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Hysterectomy

Hysterectomy is a surgical procedure that is carried out to remove the uterus/womb.Depending on the disease and age of patient, a Gynaecologist will decide to go for partial/ total hysterectomy or Hysterectomy with salpingooophorectomy.

A hysterectomy surgery is commonly suggested by doctors when other treatment options are not available or have been unsuccessful. Depending on the case history, a hysterectomy operation is needed if you have:

  • Cancer of the Cervix, uterus or ovaries
  • Multiple uterine fibroids
  • Heavy periods
  • Endometriosis
  • Uterine prolapse
  • Adenomyosis

The main types of hysterectomy are:

  • Total hysterectomy – As the name suggests, the womb and cervix are removed
  • Subtotal hysterectomy – the main body of the womb is removed, leaving the cervix intact.
  • Total hysterectomy with bilateral salpingo-oophorectomy – the womb, cervix are removed along with the fallopian tubes and ovaries.
  • Radical hysterectomy – the womb and surrounding tissues are removed, including the fallopian tubes, part of the vagina, ovaries, lymph glands and fatty tissue

Depending on the approach, the surgery is categorised as:

  • Vaginal Hysterectomy – In this surgery, uterus is removed through the vagina.
  • Laparoscopic Hysterectomy – When the entire operation is performed using the laparoscope and the surgical specimen is removed via the vagina.
  • Abdominal Hysterectomy – In an abdominal hysterectomy, an incision is made in the abdomen through which the surgeon performs the removal of the uterus.

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