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Hysterectomy is the surgical removal of the uterus. It may also involve the removal of the cervix, ovaries, Fallopian tubes, and other surrounding structures. Usually performed by a gynecologist, a hysterectomy may be total or partial. heading

Types of Hysterectomy

Depending on the reason for the hysterectomy, a surgeon may choose to remove all or only part of the uterus. Patients and health care providers sometimes use these terms inexactly, so it is important to clarify if the cervix and/or ovaries are removed.

A supracervical or subtotal hysterectomy

Removes only the upper part of the uterus, keeping the cervix in place.
A total hysterectomy removes the whole uterus and cervix.
A radical hysterectomy removes the whole uterus, tissue on the sides of the uterus, the cervix, and the top part of the vagina. Radical hysterectomy is generally only done when cancer is present.

Total Hysterectomy & Bilateral Salpino-Oophorectomy (BSO)

The surgeon may remove the ovaries — a procedure called oophorectomy — or may leave them in place. When the tubes are removed that procedure is called salpingectomy. When the entire uterus, both tubes, and ovaries are removed, the entire procedure is called a hysterectomy and bilateral salpingectomy-oophorectomy.

State Of The Art Equipments

Diagnostic Hysteroscopy
Now the question is ‘’Who should have a Diagnostic Hysteroscopy?’’

Most women with menstrual disorders will not require a diagnostic hysteroscopy. However, a diagnostic hysteroscopy is often necessary for women who develop menstrual abnormalities after the age of 40 or for younger women with severe menstrual disturbances. Here are some of the common situations in which a diagnostic hysteroscopy may be helpful.
check-mark Women who develop a menstrual abnormality who are over 40 years of age.
check-mark Women with suspected endometrial polyps.
check-mark Women who experience postmenopausal bleeding.
check-mark Women in whom a congenital abnormality is suspected.
check-mark Women with irregular menses who may be at increased risk for endometrial hyperplasia.
check-mark Women with suspected uterine fibroids.
check-mark Postmenopausal women with an abnormally thickened uterine lining.
check-mark Women who have “lost” IUDs where the IUD strings are no longer visible on speculum examination.

Robotically-assisted Hysterectomy

Robotic Hysterectomy is often touted as a minimally invasive gynaecologic surgery. Robotically-assisted Hysterectomies offer various advantages in women with a variety of gynaecologic cancers, severe endometriosis and pelvic adhesive disease. There are other factors that may cause a GP to favour the use of robotic assistance compared to other methods.
A large number of studies have found little difference in complications and recovery time between laparoscopic and robotic hysterectomy. Without question, robotic surgery is far more expensive than laparoscopic hysterectomy.
Other studies have shown that robotic hysterectomy requires the patient to be under anaesthesia for longer periods of time. In most cases robotic surgery requires a greater number of incisions than Laparoscopic Hysterectomy. Although Robotic-assisted Hysterectomy clearly has a place in modern gynaecologic surgery it is less clear that it is “minimally invasive” compared to other forms of hysterectomy such as Laparoscopic or Vaginal Hysterectomy. Further studies are needed before the exact role of Robotic-assisted Hysterectomy can be determined.

Procedure & Advantage

check-mark The main reason for women to undergo ysterectomy is abnormal uterine bleeding.
check-mark Hysterectomy relieves abnormal uterine bleeding which is painful and distressing.
check-mark Hysterectomy prevents uterine cancer and is a lifesaver for women who have a family history of cancerous growths in their uterus.

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