Hysterectomy Procedure | Why & How?

Hysterectomy is surgical procedure used for the removal of uterus. You may need a hysterectomy to be done for many reasons. The surgery can be used to treat a number of chronic pain conditions as well as certain types of cancer and infections.

The most frequent reason for hysterectomy in women is removal of fibroid tumours. Fibroid tumours are non-cancerous (benign) growths in the uterus that can cause pelvic, low back pain, and heavy or lengthy menstrual periods. Treatment of endometriosis is also one of the other common reasons for a hysterectomy. Hysterectomies are often done because of heavy or abnormal vaginal bleeding that cannot be linked to any specific cause and cannot be controlled by other means.

The scope of a hysterectomy varies depending on the reason for the surgery.. The doctor may also remove the ovaries and the fallopian tubes during the procedure. The ovaries are the organs that produce estrogen and other hormones. The fallopian tubes are the structures that transport the egg from the ovary to the uterus.

Once you’ve had a hysterectomy, you’ll stop having menstrual periods. You’ll also be unable to get pregnant.

Why is hysterectomy done?

Hysterectomy is used to treat many women’s health conditions. Some of these conditions include the following:

• Uterine fibroids (the most common reason for hysterectomy)
• Endometriosis
• Pelvic support problems (such as uterine prolapse)
• Abnormal uterine bleeding
• Chronic pelvic pain
• Gynaecologic cancer

Are there alternatives to hysterectomy?

In case you have the option to avoid going through a hysterectomy, there are many alternate options to explore that will take care of heavy bleeding, endometriosis, polyps and fibroids.

Current treatment options include:

• Medical/hormonal management
• D&C and hysteroscopy
• Endometrial ablation
• MRI–guided focused ultrasound (MRgFUS)
• Laparoscopy and endometriosis excision
• Myomectomy
• Uterine artery embolization (UAE)

What structures are removed during a hysterectomy?

In a total hysterectomy, the uterus and cervix are removed. In certain cases when the fallopian tubes and ovaries are removed along with the uterus, it is known as a hysterectomy with bilateral salpingo-oophorectomy . In a subtotal hysterectomy, only the uterus is removed. In a radical hysterectomy, the uterus, cervix, ovaries, oviducts, lymph nodes, and lymph channels are all removed. The type of hysterectomy performed depends on the reason for the procedure. The most significant effect of a hysterectomy is that menstruation permanently stops and the woman is no longer able to bear children.

How is a Hysterectomy Performed?

Abdominal Hysterectomy

During an abdominal hysterectomy, your doctor removes the uterus through a large cut in your abdomen. The incision may be vertical or horizontal. Both types of incisions tend to heal well and leave little scaring.

Vaginal Hysterectomy

During a vaginal hysterectomy, your uterus is removed through a small incision made inside the vagina. There are no external cuts, so there won’t be any visible scars.

Laparoscopic Hysterectomy

During a laparoscopic hysterectomy, your doctor uses a tiny instrument called a laparoscope. A laparoscope is a long, thin tube with a high-intensity light and a high-resolution camera at the front. The instrument is inserted through incisions in the abdomen. Three or four small incisions are made instead of one large incision. Once the surgeon can see your uterus, they’ll cut the uterus into small pieces and remove one piece at a time.

Laparoscopic-assisted vaginal hysterectomy

LAVH allows surgeons to perform a vaginal hysterectomy that might otherwise be too difficult to perform vaginally. The hospital stay is usually only one day and recovery time is about two weeks. Because of the short hospital stay and minimally invasive nature of the surgery this technique is really gaining in popularity.

Hysterectomy is a relatively safe operation, although like all major surgery it carries risks. Although there are some concerns that go with any major surgery, there are many conditions for which the operation generally improves a woman’s quality of life, corrects moderate or severe painful symptoms ensuring that they feel better mentally, physically, and sexually after the operation

For more information visit www.milann.co.in

Laparoscopic surgery: Purpose, Procedure & Recovery

Laparoscopy is often used to identify and diagnose the source of abdominal or pelvic pain. It’s usually performed when other non-invasive methods are unable to help with diagnosis.

