Is It Time For A Hysterectomy?
A hysterectomy is the surgical removal of the uterus. A doctor may remove the uterus only or the uterus and ovaries. Hysterectomies are common procedures, with over 600,000 performed yearly. Some women get hysterectomies for sterility purposes, for instance, when there is no desire to have more children. Most cases, however, are for severe medical reasons that benefit the woman if the reproductive organs are removed. Common reasons include cancer, endometriosis, uterine prolapse, or chronic pelvic pain. Doctors will choose between laparoscopic hysterectomy and open surgery. Laparoscopy provides many benefits to an already challenging procedure.
The methods at your disposal
Open surgery is the traditional method used to perform hysterectomies. A large incision is made across the lower abdomen to access and remove the uterus. By moving abdominal muscles and tissue, the surgeon has direct access to the uterus. Laparoscopic hysterectomy, on the other hand, is a minimally invasive surgery (MIS) that uses multiple small incisions of less than an inch. A small device called a laparoscope goes through an incision, which then projects an image of the uterus to an external monitor. Additional small surgical tools are passed through the other incision to remove the uterus. The small incisions are then closed so the patient can leave the hospital the same day.
The many benefits of laparoscopic surgery
As laparoscopy is minimally invasive, patients enjoy many benefits. Small incisions mean less blood loss and tissue damage. The patient can head to recovery sooner and leave the hospital the same day. As a result, laparoscopic hysterectomy has faster recovery times than open surgery. The smaller incisions ensure patients have more minor scars and less postoperative pain. Open surgery can affect the abdominal muscles, leading to longer healing and unpleasant scars. Some patients may even lose some muscular strength. Laparoscopic surgery has fewer complications like infections, leading to a faster return in everyday activities.
Is there no more room for open surgery?
There are more benefits to open surgery versus laparoscopic surgery, and this procedure may be the future of hysterectomies. Yet, this technique does not remove the need for open surgery. The choice depends on multiple factors. Laparoscopic surgery is ideal for younger, healthier patients who have smaller uteri or previous surgical scars. Open surgery is recommended for specific situations like large fibroids or extensive endometriosis. Obesity or other medical conditions can make laparoscopic surgery more challenging. A doctor can discuss the best option based on the individual needs of the patient.
Maximum benefit, minimum risk with laparoscopy
A hysterectomy is an option for contraception or sterility. Most cases are to prevent the progression of a severe underlying condition. Removing the uterus can improve the quality of life. The procedure can play a critical role in long-term outcomes. A laparoscopic hysterectomy can provide less bleeding, faster healing, and fewer complications. More importantly, the procedure can be completed without severe scarring. There is still room for open surgery, but the decision ultimately lies with specific conditions, patient health, and accessibility of laparoscopy.
