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Frequently Asked Questions About Hysterectomy (FAQ)

Frequently Asked Questions about… Hysterectomy

In this article on our website we offer an answer to frequently asked questions (FAQ) about the surgical intervention known as hysterectomy.

  • What is a hysterectomy?

It is a surgical intervention that consists of the removal of the uterus or womb, which is the organ where after fertilization the ovum is implanted, the fetus grows and develops.

  • What differences between a hysterectomy, salpingectomy and oophorectomy?

La salpingectomy is a surgical intervention that consists of removal of one or both fallopian tubes (tubes that connect the uterus and ovaries).

La oophorectomy is a surgical intervention that consists of removal of one or both ovaries (female sex glands that produce eggs).

  • ¿Are there different types of hysterectomy?

There are 3 types: the partial, the total and the radical.

    • Partial hysterectomy: The upper part of the uterus is removed and the cervix is ​​left.
    • Total hysterectomy- The entire uterus is removed.
    • Radical hysterectomy- The entire uterus (including the cervix), part of the vagina, and part of the tissues on the sides of the cervix are removed.
  • In what diseases may it be necessary to perform a hysterectomy?

Listed below are those gynecological pathologies in which it may be necessary to perform this surgical intervention. If you click on the link, you can consult extended information on each of the diseases.

  • ¿What are the approaches to a hysterectomy?

The options that exist to perform this operation are categorized in three different ways depending on the access route or approach:

    • Hysterectomy for abdominal route.
    • Hysterectomy for vaginal route.
    • Via hysterectomy laparoscopic.
      • Laparoscopic hysterectomy robotics.
      • Laparoscopic hysterectomy of Single Port or Single Port.
  • ¿What is an abdominal hysterectomy?

It is one in which the surgeon carries out the intervention and removes the uterus through an incision or cut in the lower abdomen.

  • What is it a vaginal hysterectomy?

An vaginal hysterectomy It is one in which the surgeon carries out the intervention and removes the uterus through a cut in the interior part of the vagina.

  • What is it a laparoscopic hysterectomy?

It is a surgical technique minimally invasive that allows the patient to intervene and remove the uterus by making millimeter incisions in the abdomen, where the surgical instruments and a tube with a small camera (the laparoscope) to obtain an enlarged image that is displayed on a screen.

  • What is it a robotic hysterectomy?

La robotic hysterectomy es robot-assisted laparoscopic surgery (minimally invasive surgery), especially suitable for carrying out highly complex surgical procedures. It is a technique that requires advanced medical facilities like the ones we have in the Corachan clinic.

  • What is a hysterectomy Single Port or Single Port?

La hysterectomy Single Port or Single Port It is minimally invasive laparoscopic surgery that is performed through a single micro-incision in the abdomen through which the surgical instruments are inserted and the intervention is carried out.

  • ¿What does it depend on choosing one or another access route to perform a hysterectomy?

La choice of one or another access route to carry out the hysterectomy (removal of the uterus) depends especially on the type of hysterectomy to be performed (radical, total or partial), the cause that motivates the surgical intervention (cancer, endometriosis, complications in childbirth, etc.) and the experience and capabilities surgeon's techniques.

  • ¿How to prepare for a hysterectomy?

It is essential that the patient previously inform her gynecologist about medications, supplements or natural remedies that she may be taking, so that her doctor can tell her how to proceed during the days prior to the intervention.

During the 48 hours prior to the intervention, the patient is recommended to:

    • No smoking.
    • Not to drink alcohol.
    • Maintain a soft diet.
    • Reduce stress.
  • ¿How long does a hysterectomy take?

La duration of operation depends on type of hysterectomy and of the cause that motivates the surgical intervention. Longer time may be required in some cases of cancer and endometriosis and less time when the uterus needs to be removed for a benign or some other cause.

  • ¿How much time of hospitalization and postoperative recovery does a hysterectomy require?

La hysterectomy It may require between 2 and 5 days of hospital stay, and postoperative recovery can last between 2 and 8 weeks of relative rest, depending on the type of hysterectomy and the cause that motivated it.

    • Abdominal hysterectomy: up to 5 days of hospital stay and a postoperative recovery period of 4 to 8 weeks.
    • Vaginal hysterectomy: 1 to 4 days of hospital stay and a postoperative recovery period of 2 to 4 weeks.
    • Laparoscopic hysterectomy: 1 to 4 days of hospital stay and a postoperative recovery period of 2 to 4 weeks.
  • ¿What precautions are necessary after a hysterectomy?

Our Precautions may vary depending on the type of operation.

During the time indicated by the surgeon, it is necessary:

    • Keep total rest or relative rest (according to the gynecologist's indications).
    • Do not lift weight
    • Do not bathe.
    • Do not practice intense sports.
    • Not having sexual intercourse.
    • Do not use tampons.
    • If an activity hurts or bothers, the activity should be discontinued.
  • When is it necessary to consult with the gynecologist?

It is necessary to immediately request a consultation with the gynecologist in the days after the intervention in the following cases:

    • If the patient has a fever (equal to or greater than 38 ° C.)
    • If the wound bleeds.
    • If the pain persists.
    • If there is difficulty or pain when urinating.
    • If there is very abundant vaginal discharge and / or with a bad smell.
    • In any other unforeseen and worrying circumstance for the patient.
  • How should the diet be after a hysterectomy?

It is advisable to maintain a varied diet, drink water and hydrate properly and increase the consumption of fruits and vegetables to avoid constipation.

  • When is it possible to drive again?

Always with medical permission, in some cases it may be possible to drive 4 or 5 days after surgery.

  • When is it possible to do physical exercise and sports again?

It is recommended the moderate physical activity (walking around the house, short walks) from the first days of the postoperative period, but it is necessary to consult with the gynecologist about when it is possible to practice sport of greater intensity.

  • When can you go back to work?

In some cases, the patient can return to work life and daily activities two weeks after surgery, but prior consultation with the gynecologist is necessary.

  • When can you have penetrative sex again?

It depends on the type of intervention and the approach, but in general terms it may be advisable not to have penetrative sex during the first 4 to 6 weeks after the intervention.

  • When is the first postoperative check-up done and gynecological controls?

If there is no reason to anticipate it, after a hysterectomy the first postoperative review it is usually done 7 to 10 days after surgery.

Monitoring and gynecological checks Later depend on the cause that has motivated the surgical intervention.

  • What are the risks of this operation?

Complications that can occur in a hysterectomy  are those related (like any other surgery), with anesthesia, the intervention itself and the postoperative period:

  • Allergic reaction to medications.
  • Breathing problems related to anesthesia or surgery.
  • Significant bleeding during the operation.
  • Infection.
  • Damage or injury to abdominal structures during the intervention.
  • Discomfort during sexual intercourse, difficulties urinating, pain in the pelvic area.
  • Deep vein thrombosis and pulmonary embolism.

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