Laparoscopic surgery is a specialized technique for performing gynaecologic surgeries and most of the intestinal surgeries like Crohn’s disease, ulcerative colitis, diverticulitis, cancer, rectal prolapse and severe constipation.
During the past two decades, minimally invasive surgeries have become a part of almost every field of surgery. Advanced operative laparoscopy, when performed by trained laparoscopic surgeons in technically well-equipped centers with the help of sufficient laparoscopic support staff, has proved out to be safe and effective in many cases.

Purpose

Laparoscopic surgery is commonly used in the diagnosis of a wide range of abdominal and pelvic conditions. It is also widely used to carry out surgical procedures such as the removal of diseased or damaged tissue, fibroids or cysts as well as for biopsies. With an increase in the incidence of infertility caused due to majority of uterus related problems, this procedure is also being used in the study and treatment of the female reproductive system (gynaecology) to examine the outside of the uterus, the fallopian tubes, and the ovaries—particularly in pelvic pain cases, followed by conditions of the digestive system (gastroenterology) and conditions affecting the urinary system (urology).
Laparoscopic instruments and techniques are used for a variety of procedures, including knee and shoulder surgery. Operations now often performed laparoscopically include the following, among many others:

1. Removal of diseased organs such as the gallbladder or appendix
2. Removal or repair of diseased parts of the colon or stomach (digestive system)
3. Removal or repair of the bladder, ureters, or kidneys (urinary system)
4. Removal or repair of women’s reproductive organs, such as the uterus or fallopian tubes
5. Tubal ligation
6. Removal of a kidney in a living donor
7. Weight-reduction procedures, such as gastric bypass
8. Repair of a hernia
9. To view the liver and pancreas for the presence of cancer tumours
10. To view the abdomen for signs of disease that has been difficult to diagnose (exploratory surgery)
11. To view a tumour in the abdomen
12. To check the source of abdominal pain or remove scar tissue
13. To look for the source of internal bleeding or fluid build-up if the patient has a normal blood pressure
14. To view injury following trauma or an accident

Gynaecologic conditions diagnosed using laparoscopic surgeries include:

1. Endometriosis
2. Ectopic pregnancy
3. Ovarian cysts :
4. Pelvic inflammatory disease [PID]
5. Infertility
6. Fibroids
7. Ovarian cancer

Procedure

During the laparoscopic surgical procedure, certain conditions can be treated using instruments and devices specifically designed for laparoscopy. Medical devices that can be used in conjunction with laparoscopy include surgical lasers and electrosurgical units. Laparoscopic surgery is now-a-days preferred over open surgery for several types of treatments because of its minimally invasive nature and its association with fewer complications.
The main procedure involves the following steps:

1. A patient is given a general anaesthetic and feels no pain throughout the procedure.
2. One or more small incisions are made in the abdomen, usually around the belly button area.
3. A tube is inserted at the incision site and the abdomen is inflated with carbon dioxide gas. This allows the surgeon a better view of the internal organs, as well as more room to work. The laparoscope is inserted through the tube and images of the internal structures are relayed to the TV monitor.
4. Surgical instruments can then be inserted via further small incisions that can be made, depending on what the surgeon finds and what procedures they need to perform.
5. Once the operation is finished, the gas is expelled from the abdomen and the incision is closed using stitches.

Recovery

For patients, laparoscopy can often mean a faster recovery from surgery, less time in the hospital or outpatient surgery center, and less trauma to the body. Again, the recovery period after laparoscopy to treat a condition depends on the type of treatment. After minor surgeries, you may be able to resume normal activities within two weeks.
Recovery time is much shorter with laparoscopy than with regular (open) surgery. The procedure may even be performed on an outpatient basis, meaning the patient can return home the same day of the procedure.

After the Laparoscopic Surgery:

1. Some pain or throbbing is possible where the small cuts were made. The doctor may recommend a prescription or over-the-counter pain reliever.
2. If stitches were used, a follow-up appointment for removal of stitches may be scheduled in a week or two as directed.
3. Sometimes the carbon dioxide gas can trigger shoulder pain after the procedure. Some of the same nerves that reach the shoulder are present in the diaphragm, and the gas may irritate the diaphragm. The pain goes away over time.
4. Pressure from the gas may cause a sensation of needing to urinate more often and more urgently. This sensation goes away over time.
5. The doctor will determine when eating and drinking can be resumed.
6. Once a person has sufficiently recovered, he or she can be sent home, provided the patient doesn’t drive or ride back home.

