What is hysterectomy by closed (laparoscopic) method?

Hysterectomy is the name of the surgery to remove the uterus.

Uterine removal surgery can be performed by 4 methods today.

1) Abdominal (Open) Hysterectomy

2) Laparoscopic ( Closed) Hysterectomy

3) Vaginal Hysterectomy (Removal of the Uterus Through the Vaginum)

4) Robotic Hysterectomy (It is a type of the closed method. It can be called robot-assisted laparoscopic uterus removal surgery.

In what cases is hysterectomy necessary?

1) Myomas (benign tumors of the uterus

2) Endometriosis (chocolate cyst disease)

3) Unresponsive to drug treatment abnormal vaginal bleeding

4) Chronic uterine-related pain that does not go away

5) Uterine prolapse

6) Cancer

Pregnancy after hysterectomy Is it possible?

Unfortunately, there is no chance of pregnancy for a woman whose uterus has been removed. If there are situations where the surgery can be postponed, it would be beneficial to consult your doctor about alternative uterine-preserving treatment methods. The most important point here is whether you want more pregnancy.

Is it necessary to remove the ovaries during hysterectomy surgery?

Decision whether to remove the ovaries or not; It depends on the patient's age and the reason for the surgery. Removal of both ovaries in women who have not yet entered menopause; It may cause an increase in health problems such as hot flashes, sweating, vaginal dryness, osteoporosis, and heart disease.

Because the ovaries secrete hormones, they protect the woman from many diseases throughout her life. However, since these issues are not yet fully clear, the decision whether to remove the ovaries or not It should be given specific to the patient and the cause.

What is the Hysterectomy Surgery with Closed (Laporoscopic) Method?

It is based on imaging the inside of the abdomen with the help of a camera. The camera system is placed through an approximately 1 cm wide opening made in the abdomen. Thanks to this device, the structures and organs inside the abdomen are enlarged and a screenshot is obtained. Then, the operation is performed by entering the abdomen with auxiliary tools of approximately 5 and 10 mm in diameter. At the end of the surgery, the uterus is removed from the body vaginally.

What is Abdominal Hysterectomy (uterus removal)?

It is a surgery to remove the uterus through an incision made in the abdomen.

Uterus removal surgery performed from the abdomen; It requires a longer hospital stay and a longer recovery period compared to the closed method or vaginal hysterectomy. However, not every patient is suitable for the closed method or vaginal hysterectomy.

Vaginal Hysterectomy. (Uterus Removal via Vaginal)

Unfortunately, vaginal hysterectomy is not suitable for every patient.

How long is the recovery process after hysterectomy?

If no serious problems occur. If the patient is discharged within a few days, recovery usually takes 1-1.5 months.

What are the risks of hysterectomy?

Hysterectomy is a safe surgical procedure. However, like any surgery, It carries some risks.

1) Infection and Fever

2) Heavy bleeding during or after surgery

3) Blood clots that form in the deep veins of the legs and can travel to the lungs

4) Damage to the urinary bladder and tract

5) Vascular, nerve, intestinal injuries

6) Wound healing problems or wound opening

Although these risks vary from patient to patient, the risk is higher in the presence of an underlying medical condition.

When Can I Return to Work After the Surgery?

The patient can return to work approximately 1-2 weeks after the operation. However, since full recovery will take approximately 1.5 months, it is important to avoid movements that will strain oneself during work.

How Long Is Sexual Intercourse Harmful After Hysterectomy

Approximately 6 weeks after the operation. If there are no additional problems after the surgery, we allow sexual intercourse.

What Should Be Considered After the Hysterectomy Surgery?

Heavy objects should not be lifted after the operation. You should avoid activities that require heavy conditioning for about 4-5 months. It should be avoided. You should rest as much as possible, but take short walks during the day, which is very important to prevent blood clots that may occur in the leg veins.

Should I Continue to Have a Smear Test After Hysterectomy?

If the reason for the surgery is uterine, cervical cancer or CIN2, CIN3 If it was done for a reason, you need to continue to have a smear test.

 

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