Hysterectomy and Oophorectomy

Hysterectomy

Hysterectomy is a medical procedure that involves surgical removal of a woman’s uterus. It is performed due to several reasons, such as:

  • Uterine fibroids which lead to pain, bleeding, or some other issues.
  • Uterine prolapse, in which the uterus slides from its normal position into the vaginal canal.
  • Cancer of the uterus, cervix, or ovaries
  • Endometriosis
  • Abnormal bleeding through Vagina
  • Chronic pelvic pain
  • Thickening of the uterus

Types

The surgeon will remove some parts or the whole organ based on the reason or the health issue, the different types of procedures are listed below:

  • In a supracervical or subtotal hysterectomy, the upper part of the uterus is surgically removed. This procedure keeps the cervix in place.
  • In a total hysterectomy, the complete uterus along with the cervix is removed.
  • In a radical hysterectomy, the whole uterus, the cervix, and the top part of the vagina are removed.

Procedures

A hysterectomy can be done in different possible ways depending on the issue you are facing.

  • Abdominal Hysterectomy: The doctor will remove your uterus through a large cut in your abdomen.
  • Vaginal Hysterectomy: The doctor will remove the uterus through a small incision in the Vagina, there are no external cuts involved; hence, no scarring.
  • Laparoscopic Hysterectomy: A small incision is made or maybe numerous instead on one big incision. The doctor will use a long tube-like instrument called a laparoscope which is equipped with a high-intensity light and a camera. He/She will locate the uterus and remove it’s pieces one at a time.

Oophorectomy

Oophorectomy is a medical procedure to remove ovaries surgically. It is performed due to several reasons, such as:

  • Benign tumours (noncancerous growths)
  • BRCA gene mutations, these are certain differences in your DNA that make you more likely to have breast or ovarian cancer
  • Cysts (non cancerous tumour)
  • Ectopic pregnancy
  • Endometriosis, a condition in which cells that grow inside the uterus starts to grow elsewhere
  • Ovarian cancer
  • Pelvic inflammatory disease, which is when you get an infection in your ovaries or around them.

Types

There are different types of Oophorectomy depending upon the health concern you have. Some of them are:

  • Unilateral oophorectomy: Removal of one ovary
  • Bilateral oophorectomy: Removal of both ovaries
  • Salpingo-oophorectomy: Removal of an ovary and the uterine tube
  • Bilateral salpingo-oophorectomy: Removal of both ovaries and both fallopian tubes surgically.

Procedures

There are a few procedures which are followed, some of them are:

  • Open surgery: The surgeon will make one single incision, locate the ovaries and remove them carefully.
  • Laparoscopic surgery: A long tube-like equipment is used to locate the ovaries via a small incision, this laparoscope consists of a high-resolution camera and a high-quality light source. The doctor will remove the ovaries through a small incision.
  • Laparotomy: The doctor will make a large incision on your abdominal area to remove the ovaries.
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