PD MD Heiko B. G. Franz
Hysterectomy (uterine removal) is the surgical removal of the uterus. The term uterine extirpation is also used synonymously. The method depends on the present clinical picture.
In hysterectomy (from ancient Greek hystera, that is, uterine and ectopic excision), the uterus is either removed completely (total extirpation) or only partially (subtotal extirpation). The cervix is preserved. In addition, the ovaries mitentfernt, one speaks of hysterectomy with adnexa.
Cervical removal is one of the most common procedures in gynecology. Depending on the method, different types of hysterectomy are distinguished. Your doctor addresses the process of uterine removal according to which disease is present, how large and mobile the uterus is, whether there are concomitant diseases and of course what you wish to express yourself.
The abdominal hysterectomy is especially used when the uterus is very large. The removal of the uterus takes place via an abdominal incision.
Vaginal hysterectomy uses the vagina to remove the uterus. This shortens both surgical time and recovery after uterine removal.
General anesthesia is also required for laparoscopic hysterectomy. Through small cuts in the abdominal wall, the surgeon introduces a tiny camera with a light source (laparoscope) and instruments such as forceps, scissors and suction devices. To improve vision, the abdominal cavity is inflated with carbon dioxide.
If the uterus is removed via the vagina, it is called a laparoscopically assisted hysterectomy. If parts of the uterus are removed via the abdominal incisions, the procedure is called laparoscopically assisted supracervical hysterectomy.
As with any surgery, a hysterectomy can lead to increased bleeding, injury to adjacent organs, and anesthetic problems. Possible disorders after a hysterectomy are temporarily impaired bladder function, rebleeding, infections, proliferating scarring and adhesions.
Slight fatigue and minor pain after womb removal are normal in the first few weeks. Sexual intercourse should take four to six weeks to avoid straining the vaginal closure. You should not resume heavy exercise until six weeks after the hysterectomy.
Their behavior after womb removal affects the healing process. Studies show an increased quality of life after uterine removal. Consequences such as incontinence or loss of libido could not be proved. If the ovaries have been removed during the operation, typical menopausal symptoms can occur. Such problems after uterine removal can be treated with hormones as part of the hysterectomy aftercare.