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What is a Hysterectomy?

A hysterectomy is a surgical procedure for partial or complete removal of a woman’s uterus, ovaries and fallopian tubes. This surgery is conducted when the patient is suffering from heavy bleeding due to fibroids, pain, uterine prolapse in which the uterus slips into the vagina or even cancer. Once the uterus is removed, the woman cannot become pregnant. Hence, this surgery is only done when there is no other alternative treatment.

What causes problems in the uterus?

The main cause of problems in the uterus is hormonal imbalance. When the hormones oestrogen and progesterone are produced in abnormal quantities, they cause problems like development of fibroids, cancer, endometriosis (abnormal growth of uterine lining), heavy bleeding, pain etc.

Symptoms / when to call your doctor

When there is a problem in the uterus, most of common symptoms that you might experience are:

  • Heavy bleeding

  • Pain in the abdomen

  • Irregular periods

  • Pain or discomfort during sexual intercourse

  • Frequent urination or constipation

  • A feeling of something coming out of the vagina

Why you should see a doctor?

If you experience any of the symptoms mentioned above, you should see a doctor immediately. Ignoring the symptoms may lead to:

  • Bleeding

  • Ureter Damage

  • Bladder or bowel damage

  • Infection and blood clots

  • Ovary failure

How is it diagnosed?

The doctor decides if you need a hysterectomy based on the flowing tests:

  • Pelvic exam

  • Pap smear

  • Endometrial sampling (biopsy of lining of the uterus)

  • Pelvic ultrasound or Pelvic CT scan

Dietary Restrictions

After the surgery, you should eat foods that are easy on the digestive system. Eating small, frequent meals helps. Some of the foods that you can include in the diet are:

  • High fibre food

  • Fruits and vegetables

  • Lean proteins like fish, eggs, nuts

  • Food with low fat and low sugar

Treatment for Problems in the Uterus

The doctor will recommend the required treatment based on the findings from the tests and examinations.

Types of treatments:

SpecificsVaginal HysterectomyRobot Assisted HysterectomyLaparoscopic HysterectomyAbdominal Hysterectomy
Incision1-2 inchSmallSmall5-7 inch
Blood LossLessLessLessHigh
Recovery time3-4 weeks for complete recovery3-4 weeks for complete recovery3-4 weeks for complete recovery6-8 weeks for complete recovery
InvasiveNoNoNoYes
ScarNo visible scarNo visible scarNo visible scarVisible scar

Vaginal Hysterectomy

In this procedure, an incision is made in the vagina to remove the uterus.

Flow of the procedure:

  • Patient is given general anesthesia for the procedure

  • A 1-2 inch incision is made in the vagina

  • The doctor makes a cut in the vaginal wall to reach to the uterus

  • The uterus is removed through the incision

  • The incision is taped and the patient is taken to the recovery room

Recovery Time and Dietary Advice:

  • 2- 3 days hospital stay with mild pain

  • Resume to normal routine after 3-4 weeks

  • Simple, bland, nutritious, fibre rich food

Risks involved in the treatment:

There are very less complications through this treatment. Some of the risks may be:

  • Allergic or adverse reaction to anaesthesia or other drugs

  • Bleeding

  • Infection

  • Vaginal prolapse or Vaginal fistula

  • Severe pain

Robot-assisted Hysterectomy

In this procedure, a tiny robot is inserted through an incision to remove the uterus.

Flow of the procedure:

  • Patient is given general anaesthesia for the procedure

  • A 1-2 inch incision is made in the vagina

  • A tiny robot is inserted into the incision

  • The camera footage is visible on a screen which guides the doctor to perform the surgery

  • The uterus is removed through the incisions

  • The incision is taped and the patient is taken to the recovery room

Recovery Time and Dietary Advice:

  • 2- 3 days hospital stay with mild pain

  • Resume to normal routine after 3-4 weeks

  • Simple, bland, nutritious, fibre rich food

Risks involved in the treatment:

There are very less complications through this treatment. Some of the risks may be:

  • Allergic or adverse reaction to anaesthesia or other drugs

  • Bleeding

  • Infection

  • Urinary incontinence

  • Vaginal prolapse or Vaginal fistula

  • Severe pain

Laparoscopic Hysterectomy

In this procedure, a camera is inserted through a small incision made in the vagina though which the uterus is removed.

Flow of the procedure:

  • Patient is given general anaesthesia for the procedure

  • A 1-2 inch incision is made in the vagina

  • A tiny camera is inserted into the incision

  • The camera footage is visible on a screen which guides the doctor to perform the surgery

  • The uterus is removed through the incision

  • The incision is taped and the patient is taken to the recovery room

Recovery Time and Dietary Advice:

  • 2- 3 days hospital stay with mild pain

  • Resume to normal routine after 3-4 weeks

  • Simple, bland, nutritious, fibre rich food

Risks involved in the treatment:

There are very less complications through this treatment. Some of the risks may be:

  • Allergic or adverse reaction to anaesthesia or other drugs

  • Bleeding

  • Infection

  • Urinary incontinence

  • Vaginal prolapse or Vaginal fistula

  • Severe pain

Abdominal Hysterectomy

This is an open surgery in which the uterus is removed directly from a large incision made in the lower abdomen.

Flow of the procedure:

  • Patient is given general anaesthesia for the procedure

  • A large 5-7 inch incision is made in the abdomen

  • The doctor reaches into the lower abdomen and removes the uterus

  • The incision is sutured and the patient is taken into the recovery room

Recovery Time and Dietary Advice:

  • 2- 3 days hospital stay

  • Resume to normal routine after 6-8 weeks

  • Simple, bland, nutritious, fibre rich food

Risks involved in the treatment:

Some of the risks may be:

  • Allergic or adverse reaction to anaesthesia or other drugs

  • Bleeding

  • Infection

  • Urinary incontinence

  • Vaginal prolapse or Vaginal fistula

  • Severe pain

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