Normally, hysterectomy is a surgical procedure designed to remove a woman’s uterus. Uterus, which is also known as the womb is usually completely removed. Doctors may also decide to remove the ovaries & fallopian tubes during this surgical procedure. Such cases no longer have menstruation cycles & cannot therefore become pregnant. Some other reasons for which hysterectomy can be useful include uterine fibroids which cause pain, uterine prolapsed into the vaginal canal, cancer of ovaries, cervix & uterus, endometriosis, adenomyosis which is thickening of the uterus, chronic pelvic pain & abnormal vaginal bleeding. Hysterectomy surgery for noncancerous medical conditions is only considered after all other treatment approaches have failed to yield results.
Why Undergo Hysterectomy?
You will need hysterectomy if you are having any of these problems –
- Uterine Fibroids – These are noncancerous growths within the wall of uterus. These cause pain & heavy bleeding in some women.
- Heavy or Unusual Vaginal Bleeding – Mostly caused due to changes in hormonal levels, infections, fibroids, or cancer & can result in heavy, prolonged bleeding.
- Prolapsed Uterine – The uterus slips into the vagina from its usual place in this condition. Most common among women who had many vaginal births, but can also happen in some women after menopause due to obesity. Prolapsed uterine can also lead to urinary & bowel problems alongside pelvic pressure.
- Endometriosis –This happens when normal tissue lining the uterus overgrows outside on ovaries. It will cause severe pain & bleeding between periods.
- Adenomyosis – Tissue lining the uterus overgrows inside the walls of the uterus in this condition thereby thickening uterine walls & causing heavy bleeding with severe pain.
- Cancer or Pre-cancer of Uterus, Ovary, Cervix, or Endometrium – If there is cancer in any of these areas Hysterectomy is the best option. Chemotherapy & radiation may also be considered. Hysterectomy is major surgery, so talk to the doctor if you have any alternate options.
Types of Hysterectomy
The surgeon will choose to remove a part or the entire uterus depending upon the medical condition of individual case. Generally, there are three basic types of hysterectomy procedures.
- Total Hysterectomy – This is the most common type of hysterectomy where complete uterus including the cervix is removed in total hysterectomy procedure. The fallopian tubes & ovaries may or may not be removed & will depend upon individual cases.
- Partial or Subtotal or Supracervical Hysterectomy – This procedure removes just the upper part of the uterus while the cervix is left in place. Ovaries in partial hysterectomy may or may not be removed.
- Radical Hysterectomy – This operation removes the entire uterus, cervix, tissue on both sides of cervix, & the upper part of vagina. Radical Hysterectomy is most often needed to treat certain cancers like cervical cancer. Ovaries & fallopian tubes may or may not be removed in Radical Hysterectomy.
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Laparoscopy Assisted Vaginal Hysterectomy (LAVH)
Laparoscopy-Assisted Vaginal Hysterectomy or LAVH is a surgical procedure which uses a laparoscope to guide removal of uterus and/or ovaries & fallopian tubes through the vaginal canal. Not all hysterectomies however require LAVH. Uterus is detached from ligaments which attach it with other structures in pelvic region during LAVH using laparoscopic tools. In case the ovaries & fallopian tubes are also required to be removed, they too are detached from supporting ligaments & blood supply. Following this the tissue & organs are subsequently removed through an incision made in vagina.
Advantages of LAVH
Advantages of LAVH include a relatively small incision resulting in significantly less scar, pain & recovery time when compared to abdominal hysterectomy. LAVH is also physically less traumatic than routine vaginal hysterectomy. In cases where LAVH is feasible it has distinct advantages & will allow vaginal hysterectomy in patients who have not yet had any children. The only disadvantage of LAVH is that it is a more expensive & longer operation than routine vaginal hysterectomy, & can prove to be dangerous under certain circumstances.
Safe & Effective LAVH
LAVH is one of the most safe & effective minimally invasive surgical procedure in gynecology. LAVH randomized trials have positively proven this to be superior & beneficial when compared with abdominal hysterectomy. LAVH has also proved to be an absolutely safe & effective alternative to laparotomy in staging & treatment of stage I endometrioid endometrial cancer.
Why Choose Travcure Medical Tourism?
Travcure medical tourism is associated with some of the best JCI accredited gynecologic hospitals in India performing safe & effective hysterectomy surgeries. Affordable & cost effective solutions are never compromised on quality by Travcure healthcare consultants. As the fastest growing medical tourism company in South Asia, dedicated team of Travcure medical experts will seamlessly guide you through a comfortable & convenient medical journey.