uterine hysterectomy

Hysterectomy is a major surgical procedure, which is performed during hysterectomy. Usually the operation is performed as a treatment for cancer of the uterus, as well as many of the problems associated c menses, pelvic pain, benign tumors and other diseases nature. Doctor prescribes a particular type ofoperation , During which the fallopian tubes, ovaries, cervix and can be removed in addition to the uterus.

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Choice is caused by a form of the disease, the stage of development of tumors, depth of germination of malignant cells in the surrounding tissue, localization of tumors, the patient's age and general state of health in the event that a woman has not reached menopause , doctors first examine alternative ways of treating the disease, as holding the uterus hysterectomy would deprive the patient's ability to bear children, but in the presence of a malignant neoplasm, unbearable pain and bleeding a doctor as soon as possible to hold surgery to relieve symptoms and to save the life of the patient. Specialist to remove cancer of the female reproductive system isDavid Schneider. On account of the surgeon a large number of successful operations.

This surgery is the main method of treatment of uterine cancer, as well as serious precancerous states (severe dysplasia and cervical microinvasive cancer), endometrial cancer (uterine body cancer).

Types of hysterectomy in Israel

The surgeon performs the removal of the entire uterus or just part of it, as well as the adjacent tissues and organs. There are three main types of surgery: subtotal, total and radical hysterectomy. Let us consider each of these types of operations.

subtotal hysterectomy

During surgery the doctor removes the uterus, but retains her neck. Usually subtotal type of operation is performed in patients at low risk of developing cervical cancer, but does not exclude its manifestations, so women need to undergo an annual gynecological exam-taking Pap smear with cervical mucus.

It is a simple surgical intervention, occupying a minimum amount of time, is the best solution in a number of cases of severe endometriosis, and it reduces the risk of falling out of the vagina.

total hysterectomy

This type of operation, known by other names - common or simple hysterectomy - is to remove the entire uterus and the cervix. The ovaries are retained and continue to secrete hormones. Indications Oncology is usually the uterus and cervix.

Often in the course of an operation to remove the most important organ in the female reproductive system is conducted additional surgical procedure - bilateral salpingooforektomiya, implying a resection of the ovaries and fallopian tubes, thereby eliminating a major source of estrogen and immediately after hysterectomy menopause.

In Israel, there is a possibility of a hysterectomy using the da Vinci robot, a minimally invasive, high-precision surgery with better results of treatment, a low risk of complications, shorter recovery period. This revolutionary approach is particularly useful in complicated surgical procedures.

radical hysterectomy

This type of surgery is performed to treat women with cervical cancer or endometrial cancer, when struck by the cervix. During radical hysterectomy is performed removing the maximum amount of diseased tissue that requires a longer hospital stay and is characterized by a long rehabilitation period. The procedure consists in the resection of the uterus and its neck, vaginal apex, ovaries, fallopian tubes, the nearest lymph nodes and channels, and pelvic tissue that surrounds the cervix.

The above types of uterine and abdominal hysterectomy is performed vaginal access using minimally invasive or open surgery. Depending on the individual factors of the disease and the type of chosen method of surgery.

abdominal hysterectomy

General anesthesia is used, that is, the patient is unconscious throughout the surgical procedure, which usually lasts from 2 to 5 hours.

Before you start removing the cancerous tumor, the doctor carries out bladder catheterization for the purpose of emptying - it holds through the urethra (urethritis) special urinary catheter that stays in place for a short time after the operation.

The surgeon performs a few incisions in the lower abdomen, using one of two approaches:

  1. Execution of vertical cut (15-20 cm) from the mid-abdomen and capturing an area below the navel to the pubic bone.
  2. Performing horizontal incision bikini line (approximately an inch above the pubic bone).

type section due to several factors: the need to study the upper part of the abdomen, the uterine volume, the presence of scar tissue in the abdominal region, and in particular disease for which treatment is performed surgery. For example, the surgeon usually makes a vertical section of endometriosis, fibroids and large cancers.

The recovery period after hysterectomy

After successful procedure, the patient is moved from the operating room to the recovery room, where for several hours. Israeli medical clinic staff provides her care and monitors the basic vital signs. Hospital workers are closely monitoring any signs of symptoms of pain and give medications that reduce pain and prevent the development of infection.

patient hospitalization is usually 3 to 5 days, but perhaps she would have to stay in hospital for a longer time due to the complexity of the operation and a large incision in the abdominal area. The rehabilitation period is a minimum of 4-6 weeks, and the sexual relationship in most cases can be resumed 4 weeks after surgery.

The decision on the form of operation is influenced by many factors, including the opinion and the decision by the patient. A doctor in the Israeli clinic discusses the pros and cons of types of hysterectomy a woman possible alternatives. It is extremely important to choose the hospital with the necessary specialization and medical equipment, as well as the professionalism and experience of the surgeon.

vaginal hysterectomy

The procedure involves the removal of poppies and cervix through the vagina and most commonly performed to treat uterine loss, early cervical cancer and pre-cancerous growths, as well as in those cases, when the uterus is not increased in size. Operation is less painful as compared with abdominal surgery and is characterized by a short rehabilitation period and the time of hospitalization.

