Uterus Removal

Doctors generally use two approaches to perform hysterectomy procedures. They either perform the procedure through the vagina or through the abdomen. Several factors determine which approach is used, including the patient's condition, the type of hysterectomy needed (total, partial, radical, etc. ), and the technology available. The following are the different types of hysterectomy surgery techniques and how they are used:

Laparoscopic Hysterectomy

Laparoscopic hysterectomy is a minimally invasive procedure that removes the uterus with minimal pain, bleeding, and scarring. It is referred to as keyhole surgery. Using a laparoscope, which is a thin tube with a tiny camera, the surgeon performs the surgery without making a large incision. Here is a step-by-step explanation of how the laparoscopic hysterectomy works:

Step 1- Anesthesia keeps the patient asleep for the procedure, as well as preventing any pain or discomfort.

Step 2- To remove the uterus and/or surrounding tissues and organs, the surgeon makes small, keyhole-sized incisions in the abdomen.

Step 3- In order to see the internal organs and perform the surgery, the laparoscope and surgical instruments are inserted through these small incisions or through the vagina.

Step 4- A surgeon carefully removes the uterus, cervix, or other reproductive parts.

Step 5- A smaller incision than half an inch doesn't require stitches, and it heals on its own. However, larger incisions over 1 cm should be closed with sutures. Sutures may also be used to close the birth canal if necessary.

Robotic Hysterectomy

One of the most advanced methods of removing the uterus is robotic hysterectomy. This method uses a special control device to guide surgical instruments. Robot-assisted hysterectomy is less invasive, causes less discomfort, and allows for a quicker recovery than other procedures. Here is a step-by-step explanation of how it works:

Step 1- A urinary catheter is used to empty the patient's bladder, and a sterile solution is applied to the surgical area.

Step 2- During the procedure, the patient is given general anaesthesia in order to keep her asleep and pain-free.

Step 3- In order to insert surgical instruments, the surgeon makes small incisions in the abdomen.

Step 4- A surgeon guides the surgical instruments using the control device to remove the uterus, parts of the uterus, or surrounding tissues and organs. An assistant remains at the operating table to help reposition and remove surgical instruments as needed.

Step 5- The incisions are closed with dissolvable sutures, and the patient is moved to recovery.

Open Hysterectomy

Despite being more invasive than other techniques, open hysterectomy is still used in some situations despite being the conventional method of removing the uterus. Here is a step-by-step explanation of how an open hysterectomy works:

Step 1- During surgery, the patient is given general anaesthesia to ensure they do not feel any pain or discomfort.

Step 2- Depending on the reason for the procedure, a horizontal or vertical cut is made just above the pubic hairline in the lower belly.

Step 3- In order to expose the uterus and nearby structures, the doctor carefully separates the surrounding tissues.

Step 4- Tie off and cut or seal the blood vessels and ligaments that connect the uterus to other structures, such as the ovaries and fallopian tubes.

Step 5- For easier removal, the uterus is separated from the body and removed as a whole or in pieces.

Step 6- Stitches or staples are used to close the cut in the abdomen. A drainage catheter may be inserted near the cut to drain extra fluid. The patient is then moved to the recovery room and monitored until the anaesthesia wears off.