool or tub for 40 days.
In the Single Port method, which can be performed with laparoscopic and robotic surgery, the uterus can be removed with an incision made from the navel. Since the navel is already hollow, the incision to be made through it will not appear as a scar in any way. It carries the advantages and risks of Robotic surgery and Laparoscopic surgery, which are the methods used in surgeries performed with the single port method.
Before the uterus removal operation, examinations are requested as in all surgeries. If there is no special condition before hysterectomy, 8 hours of fasting is required. In addition, sometimes the patient may need an enema the night before.
It is inconvenient to have sexual intercourse for 4 to 6 weeks after the surgery. Heavy lifting, heavy sports and strenuous activities should not be done for a month.
Liquid nutrition is recommended for a few days after hysterectomy.
The risks associated with anesthesia that may occur in every surgery are valid for hysterectomy. The most important factor in hysterectomy surgery is the damage that may occur in the surrounding tissue and organs and the health problems that may occur due to these. Therefore, as in all surgeries, it is very important for your doctor to choose the most suitable surgical method for you.
Slight bleeding may occur one week after Hysterectomy Uterine Removal Surgery. The patient should see this spotting and bleeding as normal because it is a temporary condition.
Hysterectomy surgery does not cause vaginal discharge. Vaginal discharge after surgery is due to reasons such as infection independent of the surgery.
After hysterectomy, removal of the uterus, patients may have a feeling of bloating and abdominal distension due to delayed gas output.
In order for menopause to occur, it must be taken in the ovaries together with the uterus. Menopause does not occur in hysterectomy operations where the ovaries are not removed.
If a hysterectomy is performed, where the uterus and ovaries are removed together, menopause occurs and post-operative hot flushes and sweating, which are symptoms of menopause, occur.
Most of the diseases that cause uterus removal operation are actually diseases that cause pain and burning during sexual intercourse. Since these diseases are treated, sexuality will actually be much more painless and painless.
It is thought that sexual reluctance will occur after hysterectomy, since the hormone level decreases, but studies have shown that this is a false bias. Your doctor may recommend hormone supplementation after hysterectomy surgery.
Some research for post-hysterectomy confirms this. However, it shows that the possibility of gaining weight after the observed process is related to the structure of the woman. In other words, it is not a case that every woman gains weight after hysterectomy.
İffet hanım’a kapalı teknik ile histerektomi yani rahmin alınması ameliyatı yaptık, operasyondan 1 hafta sonra geldiğinde çok minik olan dikişlerini aldık, bu karadeki resim ise 6. Hafta kontrolümüzden, şu an kim der ki karşımızda ameliyat geçirmiş bir kadın var...
Maşallah diyoruz, kendisini sağlıkla uğurluyoru.
Today, we are here with our dear patient, Ms. Nurdan. This is the case with closed surgery and uterine removal surgery. My patient is upright in a short time, can do all her work herself, and continues her life as she regained her health quickly.
Another patient of mine who smiles again thanks to closed, that is, laparoscopic surgery. Mrs. Funda, who quickly returned to her health, work, home, and husband and felt as if she had never had an operation.
Dear Ms. seniz applied to our clinic from Aydın, yet another image on ultrasound; She is one of my patients with whom I encountered a different picture in the operating room. We finished the operation, which we performed with the closed surgical technique and hysteroscopy, by removing the scar pregnancy defect (Isthmosel) that adhered to the uterus of our patient, and cleaning the placental tissues, leaving a clean uterus and ovaries under the control of hysteroscopy.
I am very happy to have performed the operation of a fellow citizen from Adana, and to restore my dear Gülten lady to her health. Ms. Gülten applied to me last week with fibroids that settled in her uterus, with the complaint of heavy bleeding and urinary incontinence, which could disrupt the comfort of life. Although only a week had passed, she came to us fully recovered and recovered, we dressed her, and we sent her off to my hometown, Adana, with good health.
