In cases such as abnormal bleeding, pain, fibroids or uterine cancer, the uterus may need to be removed, this procedure is called a hysterectomy. Uterine removal surgery can be performed through open, closed (laparoscopic) or vaginal routes.
Laparoscopy is a surgical technique also called closed surgery. The image is projected onto the screen with a stick-shaped instrument with a camera and light source at the end of the 1 cm incision made in the navel. Although it varies depending on the treatment to be applied, surgical instruments suitable for laparoscopic operations are inserted through two or three 0.5 cm incisions made on both sides of the abdomen.
Closed uterus surgery or laparoscopic hysterectomy was first performed in 1989. It is a type of surgery that has become increasingly popular in recent years and requires laparoscopy experience. Only small incisions are used in this surgery. Therefore, the risk of infection for patients is very low. Laparoscopic hysterectomy is an operation performed under general anesthesia.
How is Closed Uterine Removal Surgery Performed?
First of all, the patient's condition is examined before the operation. Then the general health status of the patient is examined. During the preparation phase, ECG and blood samples are examined, and if it is predicted that a risky situation may occur, surgery is planned after the necessary treatments or opinions are taken from the relevant departments. If necessary, a lung film or a sample of the uterus may be requested, all of which are important for the patient to have a healthy operation. During the controls to be made under the supervision of the doctor, the patient should inform the doctor if there is any medication that he regularly uses. Again, if the patient is allergic to any substance or drug, he should inform the doctor. When the preparation phase is completed, if the doctor approves, the operation phase is started. The procedure is performed under general anesthesia. After the operation area is cleaned properly, a 1 cm incision is made from the belly button and the abdomen is inflated with carbon dioxide gas. Then, an optical rod with a camera at the end and reflecting the image on the screen is inserted through the navel. Uterine removal surgery with incisions made in two or three inguinal regions afterwards is performed. Again, with these instruments, stitches are placed on the cuts and the patient is expected to recover from the effect of anesthesia.
What are the Risks of Closed Uterine Removal Surgery?
As in every surgery There are some disadvantages that may be encountered in closed uterus removal surgery.
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Low blood pressure may develop depending on the position given during the surgery or the carbon dioxide gas in which the abdomen is inflated
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Although the incisions are small, there is a risk of infection.
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Other organs close to the uterus may be damaged during the surgery.
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Pain may be experienced in the right shoulder in the postoperative period due to the pressure that may occur in the abdomen.
How Many Hours Does the Closed Uterine Removal Surgery Take?
p>Closed uterus removal takes approximately 1 - 1.5 hours. The patient's weight, general health status or previous operations may prolong the operation time. Especially in obese patients, as in any surgery, the time may be prolonged and the risks may increase in closed surgeries.
What are the Points to Consider After Closed Uterine Removal Surgery?
It is quite normal to feel pain and pain after surgery. Symptoms such as mild dizziness and vomiting are among the most common conditions after surgery. You should rest for a few hours after the operation and you should definitely not stand up. It is useful not to eat or drink anything during this process, as nausea may occur. After a few hours, we should pay attention to our eating and drinking activities again. Considering the possibility of constipation after the surgery, it should be fed with liquids instead of solid foods directly. With your doctor's approval, you can switch to solid food, and in solid consumption, it would be appropriate to consume vegetable-based, fibrous foods in the first place. After you are discharged from the hospital, you should listen carefully to your doctor's warnings and have a relative take notes if necessary. The bands on the seams are opened so that it can heal more easily the day after the surgery. There is nothing that prevents you from taking a shower, but after You should keep these seams dry before use. This can cause the wound to become infected. Be careful not to lift heavy. If you have a child of breastfeeding age, get help from your environment during breastfeeding. After a certain period of time after the operation, walking can be done. Nutrition is also an important factor that shortens or prolongs the recovery period. A balanced diet will be recommended by your doctor. You should pay attention to the daily consumption of fruits and vegetables. At the same time, consuming enough protein is an important element in the healing process. We should also pay attention to water consumption, we should consume around 2 liters of water per day. One of the most important issues is the use of medications prescribed by your doctor. The drugs given should be used on a regular basis, otherwise the drugs may lose their function.
Pain after Closed Uterine Removal Surgery
Mild pains after closed uterus surgery is normal. Your doctor will give you the necessary medicines to reduce your pain. If you think that these drugs do not relieve your pain, you can contact your doctor. If necessary, your medicine can be changed or its dosage can be increased. These pains generally continue to decrease in the first few weeks. Afterwards, the frequency of feeling pain decreases and disappears over time. There may be bleeding in the vagina for 1-2 weeks.
Symptoms that Can Be Dangerous After Closed Womb Removal Surgery
Some symptoms are normal after closed uterus surgery, but some symptoms are considered risky. acceptable. In these cases, it is recommended that you consult your doctor. So, what symptoms can pose a risk after surgery? We can list these symptoms as follows:
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High fever
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Intensive bleeding
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Severe, persistent abdominal and groin pains
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Intense and strongly smelling vaginal discharge
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In the legs or other parts of the body swelling in places
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Burning sensation while urinating
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Nausea and vomiting
People with these symptoms after surgery should consult their doctor without wasting time.
Is Sexual Life Affected After Closed Uterine Removal Surgery?
Another issue that patients and their spouses wonder is sex life after closed uterus removal surgery. One of the common misconceptions among the public is that sexual life will be negatively affected. There should be no sexual intercourse in the 6-week period after the surgery. After completing the recovery process, the patient can return to his normal sexual life. The place where sexual intercourse takes place is the vagina. After this surgery, there is no negative effect on the vagina and therefore on sexual life.
What Can I Expect After Closed Uterine Removal Surgery?
Sexual life should start again after 6 weeks. One of the most frequently asked questions as physicians is menopause. A woman who has undergone uterine removal surgery cannot have children again, nor does she experience menstrual bleeding, but menopause and menopause symptoms (hot flashes, vaginal dryness, nerve-stress-tension, osteoporosis, sexual reluctance) do not occur. Because the uterus is removed during this surgery and if no problems are observed, the ovaries are protected. In short, there is no negativity that will affect the social and sexual life of the person.
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