Removal of the uterus with appendages is a quite common operation, during 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 is also of greater importance. After all, many women feel, after such an operative measure, somewhat flawed, inferior.
Removal of the uterus with appendages is carried out by two methods: using laparoscopic surgery and vaginal surgery. In the first case, the uterus is removed through an incision in the abdominal cavity. The rehabilitation period has the shortest possible time. In the second case, as the name implies, the uterus is removed through the vagina.
With oncological diseases, not only the organ itself is affected, but also the tissues adjacent to it. Therefore, with cancer of the uterus and its cervix, it is necessary to amputate the places affected by 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 fallopian tubes, amputation of these organs is necessary.
Removal of the uterus with appendages is also carried out in some cases after endometritis, accompanied by heavy bleeding. They cut it out with fibromas and fibromyomas, although most of these types of diseases can be cured by medication.
Extrusion of the uterus has several varieties.
Complete. It involves the removal of the uterus and its neck.
Partial Only the uterine cavity is removed. Removal of the fallopian tubes and neck is not performed.
Radical. The uterine cavity, its neck, connective tissue and the upper region of the vagina are amputated.
Postmenopausal. Avoids a number of complications that arise when the uterus is removed before menopause. During menopause, women experience psychological discomfort, which is expressed in frequent changes in moods, depressive and anxious conditions. Due to osteoporosis, women often lose their sex drive. During sex, pain may occur if during surgery the vagina is made a little shorter. Women who have not yet entered the menopause undergo hormonal support after surgery.
The vaginal. The upper region of the vagina is incised, and through this section, the uterus with appendages is removed. Indications for such an operation are prolapse of the uterus, small organ size. The advantage of this type of operation is that no scars remain on the body after wound healing. The rehabilitation period proceeds quickly and without complications.
Laparoscopy. Removal of the appendages and uterus is carried out through a section in the lower abdomen. The uterus is removed with a special device - a laparoscope. A gynecologist uses this device to examine the internal organs of the pelvic patient. Surgeons use a specialized tool during surgery.
After hysterectomy, some complications may occur. They appear in the form of severe bleeding, purulent discharge from the sutures, inflammation of the lymph nodes in the groin, temperature and chills, drug-resistant severe pain, sharp pains and redness in the lower leg, which is a sign of a blood clot, serious urination disorders. If you have these syndromes, you should consult a doctor. The consequences of extirpation of the uterus with appendages is due to the physiological characteristics of the patient.
After a hysterectomy, life does not end. Reproductive function dies, but otherwise the body functions normally.