During the operation the patient is under general or spinal anesthesia in a position similar to the position which it adopts when taking cytological smear with cervical mucus. The doctor inserts a catheter into the bladder for emptying the patient, medical staff and then processes the operative field through a special solution.

Hysterectomy is often accompanied by the removal of the cervix, as well as, in some cases, one or both ovaries and fallopian tubes is called salpingooforektomiey or hysterectomy with appendages.

During surgery the surgeon performs incision inside the vagina. Using long tools, he grips the major blood vessels and the uterus separates from the adjacent tissue, ovaries and fallopian tubes, and then removes the diseased organ through the vagina and imposes absorbable sutures to the wound.

After a hysterectomy, the patient is in the recovery room for several hours, and her hospitalization period is not less than 1-2 days. Over a period of time she may experience bleeding from the vagina, which is normal after surgery, therefore the woman should wear sanitary pads. This procedure can be performed in a minimally invasive manner.

Laparoscopic hysterectomy and robotic surgery in Israel

Laparoscopic surgery is a minimally invasive surgery that is used in many different types of surgical procedures, including hysterectomy and uterine. The doctor produces 2-4 small incision (less than half an inch in width), on the abdomen, one cut - in the navel. Next, the abdominal cavity is filled with carbon dioxide to separate the abdominal wall from the internal organs and, thus, improve physician mobility and facilitate the progress of the operation. Further, the belly is introduced a long thin tube - a laparoscope, which is attached to the video camera on the end of transmitting the monitor image in the operating organs, blood vessels, muscles, ligaments and the surrounding tissue swelling in the smallest details.

The remaining sections are special surgical tools that perform hysterectomies and wound closure. Due to the fact that during laparoscopic incisions are made much smaller than, for example, during an abdominal total hysterectomy, and the hospital stay and rehabilitation period is reduced, and the post-operative pain expressed much weaker.

Laparoscopic vaginal hysterectomy - is performed in a similar manner to Israeli hospitals conduct open vaginal surgery. Using the laparoscope allows careful testing upper abdomen, and in the initial stage of endometrial cancer to determine whether the cancer cells of the surrounding tissue and part of the female reproductive system spread.

Also in Israel clinics may be held laproskopicheskaya total or subtotal types of operations.

Thanks to the modern equipment and the high level of medicine in Israel for the treatment of robotic hysterectomy can be performed cervical cancer - as well as during laparoscopy for abdominal small incisions and special instruments are introduced, but the manipulation of the robot carries out, while the surgeon directs them remotely. Robotic surgery has a number of advantages over other types and methods of surgery to remove the uterus:

  • high efficiency;
  • decrease in postoperative pain levels;
  • low probability of complications and infections;
  • cosmetic effect - scars or scars are almost invisible;
  • short-term hospitalization and rehabilitation;
  • the most rapid return to normal life and sexual relations.

Recovery after surgery to remove the uterus in Israel

Depending on the type of surgery, the amount of tissue removed, the use of laparoscopic or traditional method of surgery the patient's recovery time and the level of pain can be quite varied. Most likely, immediately after the procedure the patient is connected to an IV, but to her bladder catheter will be summed up. In some patients the doctor establishes the wound drainage tube for taking excess blood and fluid.

Ill advised as soon as possible to start to walk - it will reduce the risk of blood clots. 2-3 days after surgery, most women are able to move around quite normally.

Within 6-8 weeks the patient's body restored, so she is not allowed to carry weights or expose the body more physical activities.

After the operation - when to call the doctor

If a woman is at the time of surgery has not reached menopause - her menstruation stop after the operation. When you remove the ovaries, the patient may experience hot flashes, insomnia, vaginal dryness, mood swings, etc.

Also, after surgery in some patients experiencing weight gain, which is caused not so much by changes in hormonal levels, as well as lack of physical activity. Those women who are dieting and watching calories, keep your figure in the same condition. But after a hysterectomy, the patient may experience more serious complications (infection, damage to the urinary tract, bleeding, problems with anesthesia), the main features of which are:

  • Fever: body temperature above 38 degrees.
  • Any urinary incontinence or painful urination.
  • A feeling of heaviness in the vagina, pain in the chest, legs, or abdomen.
  • The failure of the joints, inflammation or swelling of the wound.
  • Heavy vaginal bleeding.
  • Constant nausea and vomiting.
  • Bloating.
  • Dyspnea.

The highest level of medicine in Israel, professional health workers, the use of innovative equipment and the most modern techniques causes a high rate of efficiency of treatment of uterine cancer .

Thanks to the coordinated work of the service «Tlv.Hospital» and the best Israeli hospitals every citizen of our country can in the shortest possible time to get rid of his tormented disease and return to a normal and healthy life.

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