What is a hysterectomy?
A hysterectomy is when a woman's uterus is removed.
The uterus can be removed in 3 different ways:
- laparoscopic hysterectomy
- small keyhole incisions (5-10mm) are used to place instruments and a camera inside the abdomen, then the procedure is performed watching the camera view on a monitor
- abdominal hysterectomy
- an incision is made on the lower abdomen
- vaginal hysterectomy
- the whole procedure is performed through the vagina
When is a hysterectomy performed?
For many women an operation to remove their uterus becomes a necessary next step. This may be because methods to stop heavy bleeding are not successful, side effects of medications are intolerable, fibroids are problematic or endometriosis is severe enough that a more permanent solution is determined.
How is it the procedure performed?
At Aceso Health, the vast majority of hysterectomies are performed using a laparoscopic approach. This is an advanced procedure requiring advanced laparoscopic skills and intensive training.
A laparoscopic hysterectomy holds many advantages over other methods. Recovery is much faster, hospital stay is shorter hospital, less pain, and there is a more rapid return to family life, work and exercise.
On most occasions a woman’s ovaries are retained, meaning she does not go through the menopause as the ovaries still produce hormones (estrogen and progesterone).
In women having a hysterectomy we advise removal of the fallopian tubes. Once the uterus is removed the tubes are have no function. The main reason for removal is that clinical studies show a reduction in the risk of ovarian cancer when the tubes are removed at hysterectomy.
How we can help
The doctors at Aceso Health will evaluate the issues; discuss all options and work together to make an evidence and experience-based plan. We aim to work with our patients to determine the most appropriate course of action.