There are several types of hysterectomy. Depending on your condition, your gynecologist will decide the type of hysterectomy operation required.

1. Total Hysterectomy:

• What it Involves: Removal of the entire uterus, including the cervix.

• When it is Recommended: For conditions like uterine fibroids, endometriosis, chronic pelvic pain, or uterine and cervical cancer.

• Impact on the Body: Menstruation stops and pregnancy is no longer possible. Regular Pap tests are not required after this procedure.

2. Sub-total Hysterectomy (Supracervical Hysterectomy):

• What it Involves: Removal of the upper part of the uterus while leaving the cervix intact.

• When it is Recommended: When the cervix is healthy, and there’s no risk of cervical cancer.

• Impact on Body: Menstruation stops, but light spotting may occur. Regular cervical cancer screenings (Pap smears) are still needed.

3. Supracervical Hysterectomy:

• What it Involves: Similar to a sub-total hysterectomy, it involves removing the uterus but preserving the cervix.

• When it is Recommended: For benign conditions like fibroids or heavy bleeding preserving cervical support is preferred.

• Impact on Body: The cervix remains intact, reducing the risk of pelvic organ prolapse.

4. Abdominal Hysterectomy:

• How it is Done: An incision is made in the abdomen (either vertical or horizontal) to remove the uterus.

• Advantages: Allows surgeons to see the pelvic area clearly, suitable for large fibroids, endometriosis, or cancer.

5. Vaginal Hysterectomy:

• How it is Done: The uterus is removed through an incision made in the vagina.

• Advantages: No visible scars, shorter hospital stay, faster recovery, and less pain compared to abdominal hysterectomy.

6. Laparoscopic Hysterectomy:

• How it is Done: Small incisions are made in the abdomen, and a camera (laparoscope) is used to guide the surgery. The uterus is removed in small pieces through these incisions or vaginally.

• Advantages: Minimally invasive, shorter recovery time, smaller scars, and less postoperative pain.

A hysterectomy is a surgical procedure to remove the uterus. It is typically recommended for various medical reasons when other treatments have not been effective. Here are the common indications for a hysterectomy:

1. Uterine Fibroids:

   • Noncancerous growths in the uterus cause heavy bleeding, pelvic pain, or pressure on the bladder.

   • When fibroids are large or symptomatic other treatments, like medication or myomectomy, are not effective.

2. Endometriosis:

   • A condition where tissue similar to the lining inside the uterus grows outside of it, causing pain, heavy bleeding, or infertility.

   • A hysterectomy may be considered if the pain is severe and other treatments like hormonal therapy or conservative surgery have failed.

3. Adenomyosis:

   • When the uterine lining grows into the muscular wall of the uterus, leading to severe cramps, heavy bleeding, and an enlarged uterus.

   • A hysterectomy is considered when other treatments are ineffective in managing symptoms.

4. Chronic Pelvic Pain:

   • Persistent pelvic pain that is not relieved by other treatments.

   • Hysterectomy is considered if the pain is linked to conditions like endometriosis, adenomyosis, or fibroids.

5. Abnormal Uterine Bleeding:

   • Heavy, prolonged, or irregular menstrual bleeding that does not respond to other treatments, such as medications or less invasive surgical procedures.

6. Uterine Prolapse:

   • When the uterus drops into the vaginal canal due to weakened pelvic floor muscles.

   • This can cause urinary or bowel issues, pelvic pressure, or discomfort during sexual activity.

7. Gynecologic Cancers or Precancers:

   • Uterine, cervical, ovarian, or endometrial cancer or pre-cancerous conditions.

   • A hysterectomy may be part of the cancer treatment plan to remove cancerous or at-risk tissues.

8. Placenta Accreta:

   • A serious pregnancy complication where the placenta grows too deeply into the uterine wall, potentially causing severe bleeding during delivery.

   • A hysterectomy is sometimes necessary to control bleeding and save the mother’s life.

