Removal of the uterus with appendages is quitea common operation, in the implementation of which not only the main female organ is removed, but also the ovaries and tubes. Not only the physiological aspect of this operation is important, but the psychological side also has a greater significance. After all, many women feel themselves after such an operational intervention in something flawed, inferior.
Removal of the uterus with appendages is carried out by twomethods: with the help of laparoscopic surgery and vaginal surgery. In the first case, the uterus is removed through the incision of the abdominal cavity. The rehabilitation period is as short as possible. In the second case, as the name suggests, the uterus is removed through the vagina.
In case of oncological diseases, it is notonly the organ itself, but also the surrounding tissues. Therefore, for cancer of the uterus and its cervix, it is necessary to amputate and affected areas of the disease. The nature of the operation is determined by the rate of growth of cancer cells and the type of tumor. With endometrium, cancer of the uterine cavity, its neck and uterine tubes, amputation of these organs is necessary.
Removal of the uterus with appendages is also carried out insome cases after the endometritis, accompanied by heavy bleeding. Cut it in fibroids and fibroids, although most of these types of diseases can be cured by a medicamentous method.
Extirpation of the uterus has several varieties.
Complete. Assumes removal of the uterus and its cervix.
Partial. Only the uterine cavity is removed. Removal of the fallopian tubes and neck is not performed.
Radical. Amputation of the uterine cavity, its cervix, connective tissue and the upper region of the vagina.
Post-menopausal.It avoids a number of complications that arise when the uterus is removed before the onset of menopause. During the menopause, women experience psychological discomfort, which manifests itself in frequent changes in moods, depressive and anxious states. Because of osteoporosis, women often lose their sexual attraction. When practicing sex, pain can occur if the vagina is slightly shorter during the operation. Women who have not yet entered the climacteric period undergo hormonal support after the operation.
Vaginal.The upper region of the vagina is notched, and through this section the uterus is removed with appendages. Indication for this operation is the prolapse of the uterus, the small size of the organ. The advantage of this type of operation is that the body does not leave scars after wound healing. The rehabilitation period proceeds quickly and without complications.
Laparoscopy.Removal of appendages and uterus is carried out through the section in the lower part of the abdomen. The uterus is removed by a special device - a laparoscope. The doctor-gynecologist uses this device for examination of the internal organs of the small pelvis of the patient. Doctors-surgeons use a specialized tool during the operation.
After hysterectomy, some may occur.complications. They manifest in the form of severe bleeding, purulent discharge from the sutures, inflammation of the lymph nodes in the groin, fever and chills, severe pain that is not amenable to medication, sharp pains and redness in the lower legs, which is a sign of a blood clot and serious urination problems. In the presence of these syndromes, you must consult a doctor. Consequences of extrarpation of the uterus with appendages due to the physiological characteristics of the patient.
After a postponed hysterectomy, life does not end. Reproductive function dies, but otherwise the body functions normally.
