Why is hysterectomy necessary?

The article was professionally consulted by Specialist Doctor I Le Thi Phuong - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology, Vinmec Ha Long International Hospital

Hysterectomy is a surgical treatment of some gynecological conditions. However, hysterectomy can lead to loss of fertility. Therefore, the doctor will consider specific cases and medical conditions to make an indication for hysterectomy.

The uterus is the female reproductive organ. A hysterectomy is a surgical treatment performed to remove part or all of the uterus. A hysterectomy makes it impossible for the patient to become pregnant.
A hysterectomy involves removing the cervix, fallopian tubes, ovaries, and other nearby organs.

Hysterectomy makes it impossible for the patient to become pregnant. Therefore, hysterectomy will be considered in cases where other treatments have not worked, or in cases where the patient does not want to have children anymore.
A hysterectomy is done to treat a number of conditions including:
Abnormal bleeding in the abdomen Genital prolapse Cancer or conditions that can lead to cancer Pelvic pain Uterine fibroids

Currently, there are 4 methods of hysterectomy including:
Hysterectomy through the abdominal incision The doctor will make a horizontal incision in the abdomen and bring the uterus out through that tear. This method has many disadvantages, causing patients to recover longer, bleed heavily and leave large scars. Therefore, this method should only be performed when the patient cannot do surgery by other methods.
Laparoscopic hysterectomy The doctor inserts a small camera and surgical instruments into the abdomen through a small incision in the abdomen. At this time, the screen will display the image obtained by the camera, the doctor will cut the uterus through monitoring on the screen. The uterus is then removed into a bag and taken out through one of the incisions in the abdominal wall or through the vagina.
Laparoscopic hysterectomy is widely applied due to its superiority. Laparoscopic surgery helps patients recover faster, reduce the risk of adhesions and save costs. In addition, the aesthetic is high because the scar is much smaller than the open surgery and especially reduces the risk of possible complications.
Vaginal hysterectomy With a vaginal hysterectomy, the doctor will cut inside the vagina and bring the uterus out after being cut out also through the vagina.
Vaginal hysterectomy leaves no scars, but it is not always possible. Satisfactory conditions are that the patient must have a small uterus, a large and soft vagina, and no pelvic inflammatory disease.
In some cases, a vaginal hysterectomy still requires the use of some laparoscopic instruments, this is often called a laparoscopic-assisted transvaginal hysterectomy through the abdominal wall.
Robotic hysterectomy Robotic hysterectomy is a laparoscopic approach where the surgical instrument is attached to a robot. The doctor is the one operating this robot. This method is called robotic-assisted transabdominal laparoscopy.
In summary, hysterectomy is indicated in cases including: genital prolapse, uterine fibroids, abnormal bleeding in the abdomen, cancer or conditions that can lead to cancer, Chronic pelvic pain and treatment with other methods have not been effective. The removal of the uterus will significantly affect the daily life of women, so it is necessary to go to medical facilities for periodic health checks to detect gynecological diseases early, in order to reduce risk of hysterectomy.

In order to help customers detect and treat other gynecological diseases early, Vinmec International General Hospital has a basic gynecological examination and screening package, which helps customers detect inflammatory diseases early and help treat diseases. Easy, inexpensive treatment. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.