Removal of the uterus with appendages - hysterectomy

Removal of the uterus with appendages is a very common operation, in the implementation of which not only the main female organ is removed, but also the ovaries and tubes. Not only the physiological aspect of this operation is important, but the psychological side also has a greater significance. After all, many women feel themselves after such an operational intervention in something defective, inferior.

Removal of the uterus with appendages is carried out by two methods: with the help of laparoscopic surgery and vaginal surgery. In the first case, the uterus is removed through the incision of the abdominal cavity. The rehabilitation period is as short as possible. In the second case, as the name suggests, the uterus is removed through the vagina.

At oncological diseases not only the organ itself, but also adjacent tissues are affected. Therefore, with cancer of the uterus and its neck, it is necessary to amputate and affected areas of the disease. The nature of the operation is determined by the rate of growth of cancer cells and the type of tumor. With endometrium, cancer of the uterine cavity, its cervix and fallopian tubes, amputation of these organs is necessary.

Removal of the uterus with appendages is also carried out in some cases after endometritis, accompanied by heavy bleeding. Cut it in fibroids and fibroids, although most of these types of diseases can be cured by a medicamentous method.

Extirpation of the uterus has several varieties.

Complete. Assumes removal of the uterus and its cervix.

Partial. Only the uterine cavity is removed. Removal of the fallopian tubes and neck is not performed.

Radical. Amputation of the uterine cavity, its cervix, connective tissue and the upper region of the vagina.

Post-menopausal. It avoids a number of complications that arise when the uterus is removed before the onset of menopause. During the menopause, women experience psychological discomfort, which manifests itself in frequent changes in moods, depressive and anxious states. Because of osteoporosis, women often lose their sexual attraction. When you have sex, you may experience pain if the vagina is slightly shorter during the operation. Women who have not yet entered the climacteric period undergo hormonal support after the operation.

Vaginal. The upper region of the vagina is notched, and through this section the uterus is removed with appendages. Indication for this operation is the prolapse of the uterus, the small size of the organ. The advantage of this type of operation is that the body does not have scars after wound healing. The rehabilitation period proceeds quickly and without complications.

Laparoscopy. Removal of the appendages and the uterus is carried out through the section in the lower part of the abdomen. The uterus is removed by a special device - a laparoscope. The doctor-gynecologist uses this device for examination of the internal organs of the small pelvis of the patient. Doctors-surgeons use a specialized tool during the operation.

After hysterectomy, some complications may occur. They manifest themselves in the form of severe bleeding, purulent discharge from the sutures, inflammation of the lymph nodes in the groin, temperature and chills, uncontrollable pains, sharp pains and redness in the lower leg, which is a sign of a thrombus, a serious impairment of urination. If you have these syndromes, you should consult your doctor. The consequences of the extirpation of the uterus with appendages is due to the physiological characteristics of the patient.

After the transferred hysterectomy life does not end. The reproductive function dies, but otherwise the body functions normally.