9. Pelvic Inflammatory Disease (PID):

   • Severe, recurrent pelvic infections that cause damage to the reproductive organs.

   • In rare cases, a hysterectomy is performed if other treatments do not resolve the infection.

Gynecologists perform hysterectomy through different methods, chosen based on the patient's condition, the size and position of the uterus, and medical history.

Here are different Hysterectomy surgery procedures:

Abdominal Hysterectomy:

• In this type of hysterectomy surgery, a large incision is made in the lower abdomen, either horizontally above the pubic bone or vertically from the navel to the pubic bone.

• Through this incision, the surgeon removes the uterus, cervix, fallopian tubes, and, in some cases, the ovaries.

• It is typically recommended for complex situations, such as when dealing with large fibroids or cancer.

Laparoscopic Hysterectomy:

• This minimally invasive surgical procedure involves making 2-4 small incisions in the abdomen, often including one near the navel for the laparoscope and others for surgical instruments.

• During this procedure, the surgeon inserts the laparoscope and instruments through the incisions and expands the abdomen with gas to create space. The surgeon then removes the uterus either in pieces or as a whole through the vagina or one of the incisions.

• Due to its minimally invasive nature, laparoscopic hysterectomy surgery results in a quicker recovery, less pain, and smaller scars.

Vaginal Hysterectomy:

• In this minimally invasive surgical procedure, a single incision is made at the top of the vagina.

• The surgeon removes the uterus through the vagina, occasionally detaching it laparoscopically if necessary.

• This approach results in less pain, faster recovery, and no external scars.

Robotic-assisted Laparoscopic Hysterectomy:

• The surgeon performs this type of hysterectomy surgery procedure with the help of a robotic machine.

• They will insert a laparoscope into your abdomen to view your pelvic area.

• Then they will insert small and thin surgical tools through three to five cuts around your belly button.

• The recovery time is similar to a laparoscopic hysterectomy

Proper preparation before undergoing a hysterectomy is crucial for a smoother experience. Consult with your gynecologist and consider the following steps:

• Diagnostic Procedures: Be prepared for diagnostic procedures, including blood tests, urine tests, chest X-rays, and an electrocardiogram. These tests help assess your overall health.

• Medical History Discussion: Discuss your medical history, current condition, and medications with your gynecologist. Your surgeon may advise you to stop or adjust some medications before surgery.

• Lifestyle Adjustments: Quit Smoking and Avoid Alcohol. Smoking and alcohol can hinder healing and increase risks, so quitting in advance is highly recommended.

• Regular Exercises: Engage in regular exercises to build up your stamina. It will contribute to a faster recovery.

• Nutritious Diet: Focus on consuming nutritious foods rich in fruits, vegetables, and whole grains. This will help strengthen your immune system.

The right candidate for hysterectomy may have health conditions such as:

• Abnormal Bleeding

• Adenomyosis

• Painful Periods

• Endometriosis

• Gynecologic Cancers

• Heavy Menstrual Bleeding

• Fibroids

• Uterine Prolapse

Additionally, hysterectomy surgery is considered a practicable option for gender affirmation for transgender and nonbinary individuals.

Hysterectomy offers several potential benefits for women experiencing specific gynecological conditions, including:

• Reduced Bleeding

• Pain and Discomfort Relief

• Improved Sexual Function

• Reduced Cancer Risk

• Enhanced Bladder Control

• Lowered Risk of Anemia

The duration of your hospital stay following a hysterectomy depends on the type of surgery you undergo. During this period, your gynecologist will monitor you for any signs of complications, such as blood clots and bleeding.

To prevent blood clots in your legs, your surgeon will recommend regular walking. Additionally, as part of the recovery process, your surgeon will provide specific instructions, including restrictions on your day-to-day activities.

The cost of a hysterectomy can vary especially due to several factors. These include pre- operative tests, imaging studies, type of surgery, the surgeon's experience, anesthesia costs, the location and reputation of the hospital, and follow-up appointments.

