Abdominal hysterectomy is the surgery in which the uterus is removed. This surgery is usually done by a small bikini incision in the lower abdomen . In some cases where the uterus is enlarged , it may be necessary to make a midline wound .
At times it may be necessary to remove one or both ovaries, but if the patient is younger than 50 years, we try to preserve the ovaries to continue their hormonal function.
Once the uterus is removed the woman will not menstrate any more menstruating anymore. Thus, it is a very effective treatment for bleeding problems , fibroids , polyps, and severe pelvic pain.
Vaginal hysterectomy involves removing the uterus through the vagina . This is a method used most often in women who have other symptoms such as cystocele (low bladder) or rectocele (on right ) . It is also the ideal choice for women with a low o prolapsed uterus. Factors such as vaginal deliveries and chronic constipation may favor the uterus prolapsing and the need for removal.
The most common symptoms displayed by patients before surgery are:
- Heaviness or vaginal mass
- Sensation of a mass or ball that is felt at the vaginal level
- There may be in some cases urinary incontinence
- Some women have a totally prolapsed uterus that can be seen through the vagina.
This surgery usually has a very good evolution and generally has little postoperative pain. No external scars are observed.
LAPAROSCOPY AND HYSTERECTOMY
Laparoscopic surgery or “minimally invasive” is a specialized technique for performing surgery. In traditional “open” surgery, the surgeon uses a single incision to enter the abdomen. Laparoscopic surgery uses several incisions of 0.5 to 1 cm. Each incision is called a “port”. In each port a tubular instrument known as a trocar is inserted. During the procedure, trocars through specialized instruments and a special camera called a laparoscope is passed. When initiating the procedure, the abdomen is inflated with the gas called carbon dioxide to provide the surgeon with a working space and visibility. The laparoscope transmits images of the abdominal cavity to video monitors in the operating room high resolution. During the operation, the surgeon watches detailed images of the pelvis on the monitor. The system allows the surgeon to perform the same operations as traditional surgery but with smaller incisions.
COLPOPERINORAPHY CYSTOCELE AND RECTOCELE
Cystocele (low bladder) and rectocele (low rectum ) are two common entities in women over 45 years. Many women may not know they have this situation but have some symptoms . Among the most common they are : the feeling of heaviness in the vagina, feeling a little ball in the vagina , sometimes a protruding ball which can be felt when people bathe or clean the vaginal area , in some cases it may be bothersome during sex .
Risk factors for developing cystocele or rectocele are age greater than 45, previous pregnancies , physical effort , constipation , among others.
Both the cystocele and rectocele are a progressive processes that can worsened over time and depends greatly on the activities the patient carries out.
The Colpoperinoraphy is a surgery designed to correct these defects in the vaginal or rectal wall to improve the symptoms and the quality of life of patients who suffer. The other great advantage of these kind of surgeries is that the physical aspect and the esthetics of the vaginal area generally improve making it at the same time a type of vaginal plastic / esthetic surgery.
There are situations where vaginal lips are a bit larger than normal and can affect a women biologically and psychologically. The labiaplasty is a surgery where the lips are cut and sculptured , achieving a better appearance and achieving greater convenience to perform daily activities of women. The recovery is quite good and usually is minimal scarring .
It can be carried out simultaneosly with other surgeries such as hysterectomy and colporaphy to improve the esthetics of the vaginal area.