Hysterectomy Treatment in Mumbai

Hysterectomy is a major operation to remove the entire womb (uterus and in all probability the cervix) of a woman where the baby grows and develops during pregnancy. Depending upon the personal state, doctor’s recommendations, and medical history of the patient, the surgery may even involve the removal of fallopian tubes and ovaries.

After undergoing this surgical procedure, females lose their ability to menstruate and get pregnant in their reproductive years because there is no longer uterine lining present to prepare for implantation and shed blood every month. If both ovaries are removed, the patient enters into menopause. Most commonly, this surgery is done in women belonging to the 40-50 years age group.

One can consult Dr. Chaitali Mahajan Trivedi, the top specialist for Hysterectomy Treatment in Mumbai, Juhu at Nanavati Superspeciality Hospital to get more details about this procedure and achieve safe surgical outcomes.

Why is hysterectomy done?

At Nanavati Superspeciality Hospital, the best Hysterectomy Treatment in Mumbai, Juhu hysterectomies are performed in females suffering from reproductive health issues. The doctor may recommend a hysterectomy due to the following reasons:

  • Heavy or unusual vaginal bleeding and intense pain with menses are uncontrollable by other treatment methods.
  • Chronic or increased pelvic pain caused by pelvic inflammatory disease (a serious infection of female reproductive organs) that persists despite other less invasive treatments.
  • Non-cancerous tumor growth such as uterine fibroids or Leiomyomas
  • Cancer of ovaries, uterus, cervix, or the fallopian tubes.
  • Uterine prolapse (a condition wherein the weakened support muscles cause the protrusion of the uterus into the vaginal canal) can result in urinary incontinence or difficulty with bowel movements.
  • Conditions that affect uterine lining like hyperplasia (enlargement of organ or tissue due to increased cell proliferation), recurrent uterine polyps (or endometriosis wherein there is an overgrowth of cells lining the endometrium i.e. the uterus resulting in its growth outside the uterine cavity), or adenomyosis (wherein the uterus inner lining grows into the muscles of the uterus).

What are the different types of hysterectomy surgeries?

The various kinds of hysterectomy depend upon the need for the surgery and how much of the uterus and surrounding reproductive system can remain safely intact. The main types include:

  1. Total Hysterectomy
    This is the most commonly carried out procedure wherein the womb along with its neck (the cervix) is removed.
  2. Supracervical/ Subtotal/ Partial Hysterectomy
    In this type, solely the womb is removed and the cervix is left in its place.
  3. Radical Hysterectomy
    This type involves the removal of the uterus and its surrounding tissues including the ovaries, lymph glands, fatty tissue, fallopian tubes, and parts of the vagina.
  4. Total Hysterectomy with Bilateral Salpingo-oophorectomy
    It includes the removal of the womb, cervix, ovaries (oophorectomy), and fallopian tubes (salpingectomy).

At Nanavati Superspeciality Hospital, all types of hysterectomy surgeries are performed by the best hysterectomy surgeon in Mumbai.

What does the procedure entail?

Before commencing with the procedure, Dr. Chaitali explains the details of the surgery including possible side effects and complications. The patients are free to discuss any concerns they have. The doctor may ask their patients to provide their blood and urine test reports. Depending upon the patient’s condition, needs, and expectations the surgeon will determine the type of hysterectomy and the best method to carry out the procedure.

On the day of the surgery, the patient must come in comfortable clothing without any pieces of jewelry or precious belongings. Before going for surgery, the patient is asked to wear the hospital gown after which she is hooked up to the monitors that check the vitals like tracking of heart and breathing rate. An intravenous line is also placed into the arms of the patient to deliver the required fluids and medications to relieve pain and prevent infections or inflammations.

Hysterectomy can be carried out in different ways all of which require local/regional (epidural or spinal) or general anesthesia. Local anesthesia only numbs the body below the patient’s waistline and the person remains awake whereas general anesthesia is provided to put the patient in sleep throughout the surgery so that they don’t feel pain and are comfortable throughout the procedure. Sometimes, local anesthesia is given along with sedation which makes the person sleepy and relaxed during the operation.

The overall surgery may last for one to three hours but the total duration depends upon the size of the uterus, the requirement to take down the scarring from earlier operations, and if there is any need for removal of endometrial tissues and other organs like ovaries and fallopian tube.

What are the different approaches to carry out Hysterectomy?

  1. Abdominal Hysterectomy
    In this method, a large vertical or horizontal cut (6 to 8 inches long) is made in the tummy (i.e. abdomen) to take out the uterus. The incision is made either across the top of the pubic hairline or from the navel to the pubic bone. After removal of the womb, the cut is closed with removable stitches or surgical staples. These incisions tend to heal well and result in little scarring. Mostly, this approach is preferred for cancer patients i.e. when the uterus gets enlarged or when the disease spreads to other pelvic regions. Generally, this operation requires a longer hospital stay (around two to three days) and a longer recovery period.
  2. Laparoscopic Hysterectomy or Keyhole Surgery
    This surgical technique involves making several small incisions (3 to 4) in the abdomen through which a laparoscope is inserted to remove the uterus. A laparoscope is a thin, long, diagnostic or therapeutic instrument fitted with a high-resolution video camera and high-intensity light in the front. Once the surgeon can access the uterus, they’ll cut it into small pieces using surgical tools inserted through the incisions and remove one piece at a time which can be taken out through the cuts or the vagina. It is a less painful surgery and has a shorter recovery as compared to the abdominal hysterectomy. The patient can get discharged after a few hours of the surgery on the same day or have a stay overnight at the hospital. To get the benefits of the best laparoscopic hysterectomy treatment in Mumbai, Juhu schedule an appointment at Nanavati Superspeciality Hospital.
  3. Vaginal Hysterectomy
    This involves making a small incision inside the vagina to remove the uterus and the use of dissolvable sutures to close the cut. As there are no external cuts made, there are lower chances of visible scar formation. This technique is most commonly used in patients suffering from uterine prolapse and other non-cancerous conditions. It is the preferred method because it is associated with minimal complications and quick recovery (up to four weeks). The patient can return home on the very same day.
  4. Robot-assisted Laparoscopic Hysterectomy
    In this approach, the surgeon makes small cuts (3 to 5) in the lower abdomen (i.e. around the belly button) such as those made for laparoscopy or hysterectomy. The surgeon controls and guides the robotic arms and surgical tools that are inserted into the incisions to visualize the pelvic area and carry out the entire surgery. Its recovery is similar to a laparoscopic hysterectomy.

The cost of Hysterectomy surgery in Mumbai depends on several factors like the patient's age, complexity of procedure, surgical approach, and the doctor’s experience.

What to expect after a hysterectomy?

Following hysterectomy, the expected time of hospital stay varies among the patients depending upon the type of surgery they had. The patients are shifted to an ICU or a recovery room where the healthcare provider or nurse monitors their vital signs to make sure there are no complications after the surgery like bleeding or blood clot formation. Soon after the surgery, the patient must walk around so that blood clots are not formed in the legs.

The recovery timings also vary depending upon the type of hysterectomy undergone by the patient and the approach used. Mostly, patients recover completely within 4 to 6 weeks. During the healing period, the patient must gradually increase their physical activities and if there is any pain or discomfort they must report to the doctor and discontinue it as the doctor recommends. It is recommended to avoid sexual intercourse, bending, pulling, or pushing of objects, and lifting heavy items during recovery.

To get the benefits of hysterectomy surgery consult Dr. Chaitali Mahajan Trivedi, Gynaecologist in Mumbai, Juhu at Nanavati Superspeciality Hospital.

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