Hysterectomy in Hyderabad | Types of Hysterectomy | Laparoscopic Hysterectomy | Vaginal Hysterectomy

Hysterectomy is a surgical procedure to remove the uterus. In the past, abdominal hysterectomy used to be the most common procedure – and remained so for long, but with the advent of new technologies and innovative advancements, different techniques and approaches for hysterectomy have become standard treatments – owing to which – post-surgical pain, recovery time and complications have been significantly decreased.

Gynaecologists are now using modern techniques and approaches for hysterectomy based on the diagnosis, patient’s overall health and the reason for the hysterectomy. Different surgical approaches that are mostly used for hysterectomy in Hyderabad determine postoperative recovery (healing time).

Here we will discuss four surgical approaches to perform a hysterectomy

  1. Open hysterectomy (abdominal hysterectomy)
  2. Non-descent vaginal hysterectomy
  3. Vaginal hysterectomy (for prolapsed uterus)
  4. Laparoscopic hysterectomy

Open hysterectomy

A gynaecologist performs open hysterectomy to remove the uterus especially when the uterus is very large due to large fibroids, ovarian cancer or coexistence of ovarian disease with uterine abnormalities, etc. In such cases, performing laparoscopic hysterectomy is difficult. In an open surgical procedure, the gynaecologist makes 5 to 6-inch incision – and then removes the uterus through it. The patient will stay in the hospital for 3 to 4 days following the procedure. A visible scar remains at the location of the incision after healing. Recovery from an open hysterectomy takes longer time when compared to other minimally invasive procedures.

 Vaginal Hysterectomy (VH) [Scarless Surgery or No hole surgery]

Vaginal hysterectomy – In this type of procedure, the uterus is removed through the vagina. It is done when the uterus is descended into the vagina (uterine prolapse) with or without cystocele, rectocele. Vaginal hysterectomy is safe, feasible and cost-effective with minimal post-operative complications and restrictions.

Non-descent vaginal hysterectomy (NDVH) – is a type of vaginal hysterectomy wherein – the non-prolapsed uterus is removed through the vagina.

“The procedure is simple – but requires dexterity, experience, skills, practice and expertise of the gynaecologist who is performing it.”

NDVH has a huge advantage over abdominal hysterectomy and laparoscopic hysterectomy. If it is technically possible, then it is the best route for the removal of the uterus because all it needs is the natural opening (vagina) through which the uterus can be removed without any cuts or incisions – that’s the reason why this is the best option to consider depending on other factors as well. Anaesthesia requirement is simple regional anaesthesia.

Advantages of NDVH or No Hole Surgery

  • It involves no incisions
  • Faster recovery
  • Short hospital stays
  • Minimal blood loss
  • No visible scar (no incision or hole)
  • No diet restriction
  • Can be ambulated in 12 hours
  • Resumption of daily activities is fast – walking, climbing stairs, daily chores as usual
  • Can be discharged early
  • Can be done up to 18 weeks uterine size and irrespective of prior scars
  • Has only 10% pain when compared to the abdominal procedure
  • Adnexal mass can be removed in the same procedure
  • Can be done under regional anaesthesia

Risks – The risks and complications associated with NDVH are very rare. However, as with any other surgery, the risks may involve infection, bleeding and vaginal discharge.

As long as you are taken care of by an experienced gynaecologist – you should not have any reason to worry.

Laparoscopic hysterectomy

This is a minimally invasive procedure to remove the uterus. Thin tube-like 5-10mm size instruments are used to perform hysterectomy through 3 to 4 small incisions made in the abdomen. Specialized instruments are used for cutting and removing the uterus. Even if the uterus is large a morcellator is used to cut it into small pieces and remove it through the small incisions. A laparoscopic surgeon inserts these instruments through the incisions. The Laparoscope used for the laparoscopic hysterectomy is a long thin tube with a high-intensity camera and light at the front. The gynaecologist performing surgery sees the image from this camera on a monitor and performs the procedure.

Learn more about Laparoscopic Surgery 

Advantages of Laparoscopic surgery

  • Less post-operative pain
  • Less blood loss
  • Requires only a few small incisions
  • Less scarring
  • Shorter hospital stays
  • Faster recovery
  • Low risk of infection

What are the indications for hysterectomy?

The most common reason for the hysterectomy is uterine fibroids and the other common indications include the following:

  • Abnormal uterine bleeding
  • Postmenopausal bleeding
  • Uterine prolapse
  • Chronic pelvic pain/ PID
  • Adenomyosis/Endometriosis
  • Malignant/ premalignant lesions

After a thorough physical examination, gynaecologists recommend the following tests prior to hysterectomy:

  • A Comprehensive pelvic examination
  • PAP smear
  • A pelvic ultrasound
  • A complete blood count

 Bottom Line

Meet your gynaecologist to know whether you are a suitable candidate for laparoscopic hysterectomy or the least invasive NDVH. She will decide based on your thorough physical examination, previous medical history, symptoms, the size of the uterus, individual preferences and overall health status. Your stay in the hospital, post-operative care and recovery time will depend largely on the type of procedure you had undergone.

To have more clarity on each of the above-discussed procedures for hysterectomy – and to remove all your concerns and doubts – you can meet me personally by fixing an appointment here at 99636 89895

Dr Rajeshwari Reddy