Information about Hysterectomy
Is a major surgical procedure to remove the uterus.
A hysterectomy may be total or complete, that is removing the whole uterus and the cervix; it may be sub-total or partial, that is removing the uterus but leaving the cervix in place; and radical when it removes the uterus, the cervix, the upper part of the vagina and supporting tissues. Often one or both ovarian and fallopian tubes are removed at the same time a hysterectomy is done; this is called hysterectomy with salpingo-ooforectomy.
There are two ways to perform it: through a cut in the abdomen (abdominal hysterectomy) or in the vagina (vaginal hysterectomy). In addition, it can be laparoscopic assisted.
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You need to have some investigations first as you are also bleeding between your periods. Perhaps, it is prudent to have a hysteroscopy ( camera examination of your womb's cavity and biopsy of the lining first. You can then discuss your options with your doctor including hysterectomy.
This will depend on how your operation is been performed. If the womb is normal sided or if it is not too large, your operation should be done by keyhole (total laparoscopic hysterectomy). If successful, you should be able to go home within 24-48 hrs. Scarring from previous surgery is not usually a contra-indication to doing your operation by keyhole. In experienced hands, separating scar tissues in your abdomen (adhesiolyis) is much more easily performed by laparoscopy rather than by laparotomy (open operation). In fact, doing your hysterectomy by laparotomy, will increase the risk of further scarring inside your tummy that can cause pelvic and abdominal pain in the future. Again, when hysterectomy is done successfully by keyhole, recovery is quicker and most women are able to drive after 2 weeks and return back to work after 4 weeks.
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Some irregular bleeding is not uncommon following the operation. However as it has persisted for more than 4 weeks I would recommend a scan to ensure that the endometrial cavity is normal. If the scan is normal then the bleeding maybe hormonal in origin.
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Hysterectomy is an option. You need to see a gynaecologist and have an ultrasound and also blood test to check markers for ovarian cysts. It could be possible to do it via key hole surgery depending on the investigations and examination findings.
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