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Hysterectomy at a Glance 
by Dr. R. Sahetya

What is a hysterectomy?

A hysterectomy is an operation whereby the womb is surgically removed. 

When is it necessary?

Some women require this operation when the womb (or uterus) is prolapsed, or there are certain pelvic infections that are not treatable. Some women suffer from heavy menstruation (dysfunctional uterine bleeding), and large painful and numerous fibriods for which a hysterectomy is the remedy.  A hysterectomy is also done in the case of pelvic endometriosis (ectopic endometrium) or cancer or precancerous conditions of the womb or its mouth.

In some cases, we need to remove the ovaries if they are diseased. If a young woman's ovaries are diseased and they are removed, she will go into menopause. In such cases, Hormone Replacement Therapy (HRT) is advised. 

What is the procedure?

There are basically two ways to perform a hysterectomy:

  • Vaginal route, with or without repair of the vaginal and urinary bladder prolapsed.
  • Abdominal route - when the uterus is enlarged or placed high. 
In select cases, we do a laparosocopy.

What are the implications?

A hysterectomy may have serious implications if it needs to be done before a woman has had children. In most cases, it spells freedom from heavy periods and from fears of cervical and uterine (womb) cancer.

Hysterectomy - Indepth

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