A Hysterectomy is an operation to remove a woman's uterus. Gynaecologists use latest techniques like Laparoscope Assisted Vaginal Hysterectomy (LAVH) for doing Hysterectomy. Laparoscopically assisted vaginal hysterectomy (LAVH) is a surgical procedure using a laparoscope to guide the removal of the uterus and/or Fallopian tubes and ovaries through the vagina (birth canal). During a hysterectomy the surgeon may remove the entire uterus or just part of it. The fallopian tubes and ovaries may also be removed.
Advantages of Lap Surgery
The advantage of minimally invasive surgeries is shorter stay of the patient at the hospital, little blood loss and the chances of infection are also greatly reduced. The patient recovers much faster and is able to return to normal work within 3-4 days of the surgery. In Minimal Invasive Surgery the damage to the human tissue is also minimized.
There is no scar as the surgery is done through 2-3 holes of less than 1 cm each. All the instruments go through these small holes and the surgeon gets clear magified images on the monitor in front and operates while looking at the monitor. Not all general surgeons are trained to perform Laparscopic Surgeries
Modular Operation Theatres
GNH Hospital Operation Theatre complex is Fully Modular with Hepa Filters Airconditioning which significantly lowers the infection rate specially in surgeries where an implant or mesh is put in the body. Surgeries like Total Knee or Hip Replacement, Cataract Surgery, Orthopaedic Implant Surgery, Hernia Repair should ideally be performed in Modular Operation Theatres where the hygiene level is of the highest standard.
The cost of setting up a normal operation theatre is around 5-7 lacs while a modular operation theatre costs more than 40 lacs and the cost of maintaining a modular operation theatre is also high.
Types Of Hysterectomy
Partial (supracervical) hysterectomy: In this type of hysterectomy gynaecologist or the laparoscopic surgeon performs removal of upper part of the uterus . The cervix is left in place.
Total hysterectomy: In this process gynaecologist or surgeon does uterus removal alongwith the cervix.
Radical hysterectomy: This type of hysterectomy is performed very rarerly. Mostly in cases of cancer of uterus. In this type of hysterectomy uterus removal along with cervix, sides of uterus and ovaries may or may not be removed.
Your doctor will help you decide which type of hysterectomy is best for you. The choice often depends on your medical history and reason for the surgery.
Indications For Hysterectomy
There are many reasons a for which a woman may need a hysterectomy. Gynaecologist may advise hysterectomy is following condtions:
Cancer of the uterus, cervix or the ovary.
Childbirth complications, such as uncontrolled bleeding.
Long-term (chronic) pelvic pain
Severe endometriosis that does not get better with other treatments
Large Fibroids, which cause heavy, painful periods
Slipping of the uterus into the vagina (uterine prolapse)
Severe, long-term vaginal bleeding that is not controlled with other treatments.
A Gynaecologist may use different approaches for hysterectomy, depending upon the reason for the hysterectomy and woman's overall health.
Abdominal hysterectomy - This is done through the lower part of your belly.
Vaginal hysterectomy - . This is done through the vagina.
Laparoscopically Assisted Vaginal Hysterectomy (LAVH) - surgical procedure is done using a laparoscope to guide the removal of the uterus and/or Fallopian tubes and ovaries through the vagina (birth canal).
The period of stay for laparoscopic hysterectomy is same as that of any other laparoscopic surgery. Complete recovery after the surgery takes almost 5-6 weeks but during this period you can do your daily works except lifting heavy objects or physical training.