Overview of Obstetrics And Gynaecology Hysterectomy Treatment India

Hysterectomy is a surgical procedure in which the uterus is removed so that the woman will not be fertile anymore. After removal of the uterus, there will be no menstruation and pregnancy. Usually the female who has various diseases of the reproductive system can also undergo hysterectomy surgery. Hysterectomy is a procedure of 2-4 hours that usually depends on the type of hysterectomy procedure. Hysterectomy can be performed either through a large incision in the abdomen or it can be performed through a minimal invasive procedure where small incisions are made. Hysterectomy is the second most common surgical procedure performed among women after C-section. Hysterectomy is performed in women with heavy bleeding, pain in groin or the risk of developing uterine cancer. Some women feel physical and emotional reactions after hysterectomy. It is very important to manage these reactions in order to benefit from the hysterectomy procedure. Some women feel the sense of being free and in good health after the surgery. Recovery after hysterectomy usually takes four to six weeks. After hysterectomy, there is restriction of doing stress activities like heavy lifting and exercise. The activity level should be increased gradually and after the time period of 3-6 weeks, the patient can resume the normal activities of daily living. 

Types of Obstetrics And Gynaecology Hysterectomy Treatment India

Different types of hysterectomy can be performed. Here are some common types:

  • Total hysterectomy
  • Partial hysterectomy
  • Radical hysterectomy
  • Total hysterectomy with bilateral salpingo-oophorectomy
  • Laparoscopic hysterectomy
  • Vaginal hysterectomy
  • Abdominal hysterectomy

Total Hysterectomy

In this type of hysterectomy, both the uterus and cervix are removed.

Partial Hysterectomy

In this type of hysterectomy, the upper part of the uterus is removed only and the cervix is not involved.

Radical Hysterectomy

This type of hysterectomy is a complicated long procedure in which the uterus, cervix, vagina and some surrounding tissues are removed. This procedure is performed on those suffering from uterine cancer.

Total Hysterectomy with Bilateral Salpingo-Oophorectomy

This procedure involves removing the uterus and also both the fallopian tubes and ovaries. This is usually performed in various diseases that involve the uterus, ovaries and pelvis.

Laparoscopic Hysterectomy

This is a minimally invasive procedure of hysterectomy that includes small incisions. Uterus and cervix are removed in smaller portions through the small incisions.

Vaginal Hysterectomy

In this type of incision, the uterus and cervix are removed through the vagina. This procedure is used when there are no complications associated with the uterus.

Abdominal Hysterectomy

This type of hysterectomy is a type of open surgery where large incisions are made in the abdomen and uterus is removed with other structures. This procedure is used when there are certain complications associated with the uterus.

Procedure of Hysterectomy

The general overview of the hysterectomy is described below:

Anesthesia: anesthesia is given during the procedure to minimize the pain and discomfort during the procedure.

Incision: the short or large incisions are made according to the type of procedure. The incisions are made in the suitable area according to the type of procedure.

Accessing the uterus: The surgeon separates the surrounding tissues like muscles and blood vessels to access the uterus. 

Removal of the uterus: The method of removing the uterus depends on the type of hysterectomy:

Total hysterectomy: The entire uterus and cervix are removed.

Partial hysterectomy: Only the upper part of the uterus is removed.

Radical hysterectomy: In this type of procedure, the uterus, the cervix, upper vagina, and surrounding tissues are removed.

Closure and recovery: After removing the uterus, the surgeon will close the incisions by using sutures. Sometimes the drains are inserted to remove the excess of fluid. Medications are applied to prevent any type of infection.

Post-operative care: After the procedure, the medications are used to manage pain, infection and to prevent the blood clot formation. 

Diagnosis of Obstetrics And Gynaecology Hysterectomy Treatment India

Cost of Hysterectomy in India

The cost of hysterectomy in India ranges from 960 USD-1440 USD. The cost may vary according to the complication of the individual patient. It may also vary according to the facilities of the hospital, skills of the health practitioner and the location of the hospital in different cities of India.

