Nowadays as we all know a lot of unindicated Hysterectomies (Removal of the uterus) are being performed in North India. There are specific indications (Medical Reasons) for performing a Hysterectomy like –
- Heavy Menstrual bleeding (D.U.B) that does not respond to medicines.
- Fibroids in women, who are over 40yrs, have completed their family.
- Endometriosis & Adenomyosis
- Cancer of the Uterus or Cervix of the uterus ovaries or tubes.
- Pre Cancerous
In previous times Hysterectomy could only be performed after a large cut was given on the abdomen but now a day this method of removing the uterus is considered obsolete by most gynecologists. Even today 80% of Hysterectomies are performed by this outdated procedure in North India. In most 1st world countries, only about 30% of surgeries are performed by the open technique, as the patient takes a long time to recuperate after surgery, whereas Laparoscopic surgery offers several benefits to the patient like :
- Only 1 day hospitalization.
- Can return to work in 2-3 days.
- Minimal blood lost.
- No Blood Transfusion
- Minimal or No pain
Laparoscopic surgeries much superior to open surgery as the surgeon / Lap Gynecologist gets a 20 times magnified & well lit view (because of the Xenon light and other special equipment used in Laparoscopy) so the surgeon can perform a munch finer & better quality of surgery that what he/she can see at open surgery.
Certain Myths associated with laparoscopic Hysterectomy MYTH Busters
*Myth buster (a) Today even very large uterus that were previously not operated by Laparoscopy can also be now operated at good Laparoscopic centers so “Any size of the uterus can be operated on Laparoscopic ally”(our hospital has the world record for a 5.4 Kg uterus removed by laparoscopy).
**Myth buster (b) Previous Surgery: Women who have had previous open surgeries like Caesarean sections (any number of previous surgeries) can also be operated on laparoscopically now at good centers.
***Myth Buster (c) Cancer Surgery: Today at standard Laparoscopic centers even Cancer surgery (like – Cervix, uterus, etc) can easily be performed by the Laparoscopic route.
In Our country the additional Myths associated with Lap Hysterectomy are
- That it is more expensive. Again this completely wrong as Lap surgery is not only more cost-effective but also lets the patient join back work earlier & helps the patient earning.
- Eyes / bones become weak after Hysterectomy / Hormonal disturbances occur after Hysterectomy – Nowadays as the ovaries are not usually removed at Hysterectomy (unless the patient suffers from Cancer) and since the female hormone comes from the ovaries there are no Normal disturbances and neither do the eyes or bones become weak after Hysterectomy.
- Some part of the uterus may be left behind accidentally at Laparoscopy; this is completely untrue as the magnified view of the Laparoscope does not let even 1cm of any tissue or blood being left inside (Compared to open surgery where the surgeons’ naked eyes can always make mistakes.)
Carry home massage/Conclusion: As women play a key role in a functioning of an Indian family they usually do not have the luxury of falling sick and need to recover fast & Lap surgery helps them in just that.
Total Laparoscopic Hysterectomy By Dr. Nikita Trehan
Laparoscopic hysterectomy is a simple surgery to remove the uterus. A small entry point is made near the umbilicus and a long, slender device called laparoscope is inserted into the abdomen after the insufflation of gas. It has a camera attached to it that allows visualization of the abdominal and pelvic organs on an electronic screen. Small 3-4 more entry points are made on the abdomen wall,Through there specialized instruments are inserted and the uterus is removed.
The ovaries if found healthy are not removed along with hysterectomy so that the hormonal levels are maintained and the patient doesn’t experience premature menopause symptoms. The ovaries are removed only if they are found damaged and non-functional or if they have a personal or family history of ovarian or breast malignancy.
There is less pain after laparoscopic surgery than after open abdominal surgery. Recovery from laparoscopic surgery faster. The small incisions heal faster and have smaller scars. The risk of blood loss and infection also lower than with open surgery.
Here are a few hysterectomies careful methodologies:
A vaginal hysterectomy, a stomach hysterectomy, and laparoscopic hysterectomy. The decision of the method will rely upon the size of the uterus and a few different variables.
A vaginal hysterectomy is performed by evacuating the uterus through the vagina as opposed to through a cut on the stomach area. To be qualified for a vaginal hysterectomy, your uterus must be a sure size and not very enormous.
In a stomach hysterectomy, the uterus is expelled through an even entry point on the lower midriff, called a “two-piece cut.” If the uterus is exceptionally enormous or if there is a scar from a previous activity, it might be important to make a vertical cut.
Sunrise hospital has a team of devoted and one of the best surgeons who are here to provide the best medical services with compassion, integrity, and loyalty to the patient. Sunrise is one of the best hospitals in Delhi for laparoscopic surgery. And laparoscopic surgery is at an affordable cost in Sunrise hospital by the top surgeons in Delhi.
Sunrise has a surgical team that has a lot of valued studies in different areas of medicine and they are focused on all new and updated methods of surgeries and cases. We have a good back up and intensive care unit. Laparoscopic surgery mainly considered as daycare or one-day but we are available if the patient needs anything for care or help. Our surgery team believes that postoperative infection continues to be a major source of morbidity and discomfort to surgical patients, so proper preparation is always adopted and continuing monitoring of our hospital atmosphere is ratified.