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Hysterectomy is the surgery to remove the uterus (the womb).
It is a major gynecological surgery and the second most frequently performed surgery for women in the world. This is simply because as a woman ages and nears her menopause, the uterus tends to develop a number of uterine-related health issues, such as extensive vaginal bleeding, unbearable abdominal pain, blackouts, nausea, constant fatigue, and weakness. Most often, the reason is the development of uterine fibroids or in rarer cases- the change in the shape and size of the uterus.
In some women, the uterus rather falls down from its original position and causes difficulty in urination and defecation along with repeated urinary tract infections. This is called uterine prolapse.
At either of these times, Hysterectomy, that is, the removal of the uterus becomes essential. It provides the final and definite solution to uterine conditions and promises immediate relief.
Hysterectomy is also performed as a final solution to endometriosis and is a fairly common and safe surgery. However, it invariably ends your biological capacity to birth a child.
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Hysterectomy can typically be performed in three ways:
Abdominal Hysterectomy: The gynecologist makes an open cut incision in the lower abdomen and manually removes the uterus. The site is then closed with self-dissolving sutures and substantial recovery can be expected in 5-6 weeks.
Vaginal Hysterectomy: This method is particularly performed only in cases of uterine prolapse. Here, the gynecologist removes the already prolapsing uterus from the vaginal route. Post excision, fine absorbable sutures are made close to the surgical site. The procedure is comparatively simpler than abdominal Hysterectomy and substantial recovery can be expected in 1-2 weeks.
Total Laparoscopic Hysterectomy (TLH):Here, the uterus removal is performed using an advanced medical tool- a laparoscope, that is, a tiny, specialized catheter with a camera and light on its end. First, the gynecologist makes 4-5 keyhole-sized ports in the lower abdomen and inserts a laparoscope. The laparoscope gives a magnified view of the otherwise smaller and narrower organs. It thus helps the surgeon achieve more precision with better clarity.
The uterus and its supporting organs are then separated using ultrasonic energy to minimize blood loss. Once separated, the uterus is removed through the vaginal route. While most of the laparoscopic keyholes (lesser than half an inch) heal by themselves, the one keyhole larger than 1 cm is closed with a suture.
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Typically, vaginal yysterectomy is considered the best method of uterus removal. However, it can be performed conventionally only in the cases of uterine prolapse. When the surgery is suggested for any other reason, such as fibroids, heavy periods, or endometriosis, total laparoscopic hysterectomy (TLH) is the most advanced and minimally invasive method. This too removes the uterus through the vaginal route by using laparoscopic instruments. It is particularly famous for its minimal incision, better precision, lesser blood loss, quicker discharge, and faster recovery.
Uterus removal surgery (Hysterectomy) typically costs anywhere between INR 40,000 to INR 70,000 in Varanasi. This cost varies based on the method of surgery you choose (conventional or laparoscopic ), choice of hospital, and the experience of the operating surgeon. As a rule of thumb, the more advanced the surgery type and the more experienced your doctor, the higher are the charges of the treatment.
Pristyn Care gynecologists are some of the most reputed and trusted female OB- GYNs in Varanasi. We specialize in laser and laparoscopy-based minimal access surgeries (MAS) and bear an average of 10-20 years of experience.
The number of days required for hospitalization depends on the type of hysterectomy. While conventional hysterectomy (open-cut surgery) requires a hospital stay of 2-3 days, you may be relieved the next day in case of laparoscopic hysterectomy.
Yes. Hysterectomy is a major surgery performed only under acute medical necessity. Therefore, most insurance providers cover its cost under insurance.
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