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With an open surgery, however, there is usually more pain and a longer recovery time. In a vaginal hysterectomy, a small internal incision is made at the top of the vagina. Through this opening, a surgeon can separate the uterus from connecting tissue and its blood supply then remove the uterus through the vaginal canal. The cervix may also be removed. In a laparoscopic hysterectomy, special surgical tools are inserted through small abdominal incisions to remove the uterus in pieces.
For robot-assisted procedures, the surgeon controls the laparoscopes with robotic arms. Sometimes a surgeon may also use a laparoscope during a vaginal hysterectomy to get a better view of the uterus and surrounding organs.
View previous campaigns. Medical Services Find a Doctor. News Events. About Us Contact Us. Explore ucihealth. What kind of hysterectomy is best for you? Hysterectomy type depends on which organs or structures, besides the uterus, are removed as well as how the surgery is performed. A hysterectomy is a surgical operation to remove the uterus, an organ located in the female pelvis.
During pregnancy, a fertilized egg implants itself in the lining of the uterus where the developing fetus is nourished prior to birth. The uterus is crucial for reproduction. After undergoing hysterectomy, a woman cannot become pregnant. A total hysterectomy is the removal of the entire uterus, including the cervix the lower narrower portion of the uterus. A supracervical hysterectomy is the removal of the upper part of the uterus. The cervix is left in place.
This type of procedure may be done if you want to keep your cervix or if difficulties arise during surgery that make removal of the cervix complicated. On the other hand, if an unexpected cancer is detected during your operation, your surgeon may decide to remove the cervix.
You should discuss these issues with your doctor well ahead of surgery. A radical hysterectomy is a total hysterectomy that also involves removing tissues around the uterus called the parametrium. This procedure is usually reserved for cases where cancer is present.
One or both of the ovaries along with the fallopian tubes may be removed. This is called a salpingo- oophorectomy. A salpingectomy is the removal of the fallopian tubes. The ovaries or tubes may be removed for various reasons, for example when they are affected by endometriosis. Women who have not gone through menopause may opt to keep their ovaries so as to preserve their natural source of hormones including estrogen , progesterone , and testosterone.
These hormones are important in reducing the risk of heart disease. In addition, these hormones help prevent loss of bone density osteoporosis and play a role in maintaining sexual interest. Since there is evidence that ovarian cancer often originates in the fallopian tube, rather than the ovary, keeping the ovaries and removing the fallopian tubes may be a better option for some women who are at low risk for ovarian cancer.
Postmenopausal women at higher risk of breast and ovarian cancer are often advised to have their ovaries removed because of a small risk of developing ovarian cancer at some point. The benefits of removing or keeping ovaries is something you should discuss with your doctor.
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