How is the uterus removed?

Most often, doctors prescribe the removal of the uterus in myoma and cancer. As a rule, these reasons are the most common indications for hysterectomy.

Myoma is a common tumor that develops in the female body, and often, when it starts to increase, it is recommended that the uterus be removed. Sometimes hysterectomy involves the removal of the fallopian tubes and ovaries. Note that this operation is complex and painful, not only physically, but also morally. The woman begins to feel her inferiority, but often such treatment is inevitable and helps to save the body from many torments and prevent the tumor from escalating into malignant formation.

There are several diseases in which the removal of the uterus is indicated:

1. Cancer of the genitals. Cancer of the uterus and its cervix causes the need for an operation. As a rule, it is inevitable, and it can not be neglected in this case. With this diagnosis, the cervix or the uterus itself is removed (depending on which organ the disease has been struck with). The diseases that require the removal of these organs are endometrial cancer and fallopian tubes.
2. Endometriosis. Sometimes, when bleeding is revealed as a result of this disease, doctors prescribe a hysterectomy.
3. Fibroma. As a rule, removal of the uterus in this case is not prescribed, because the data of the neoplasms are susceptible to conservative treatment. However, there are situations when an operation is the only possible option.
4. Loss of the uterus. When the uterus is displaced into the vaginal area, it can adversely affect the work of other important organs. A similar diagnosis can be made after childbirth, as a result of obesity, a decrease in the production of estrogen. Sometimes the cause is weak ligaments or pelvic tissues.

Sometimes as a result of serious malfunctions of the menstrual cycle, with severe inflammatory diseases of the pelvic organs or dysmenorrhea, hysterectomy is also shown.

There are different types of hysterectomy, which are used for this or that kind of disease and degree of their complexity:

1. Partial (supravaginal) hysterectomy is an operation in which only the uterus is removed and the cervix remains intact.
2. Radical - this is the removal of the uterus, its neck, supporting tissues and some part of the vagina.

If such an operation is performed before the onset of menopause, a number of complications may arise. This can be avoided if done in the post-climactic period. Among possible problems can arise as emotional disturbances (depression, increased anxiety and anxiety), and loss of sexual desire. If the vagina is shortened during the operation, the woman may experience pain during intercourse.

1. Abdominal. This kind of hysterectomy is indicated when the uterus is enlarged, or there are many large fibroids, adhesions and endometriosis. Sometimes, in the presence of cancer of the uterus and ovaries, you can prescribe removal of the uterus abdominally (ie, a cut about 11-15 cm along the bikini line or vertically). Thus, remove the uterus and its neck, cutting them from the vagina, where they then stitches. Recovery after this operation lasts a very long time, but when it is carried out, the risk of damage to the urinary system is reduced.
2. Laparoscopic - an operation that involves two or three incisions on the abdomen. Through them, the laparoscope enters the abdominal cavity. Removal is carried out through tubes inserted into the incisions. The rehabilitation period after laparoscopy, as a rule, is rather short. The patient will be able to return to a normal life in a few days.