Different procedure of hysterectomy and their cost in India:

Treatment Costs in India Min in USD Max in USD
Vaginal Hysterectomy 600 USD 720 USD
Laparoscopic Hysterectomy 780 USD 900 USD
Abdominal Hysterectomy 624 USD 780 USD

Symptoms and Risk factors

Here are some of the names of the conditions in which hysterectomy is indicated:

  • Uterine fibroids
  • Adenomyosis
  • Endometriosis
  • Uterine prolapse
  • Abnormal uterine bleeding
  • Cancers of the reproductive system such as uterine, ovarian, or cervical cancer.
  • Chronic pelvic pain
  • Severe pelvic inflammatory disease
  • Precancerous conditions of the uterus such as severe dysplasia or hyperplasia.
  • Intractable pelvic infections
  • Certain genetic conditions or abnormalities affecting the uterus
  • Non-responsive to other conservative treatments

Risk Factors of Hysterectomy

Here are some of the risks associated with hysterectomy mentioned below: 

Surgical Risks

Hysterectomy is a major surgery and like any surgery it has a risk of bleeding, infection, blood clots, or damage to the structures in surroundings during the procedure. These complications can further complicate the recovery process.

Anesthesia Risks

Some people develop allergic reactions, breathing difficulties, or immune reactions to the anesthesia administration. The anesthesia dose should be managed to prevent these complications.

Infection

There is a possibility of developing an infection at the incision site. Infection can also be developed late after the closure of incisions so proper medications should be used to prevent any type of infection.

Blood Loss

During hysterectomy, there are chances of excessive bleeding because hysterectomy is a type of major surgery. It may require a blood transfusion. Sometimes, excessive bleeding can occur after the surgery.

Injury to nearby Organs

There is a small chance of damaging organs near the uterus, like the bladder, bowel, or blood vessels during the surgery. This may happen due to the poor skill of the surgeon.

Reactions to Medications

The medications used in the hysterectomy or after the procedure have their own side effects. Some drugs may cause excessive negative reactions that can complicate the recovery.

Hormonal Changes

After hysterectomy, there is an imbalance of hormone levels due to removal of the uterus. These changes can lead to various symptoms like hot flashes, mood swings, or changes in sexual function.

Emotional Impact

Hysterectomy can have emotional effects, such as feelings of loss and changes in body image. The emotional challenge of being infertile for the rest of life can be difficult for most women, especially for those who had hysterectomy due to uterine cancer.
 

Top Hospitals for Hysterectomy in India

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Burjeel Medical Hospital City Abu Dhabi,UAE

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Manipal Hospital, Mysore Bengaluru,India

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Vimhans Nayati Super Speciality Hospital New Delhi,India

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Manipal Hospital, Pune Pune,India

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Manipal Hospital Ghaziabad Ghaziabad,India

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Top Doctors for Hysterectomy in India

Empower your Health with the Expertise of Leading Medical Professionals.

Dr Shanu Gairola

Department of Obstetrics & Gynaecology

Consultant

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Dr. Manorama Singh

Department of Gynaecology

Senior Consultant

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Dr. Nidhi Agrawal

Department of Gynaecology

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Dr. Anshumala Shukla-Kulkarni

Department of Gynaecology

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Dr. Arpana Jain

Department of Gynaecology

Consultant

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Treatment Costs for Hysterectomy

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Hysterectomy - Frequently Asked Questions

Since hysterectomy is a major surgery, one may try to avoid it or delay it. Here are some of the methods that can be tried before going for the surgery. They are Wait and watch, Kegel Exercise, Vaginal pessary for uterine prolapse, Surgery for the treatment of endometriosis, Endometrial ablation, Surgical removal of uterine fibroids, Myolysis (surgical shrinkage of fibroids), Medications including pain-relief medicines, hormonal control pills, etc..

It is essential to avoid having sexual intercourse for 6 weeks after the surgery. Refrain from using tampons or menstrual cups. Also, avoid lifting heavy objects and bending forward.

According to recent research, more than 90 per cent of the surgeries done by the robotic approach are successful. These types of techniques provide great precision and have a record of being safe.

It is allowed to climb the stairs up and down but at a slow pace, one leg at a time. After the healing is complete, climbing stairs will get easier.

To have a smooth recovery, it is important to follow the post-operative instructions provided by the doctor. Things like regular exercise, adequate rest, taking care of the incision, and wearing loose clothes will help you to heal faster.

In the case of the vaginal hysterectomy, the patient is less susceptible to the associated risks or complications as compared to open surgery. The recovery process is less painful and ends faster than the abdominal hysterectomy.