A hysterectomy is a major surgical procedure with potential side effects and risks. The side effects depend on the type of hysterectomy performed and whether the ovaries are removed. Here are some common side effects:

1. Short-Term Side Effects:

These occur immediately after surgery and generally resolve during the recovery period.

• Pain and Discomfort: Pain at the surgical site, abdominal cramping, and soreness.

• Bleeding and Discharge: Light vaginal bleeding or discharge for a few weeks.

• Fatigue: Feeling tired or weak as the body heals.

• Constipation and Bloating: Due to anesthesia, pain medications, or reduced physical activity.

• Urinary Issues: Difficulty urinating or a frequent urge to urinate.

2. Long-Term Side Effects:

These depend on the type of hysterectomy and whether the ovaries are removed.

• Menopause Symptoms: If the ovaries are removed, menopause starts immediately, leading to:

  • Hot flashes

  • Night sweats

  • Mood swings

  • Vaginal dryness

  • Decreased libido

• Hormonal Imbalance: Sudden hormonal changes can lead to fatigue, mood changes, and irritability.

• Changes in Sexual Function: Decreased sexual desire or discomfort during intercourse due to vaginal dryness.

• Weight Gain: Hormonal changes can lead to weight gain or difficulty in losing weight.

• Risk of Osteoporosis: Early menopause increases the risk of bone density loss and osteoporosis.

3. Psychological Effects:

• Emotional Changes: Feelings of sadness, anxiety, or depression, especially if the surgery affects fertility.

• Body Image Issues: Concerns about femininity or body image due to the loss of reproductive organs.

4. Potential Complications:

While rare, some complications can occur:

• Infection: At the surgical site or in the urinary tract.

• Blood Clots: Increased risk of blood clots in the legs or lungs.

• Damage to Surrounding Organs: Such as the bladder or intestines.

• Adhesions or Scar Tissue: This leads to pelvic pain or bowel obstruction.

5. Long-Term Health Considerations:

• Cardiovascular Health: Increased risk of heart disease, especially if the ovaries are removed before menopause.

• Pelvic Floor Issues: Increased risk of pelvic organ prolapse or urinary incontinence.

After undergoing a hysterectomy, proper care is important for a smooth and swift recovery. Some key areas to focus on include:

• Take proper care to let the body heal.

• Avoid strenuous activities for several weeks following surgery.

• Slowly increase activities, starting with light walking and stretching.

• Avoid lifting heavy objects for at least 6 weeks.

• Take prescribed medications.

• Consider alternate therapies like ice packs, heating pads, and gentle massage to manage discomfort.

• Keep the incision site clean and dry.

• Monitor for signs of infection such as redness, swelling, drainage, or fever. Consult your doctor if you notice any symptoms.

• Eat a well-balanced diet that includes plenty of fruits, vegetables, whole grains, and lean protein.

• Drink plenty of fluids to avoid dehydration and constipation.

• Limit processed foods and sugary drinks.

• Some women experience mood swings, anxiety, or depression after a hysterectomy. Consult your surgeon if these feelings become overwhelming.

• Engage in activities that promote relaxation and stress management, like yoga, meditation, or deep breathing exercises.

• Avoid sexual activity for 4-6 weeks.

• Follow up with your doctor to monitor your progress.

Miracles Healthcare is the best hospital for hysterectomy in Gurgaon. We have a team of highly experienced gynaecologists in Gurgaon for uterus removal surgery. We are equipped with cutting-edge technology ensuring quality treatment for patients.

Miracles Healthcare offers comprehensive healthcare services through multiple facilities: Miracles Apollo Cradle, Miracles Apollo Cradle/Spectra, Miracles Fertility & IVF Clinic, and Miracles Mediclinic. Our facilities are located in Sec 14, Sec 56, and Sec 82, making daily healthcare more convenient for the people of Gurgaon.