An Overview On Total Hysterectomy

Total hysterectomy is a surgical procedure where the uterus and the cervix are removed. This procedure is performed for the treatment of early stage endometrial cancer. Other conditions where a hysterectomy may be performed include severe pelvic pain, excessive bleeding, and fibroids.

Although often used interchangeably, a total hysterectomy is not the same as a complete hysterectomy. A total hysterectomy involves the removal of the uterus and the cervix, while a complete hysterectomy involves the removal of the fallopian tubes and the ovaries aside from the uterus and the cervix.

Total Hysterectomy – Total Abdominal Hysterectomy versus Total Laparoscopic Hysterectomy

There are two techniques for performing a total hysterectomy. The first is the traditional total abdominal hysterectomy where an incision is made on the abdomen.

The other technique is the total laparoscopic hysterectomy where small incisions are made on the abdomen, and a laparoscopy is used to look inside. This technique was developed as an improvement from the conventional total abdominal hysterectomy, which was highly invasive, caused noticeable scars, and thwarted with more potential complications.

Studies conducted in the attempt to compare the results of the laparoscopic approach with the conventional approach showed that the laparoscopic approach resulted in less blood loss, less complications, less pain, and shorter hospital stays.

Total Hysterectomy versus Subtotal Hysterectomy

Subtotal hysterectomy is a hysterectomy surgery where only the uterus is removed, and the cervix is left intact.

Although studies comparing the two are scarce and findings reveal minimal differences, it is believed that a subtotal hysterectomy results in less blood loss than a total hysterectomy. Further, a subtotal hysterectomy results in lower risks, less chances for organ damage, and shorter recovery periods.

Some factors used in identifying the more superior procedure include the following: post hysterectomy vaginal bleeding; bladder and bowel function; sexual function; cervical cancer risk; and recovery time.