Removal of the uterus laparoscopically
Many women, faced with the problem of removal of the uterus, fall into real despair and panic. But do not despair. In some cases, only surgical removal of the uterus remains the only true way to cure gynecological disease difficult – most often we are talking about endometriosis, various pathologies, accompanied by profuse hemorrhage, and malignant or benign tumors in reproductive organs. According to medical statistics, more than 30% of women after the age of 45 years are faced with the need for surgical removal of this important female reproductive organ. Modern medicine offers several methods for surgical removal of the uterus, one of which is laparoscopy. Today the laparoscopy is considered the best, most effective, gentle and safe operational method.
What is a laparoscopy?
Laparoscopic hysterectomy – so in medical circles is the removal of the uterus by laparoscopy. Laparoscopic amputation of the uterus is considered to be the optimal solution, if there is a need for such surgical intervention. This technique has many advantages, among which the most important are:
- Minimal trauma.
- Minor pain, the almost complete absence of adhesions.
- No rough scars on the surface of the abdomen.
- In some cases, removal of the uterus and laparoscopy allows you to save and other reproductive organs such as a cervix. And it always has a positive effect on the state of women’s health.
- One of the obvious advantages of laparoscopy is a short recovery period. As a rule, in the absence of complications, the rehabilitation process takes no more than 2 weeks – a few hours after removal of the uterus is the woman allowed to get out of bed and walk, and after 3-4 days it can be discharged from the hospital. About 2 weeks after the surgery, the woman can return to an active, fulfilling life. It is very important for working ladies.
- The level of development of postoperative complications is minimal. If the surgical intervention, the surgeon carefully controlling his every movement, so that damage to other internal organs, blood vessels, and internal bleeding: as during surgery and after it — are quite rare.
- After 4-6 weeks after the surgery was performed to remove the uterus, the woman can return to sexual activity.
- After carrying out a laparoscopy on the surface of the stomach does not remain visible scars.
Indications for laparoscopy
This technique of amputation of the uterus is applied in the following cases:
- It laparoscopic removal of the genitals is recommended in case of oncological diseases of reproductive organs. Malignant neoplasms of the ovaries, cervix are considered the main indication for removal of the genitals – this allows you to stop the disease and prevent the spread of cancer cells in other organs.
- Rapidly progressing uterine fibroids, which manifests itself in many small nodes, or large tumors.
- Heavy uterine bleeding, the nature of which is not revealed.
Serious indications for laparoscopy is considered to be a pathological prolapse and uterine prolapse.
How is laparoscopic removal of the uterus?
Removal of the uterus and laparoscopy begins with the preparation of women for surgical intervention. To do this 7-10 days before surgery should stop taking any medicines. Ladies who smoke are encouraged to quit for the week before the amputation. In addition, it should be remembered that for each of the fair sex, the removal of vital reproductive organ is a serious psychological trauma. Therefore, in many cases before the laparoscopic removal of the uterus do not be redundant counseling.
Laparoscopy is considered one of the modern minimally invasive methods of surgical intervention. The operation is performed with General anesthesia. The surgeon makes the abdominal wall of the patient a few small incisions – about 3-4, no more than 2 cm Then directly through these incisions, we introduce a special camera, illumination device and all the necessary surgical instruments. To a doctor got the necessary space for all operative procedures in the abdominal cavity is injected a certain dose of carbon dioxide. It is slightly «lifts» the abdominal wall, providing maximum visibility and allowing the surgeon the necessary review.
After the introduction of laparoscopic instruments, the doctor crosses the uterus, uterine artery bandaging, and, if necessary, makes the removal of the cervix, ovaries and fallopian tubes. In order to remove from the abdominal cavity amputated reproductive organs, the vagina or lower abdomen is made a small incision and remove the excised organs. In case of several organs or the uterus is large, it is cut into several parts, which we obtain after a cut.
Surgery to remove the uterus – possible complications
Complications after laparoscopic removal of the uterus is observed very rarely – in about 1 woman out of 100 who have had this surgery. Among the possible complications are:
- Despite the fact that during the operation, the surgeon sees the whole picture through a special monitor and controls every motion of the surgical instruments, in rare cases, not eliminates accidental injury to other internal organs.
- Damage to blood vessels during puncture of the abdominal cavity or the immediate amputation of the reproductive organs.
- Some damage to the female body can cause the carbon dioxide that is introduced into the abdominal cavity for better visualization.
- The occurrence of adhesions in the pelvic area.
- In extremely rare cases, not exceeding 1% of all operations, the patient developed complications of an infectious nature.
The postoperative period
After it was carried out the removal of the uterus laparoscopic technique, the patient is in the hospital under constant supervision of doctors at least 6-8 days. The duration of rehabilitation period depends on the woman’s age, her health, the globality of amputation and the presence of any complications. The recovery period begins immediately after surgery the first day after the removal of the uterus, the woman feels pain in the lower abdomen. It is absolutely a natural phenomenon after amputation of the internal organs. For pain the patient is assigned analgesics and analgesic drugs. In case of severe pain can be prescribed narcotic pain medication.
Experts advise women within a few hours after laparoscopy to get out of bed and learning to walk. Why welcome the physical activity? It stimulates circulation and is an excellent prevention of thrombophlebitis. Of course, all movements should be measured and cautious.
In the postoperative period should wear a special compression bandage and stockings. This is necessary in order to restore proper functioning of the internal organs and prevent the development of thrombophlebitis. Remove the compression bandage is strictly prohibited – it can be done only with the permission of the doctor who performed the surgery. To wear a tight bandage, and stockings will have at least 14 days.
The postoperative period requires strict antisepsis of the operated region. For this part, you should handle the seams with antiseptic solutions. The hospital is engaged in medical staff, which also changes sterile dressings. After discharge from the hospital, the woman should independently handle stitches antiseptics.
In the recovery period it is not recommended to take baths or to wash under a hot shower. Allowed only partial hygiene procedures. Also, remember about some other restrictions that must be followed during the rehabilitation period:
- Categorically not allowed to sports or any other kind of physical activity.
- The period of rehabilitation requires a complete rejection of sex. Return to the sex life is only possible within 4-6 weeks after the laparoscopic removal of the uterus.
- Woman in recovery are not allowed to lift weights that weigh more than 3 kg.
- Not allowed access to the sauna, baths, ponds, or public swimming pools.
Slight bleeding from the vagina, which appeared after surgical removal of the reproductive organs is the norm, which should not scare you. Use normal hygiene tools that are used during menstruation. Usually 2-3 weeks after the laparoscopy highlight yourself stop.
The recovery period after the amputation of the reproductive organs requires careful observance of diet. In the first days after surgery allowed the use of small amounts of liquids – still mineral water, weak tea, juice, berry or fruit compote, low-fat broth. On the second day after removal of the uterus can be included in your diet and food, preferably in mashed form. Further in the menu, you can add the usual dishes – but it is necessary to strictly limit eating spicy, fried and fatty foods. Banned strong tea and coffee, cocoa, alcoholic beverages, spicy pickled or canned foods, pastry, fatty meats and fish.