Hysterectomy – The Basics

 

If you're serving women, this subject will eventually come up.  Here are the basics....

The Types of Hysterectomy - ie., What Is Removed

 

1.  Partial or Supracervical Hysterectomy - the upper part of the womb (uterus) is removed leaving the cervix intact.

2.  Complete or Total Hysterectomy - both the womb and cervix are removed.

3.  Hysterectomy with Bilateral Salpingo-Oophorectomy - the womb, cervix, fallopian tubes and ovaries are removed.

4.  Radical Hysterectomy - an extensive surgical procedure in which the womb, cervix, ovaries, fallopian tubes, upper vagina and lymph nodes are removed.

 

The Types of Surgical Procedures

 

1.  Total Abdominal Hysterectomy (TAH) - there is a horizontal and a vertical version.  The uterus/reproductive organs are reached by cutting through the lower abdominal wall.  This type of Hysterectomy typically has the longest recovery time.

2.  Vaginal Hysterectomy - performed through a small incision at the top of the vagina.  Through this incision, the womb (or womb and cervix) are removed via the vagina.  If the cervix is being kept, the incision is made around the cervix which is then re-attached when the surgery is finished.

3.  Laparoscopic Hysterectomy - the most modern method using  'keyhole' type surgery.  The laproscopic tools and camera are inserted into small incisions in the abdomen and/or vagina.  There are two types:  Laproscopically Assisted Vaginal Hysterectomy (LAVH) and Laproscopic Supracervical Hysterectomy (LSH).  LAVH is similar to vaginal hysterectomy and the womb and cervix are removed through an incision at top of the vagina.  LSH is performed entirely through small incisions in the abdomen and the uterus is detatched and removed in small pieces through the incisions leaving the cervix intact.

At the most recent calculation, 1.2 million women a year underwent a Hysterectomy procedure worldwide.  With a figure of 55,000 in the UK and just over 500,000 in the USA.  Why women undergo this procedure is as varied as the woman to whom the procedure is being applied.  From Ectopic pregnancies to Uterine Fibroids, Endometriosis to Cervical Cancer, the female ailments that precede the need for  Hysterectomy are usually highly challenging in themselves and many women undergo Hysterectomy as a theoretical 'final solution' to chronic and life-disrupting issues only to find that there is also an additional toll to be paid during the recovery period and for many years after.  For many women, although Hysterectomy alleviates their most pressing health issues, in the immediate and long-term recovery period, the removal the reproductive organs actually acts as a catalyst to range of, sometimes life-threatening conditions such as Osteoporosis, heart disease, pelvic organ prolapse, bowel dysfunction and Metabolic Syndrome.

 Michelle Lyons, Women's Health Physiotherapist and Global Educator and Jenny Burrell got together to create a definitive education suitable for both professionals and ANY WOMAN wanting to know more about how to prepare for and recover deeply after having a Hysterectomy.....if this subject is close to your heart or to those of the women you serve, we'd love you to join us in class....

 

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