Partial hysterectomy is a very common surgery which involves the removal or separation of a woman’s uterus. In other words, it is a surgical procedure in which the fallopian tubes and the uterus are removed. This surgery can be performed for many reasons. It can be done for the treatment health problems like cancerous tumors, uterine fibroids, endometriosis, dysphasia and immense vaginal bleeding.
Difference Between Partial And Complete Hysterectomy
There are two kinds of hysterectomy, they are Partial Hysterectomy and complete hysterectomy. Both the surgeries are different from one another in a few aspects. In case of partial hysterectomy, only the uterus is removed while the ovaries are not detached. The circulation of blood to the ovaries is stopped as a result of which the ovaries stop functioning. On the other hand, in case of complete hysterectomy or surgical menopause, the uterus, the fallopian tubes and the ovaries are removed. This interrupts in the production of the ovarian hormone.
Different Surgery Techniques
Partial Hysterectomy can be performed through different techniques. The normal surgical process can be performed by making an opening or incision in either the abdomen or the vagina. In most cases, the doctors prefer the opening of the abdomen. The incision that is made in the abdomen is very much akin to the cut that is made during a caesarean operation. Following that, the uterus is detached and divided from the blood supplying units. After that, the ligaments connected to it prior to need be removed from the body.
After the surgery, the patient is required to stay in the hospital for a period of one to four days. The reason behind this is that the doctors prefer to monitor the recovery closely. The success rate of this surgery is almost 100 % as most of the patients are able to recover fully after the operation.
Another technique to remove the uterus is vaginal hysterectomy. This surgery is done through the vaginal canal. In this procedure, laparoscopes are inserted through the abdomen and the uterus is removed through the vagina. This method is considered to be less complicated and requires a shorter stay at the hospital. The patient recovers faster than in the case of the open method. Even complete hysterectomy can be done with this method. However, it cannot be ignored that the open method allows maximum access to all the organs.
Another technique is the laparoscopic technique. Under this method, the uterus is disconnected leaving the cervix behind. This is referred to as laparoscopic assisted super cervical hysterectomy. This surgery involves the use of morcellator to cut the uterus, the pieces of which are removed by the laparoscopic ports.
Another technique of laparoscopic hysterectomy is the Da Vinci method. In this technique, the surgeons remotely control the instruments that have high precision and they also give a three dimensional and magnified visual field to the surgeon. This method is preferred by many patients as it not too invasive and has minimal complications. This surgery also facilitates quick recovery. However, it should be noted that the Da Vinci method cannot be performed on all patients as the nature of surgery largely depends upon the condition of the patient. Thus, it is seen that in certain cases, the open method of partial hysterectomy is preferred.
Side Effects Of Partial Hysterectomy
After the removal of the uterus through hysterectomy, a woman is likely to experience hormonal imbalance. There is a tremendous fall in the progesterone level which is followed by a decrease in the level of estrogen over a period of one or two years.
The downfall in the level of progesterone gives rise to a host of side effects. The side effects include fatigue, mood swings, headache, depression, dizziness and nervousness, hair loss, heart palpitations, irritability, insomnia, joint pain, low sex drive, painful sexual intercourse, memory lapses, urinary incontinence, vaginal dryness, etc.
Women who undergo partial hysterectomy are at an increased risk of developing arthritis, heart diseases and osteoporosis. It can also result in endometrial cancer or even thyroid dysfunction. Thus, due to these side effects, it is advisable that women who undergo this surgery should take natural hormone supplements in order to cover the deficiency of estrogen, progesterone and testosterone.