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
- Uterine prolapse
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.