Uterine fibroids - hysterectomy. Methods of hysterectomy for uterine
Hysterectomy (total or complete hysterectomy) - the removal of the entire body with the neck.
Indications for hysterectomy
By the testimony include: ovarian cysts, concomitant loss of sexual organs, prolonged menorrhagia, pelvic pain syndrome, multiple fibroids, endometriosis, uterine body, suspicion of malignancy process, with the rapid growth of tumors, recurrent polyposis of the mucosa, the patient's age close to menopause.
The operation is performed from the abdominal, laparoscopic or hysteroscopic access.
Abdominal hysterectomy laparoscopic
Indications for abdominal hysterectomy laparoscopic
Abdominal hysterectomy with laparotomic method is shown as a broad overview of needs and the possibility of free radical intervention in significantly larger body, the presence of concomitant disease of the uterus, endometriosis is widespread.
Hysterectomy
The advantages of abdominal hysterectomy laparoscopic
Laparoscopic technique using the technique allows to minimize the risk of possible complications after surgery to reduce the rehabilitation period. Reduce the time spent in the hospital and the patient is able to return much sooner to their normal life. Rarely noted the development of adhesions.
Disadvantages abdominal hysterectomy laparoscopic
The disadvantages are: pain syndrome in the healing of wounds on the anterior abdominal wall, a large intraoperative blood loss, elongation, and weighting the recovery period.
Complications of abdominal hysterectomy laparoscopic
Severe but rare complications of laparoscopy include damage to the intestines, urinary organs and retroperitoneal injuries of great vessels are located.
This operation requires a doctor's qualifications and training. In the case of severe blood loss or multiple fibroids, there is a need to move to laparotomy.
Vaginal hysterectomy laparoscopic
Indications for vaginal hysterectomy laparoscopic
Vaginal hysterectomy (removal of an organ vaginal access using a hysteroscope) is shown with submucous myomas generated accompanying the descent and prolapse of internal genital organs, pronounced abdominal obesity.
Laparoscopic hysterectomy
The method can be used in women elderly, debilitated, and malnourished patients with myoma, which shall not exceed the size of the head of the newborn.
Contraindications to vaginal hysterectomy laparoscopic
This intervention is not carried out when there is a history of laparotomy with a strong adhesive process (relative contraindication) or combined pathology identified to warrant the revision of the abdominal cavity.
Complications of vaginal hysterectomy laparoscopic
Possible intraoperative complications: hematoma formation, wound adjacent intestine, bladder or ureter, escape vessel.
Hysterectomy - is difficult in physiological and psychologically disabling interference deprives a woman of menstrual and reproductive functions. The positive aspect here is the complete exclusion of recurrence of fibroids.
