Detecting Uterine Fibroids
Most women are familiar with hysterectomy as a surgical procedure that removes the uterus or womb. The most common reason why it is performed is to take out the uterine fibroids, decreasing chances for cervical cancer.
Some of these fibroids, or tumors, are noncancerous, but the intense pelvic pain and heavy bleeding pose risks to the other organs. Fibroids are usually detected through transvaginal ultrasound, magnetic resonant imaging (MRI) and endometrial biopsy.
Mere mention can create a variety of reactions but mostly of anguish and fear, as such surgery affects a woman's vital reproductive organs. As with any type of life-altering procedure, undergoing a hysterectomy entails thorough discussions with the doctor before the patient arrives at a decision.
Different Types
There are many types of hysterectomies. The most common procedure is total hysterectomy, which is the removal of the uterus and cervix. Partial hysterectomy only removes the upper part of the uterus, leaving the cervix in place. After such operation, the patient must take regular pap screenings to check for potential traces of cervical cancer recurring.
Another type of procedure is radical hysterectomy that includes removing the cervix, uterus, upper part of vagina, supporting tissues and lymph nodes. This is usually taken when the cancer has already manifested itself. Lastly, a surgeon also performs total hysterectomy plus removal of the ovaries and fallopian tubes. Menopause is usually the direct result of this procedure.
Modern Methods
Through innovations afforded to medical science, there are minimally invasive procedures (MIP) surgeons can perform during hysterectomy. Gone are the days when open surgery is the only mode available to take out the fibroids through an incision in the stomach.
MIPs are performed in two ways. One is through a vaginal incision by which the uterus and cervix are separated from the tissues and then extracted. The other method uses laparoscopy, involving a tiny camera inserted into the abdomen. Special laparoscopic tools take great effort in removing the uterus through the vagina. The other laparoscopic procedure doesn't include removal of the cervix--only the uterus is detached from it.
Thousands of MIPs are performed every year using state-of-the-art technology. Generally, this type of hysterectomy takes only 1 or 2 hours to perform. Patients experience shorter stays in the hospital, as recovery periods are shorter than in the traditional methods. There is less pain, and chances for scarring are slim as well.
Considerations before Hysterectomy
MIPs are not recommended for all patients. Factors such as obesity, history of abdominal surgery and other underlying medical conditions must be considered and brought up with the patient.
Tags: cervical cancer, MIPs performed, most common, total hysterectomy, upper part