A hysterectomy is a surgery to remove the uterus. It is done for a variety of reasons including pain associated with the uterus, abnormal or heavy menstrual bleeding, fibroid tumors, as well as pre-cancerous changes of the uterus. In some cases, the ovaries and fallopian tubes may be removed at the same time. The surgery can be performed in several ways, and the approach is specifically tailored to every patient.
Abdominal hysterectomy is performed through an incision on the abdomen, either horizontally, similar to a cesarean section, or vertically on the lower abdomen. Although the most traditional approach, abdominal hysterectomy is now commonly reserved for women with extensive scar tissue or an exceptionally enlarged uterus.
Vaginal hysterectomy is performed entirely through the vagina without any abdominal incision, and therefore, are truly the most minimally invasive approach to hysterectomy. Good candidates for vaginal hysterectomy include those women who have had vaginal deliveries and few pelvic surgeries.
Laparoscopic hysterectomy is a minimally invasive approach performed through several small abdominal incisions, approximately 1 cm in size. The surgeon operates through these small incisions with specialized equipment, and subsequently removes the uterus through the vagina.
Minimally invasive gynecological surgery, either vaginally or laparoscopically, allows for decreased pain, shorter hospital stays, and an overall quicker recovery allowing patients to get back to their normal lives in just a few weeks.
After a thorough review of your medical history, as well as, the indication for hysterectomy, you and your provider will determine the most appropriate type of hysterectomy.
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