Hysterectomy is the second most frequent type of major surgery performed in women and the third among all surgical procedures.
Three types of hysterectomies are currently used:
- vaginal hysterectomy
- abdominal hysterectomy
- minimally invasive hysterectomy.
The decision on which technique to use depends on many factors, among which can be mentioned the experience of the surgeon, the presence or not of adnexal or pelvic disease, the size of the uterus, previous surgeries of lower hemiabdomen, parity, among others.
Vaginal hysterectomy has its main indication in uterine prolapse, although there are experts who have extended these indications to other benign conditions of the uterus without prolapse. Its main disadvantage is that it does not allow the treatment of adnexal (related to ovaries and ovarian tubes) conditions, but it is considered the least invasive of all the mentioned options.
Abdominal hysterectomy is used for the treatment of both benign and malignant diseases of the uterus, allows adnexal surgery and is very useful in case of associated pelvic diseases such as endometriosis or adhesions. However, it is an invasive, bleeding, very painful surgery in the postoperative period and with a long recovery period, which limits the patient to returning to normal activities and work.
In a minimally invasive hysterectomy, at least part of the procedure is performed laparoscopically. This method requires more surgical experience and training than vaginal or abdominal hysterectomy.
Although its acceptance has been slow, the proportion of minimally invasive hysterectomy has been gradually increasing within the surgical community, due to its undeniable advantages: little blood loss, possibility of treating an adnexal condition and associated pelvic diseases, minimal invasiveness, poor postoperative pain, decreased hospital stay and rapid recovery of the patient to their usual activities.
At Harley Street Hospital, we have the best surgeons to assess whether you require a hysterectomy. Book a consultation to get a specialist´s opinion on your case.