Many fertility centers are now inclined to using Laparoscopy for endometriosis treatment, removal of fibroids, cysts, etc., in order to enhance the probabilities of a couple to conceive pregnancy.
For more information, you can consult our IVF Specialists at our Milann centers and resolve your infertility issues with minimal invasive surgery.
To book your appointment call: 1800-4706-45266 or visit www.milann.co.in

What to expect in Milann IVF Clinics?

With the assist of modern-day technology and superior era, our specialists at Milann have more desirable the probabilities of a hit being pregnant on the Milann IVF Clinics. Dr. Kamini Rao, medical Director- Milann, normally uses the quotation “Chance favors the ready mind and body” to most of her IVF sufferers. Her imaginative and prescient of offering IVF or opportunity assisted fertility remedies came as a boon to infertile couples when she set up BACC over 27 years in the past.

Taking place the trail of infertility remedies at numerous fertility clinics and failing to conceive again and again may be truly depressing. But, we, at Milann will let you restore your hopes and beautify your possibility of pregnancy, with the help of superior remedies available.

Established in the year 1989 as BACC at Bangalore, we are now referred to as Milann and our centers are unfolded all throughout India. Our intention is to reach out to increasingly couples who have been not able to experience the joy of parenthood. With this in thoughts we've expanded from five Centers in Bangalore to Centers in New Delhi, Chandigarh, Mumbai and upcoming centers in Cuttack and Ahmadabad. Milann has constantly been subsidized by way of a team of efficient IVF Experts in Bangalore, with years of practical information, who've been treating thousands of couples for more than two decades.

Based totally on exactly what has previously been done or the extent of investigations executed, your medical doctor might need to take a detailed medical history of you and your companion. Therefore it’s the miles vital that you are preferably observed by way of your associate and carries your previous medical reviews/information. The physician will ask approximately the length of active married lifestyles, treatment undertaken thus far and results of all important assessments executed. Any important infection inside the companions within the beyond or the present will also be inquired into.

 

Clinical details

We value the reports out of your preceding laboratory assessments and at the equal time we may additionally advise you to run thru extra if they're in all likelihood needed on your treatment. With the help of the summary of your scientific facts, we discover the maximum sizeable problems obstructing your prospects of conceiving a wholesome being pregnant.

 

Lifestyle modification

Our nutritionists and yoga professionals at Milann strongly believe that many vitamins ought to play a function within the fulfillment of IVF cycles, because of their impact on each and every cellular for your blood and the surroundings in which the fertilized egg begins to develop. Consequently we plan the precise food plan preserving in thoughts the desired ranges of nutrients in your fetus as well as your well-being. We hold in mind your personal every day weight loss plan and meal choices, on the identical time presenting you with an easy but lasting meal plan to guide your pregnancy. Your dietician will even guide you on dietary supplements which can facilitate boom in primary vitamins you may be missing in.

 

Emotional/Psychological well-being

As a result of your preceding clinical facts of repeated pregnancy loss or any other problems that could be stressful your current state of intellectual well-being, your IVF professionals would possibly refer you to our in house counselor. A great counselor sets realistic expediencies and does no longer supply sufferers fake hopes. Our counseling programmes consciousness on reducing the tension and pressure levels and also consist of a encouraged set of exercises with a view to allow you to have a non violent and at ease intellectual mindset. Clearly, neglecting the emotional effect of infertility and viewing it entirely as a medical situation can be destructive and affect the affected person extensively.

We've recently been identified as the fine fertility & IVF Center in India in addition to ranked #1 nationally in the discipline of fertility sciences and first-rate healthcare via instances of India fitness Survey for the beyond two years consecutively. When you have any in addition queries, please attain us at info@milann.Co.In or to agenda and appointment with considered one of our doctors, click on right here. We'd be satisfied to be of help. Touch us-1800 4076 45266 or 8527699266  

For more information visit www.milann.co.in