The decision to have the uterus removed is often quite difficult to make on the part of the patient as well as the gynecologist. In some cases, however, it is absolutely necessary that it be carried out so as to save the life of the affected woman. Hysterectomy, as the surgery is commonly referred to, makes it impossible for a woman to carry future pregnancy. Therefore before having hysterectomy Waco patients need to make an informed decision.
Broadly, hysterectomy is carried under two circumstances. The first is during emergencies related to labor and delivery. Excessive bleeding from the uterus is a leading cause of maternal mortality worldwide. While there are a number of conservative methods that can be used, these may fail in some instances leading to removal of the vital organ. The other category is where the procedure is done electively (at a scheduled time).
Most cases of hysterectomy are done electively. Conditions that may necessitate the procedure include cervical cancer, uterine tumors (fibroids, choriocarcinoma and endometrial cancer among others), and excessive uterine bleeding (menorrhagia) due to any other reason. Like in the emergency setting, the decision to do conduct the surgery is reached only after other options have been exhausted.
Like any major surgical operation, there are a number of thing that need to be undertaken as preparation for an individual undergoing the surgery. The extent of the disease needs to be determined as this will in turn dictate the approach to be undertaken by the operating surgeon. Some of the investigations that may be done include imaging studies such as ultrasound and CT scan, blood tests such as hemoglobin.
You will be issued with instructions that you need to follow in the days following to performance of the operation. These are mainly aimed at minimizing the risk of the procedure. For example, if you are a smoker you will be advised to abstain from the habit for a few weeks as a continuation of the same may delay wound healing. It is the same reason that informs the stoppage of blood thinners before surgery.
The surgeons will either use the abdominal route or the vaginal approach to carry out this operation. The choice is made after considering a number of factors such as lesion size, location and the likelihood of complications among others. When carried out by a skilled surgeon, the trans-vaginal approach offers the better outcomes. Such will include less blood loss, faster healing and less scaring.
When the abdominal approach is chosen the surgeon has the option of doing an open procedure or a laparoscopic procedure. The former entails the creation of a large incision in the lower abdomen hence is associated with larger residual scars. In the laparoscopic technique, the incisions are quite small which means that the resultant scars are quite small. Other complications such as bleeding and damage to other organs are also fewer with this method.
The surgery typically takes between one and two hours except in instances where complications are encountered. The surgical team has the option of choosing between regional and general anesthesia. The choice is mainly determined by the preference of the surgeon and the anesthesiology team. Recovery is usually quite rapid with the majority of patients being allowed home after about 72 hours. Resumption of normal duties may take a few more days.
Broadly, hysterectomy is carried under two circumstances. The first is during emergencies related to labor and delivery. Excessive bleeding from the uterus is a leading cause of maternal mortality worldwide. While there are a number of conservative methods that can be used, these may fail in some instances leading to removal of the vital organ. The other category is where the procedure is done electively (at a scheduled time).
Most cases of hysterectomy are done electively. Conditions that may necessitate the procedure include cervical cancer, uterine tumors (fibroids, choriocarcinoma and endometrial cancer among others), and excessive uterine bleeding (menorrhagia) due to any other reason. Like in the emergency setting, the decision to do conduct the surgery is reached only after other options have been exhausted.
Like any major surgical operation, there are a number of thing that need to be undertaken as preparation for an individual undergoing the surgery. The extent of the disease needs to be determined as this will in turn dictate the approach to be undertaken by the operating surgeon. Some of the investigations that may be done include imaging studies such as ultrasound and CT scan, blood tests such as hemoglobin.
You will be issued with instructions that you need to follow in the days following to performance of the operation. These are mainly aimed at minimizing the risk of the procedure. For example, if you are a smoker you will be advised to abstain from the habit for a few weeks as a continuation of the same may delay wound healing. It is the same reason that informs the stoppage of blood thinners before surgery.
The surgeons will either use the abdominal route or the vaginal approach to carry out this operation. The choice is made after considering a number of factors such as lesion size, location and the likelihood of complications among others. When carried out by a skilled surgeon, the trans-vaginal approach offers the better outcomes. Such will include less blood loss, faster healing and less scaring.
When the abdominal approach is chosen the surgeon has the option of doing an open procedure or a laparoscopic procedure. The former entails the creation of a large incision in the lower abdomen hence is associated with larger residual scars. In the laparoscopic technique, the incisions are quite small which means that the resultant scars are quite small. Other complications such as bleeding and damage to other organs are also fewer with this method.
The surgery typically takes between one and two hours except in instances where complications are encountered. The surgical team has the option of choosing between regional and general anesthesia. The choice is mainly determined by the preference of the surgeon and the anesthesiology team. Recovery is usually quite rapid with the majority of patients being allowed home after about 72 hours. Resumption of normal duties may take a few more days.
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