Learn about vaginal hysterectomy

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

Vaginal hysterectomy is surgical treatment to remove the uterus completely by vagina, used to treat certain conditions that can affect the uterus.

Hysterectomy is surgery in surgical treatment, there are many treatment methods including: Vaginal hysterectomy, laparoscopic hysterectomy and hysterectomy through abdominal incision.
Vaginal hysterectomy is a surgical treatment. To perform this surgery, the doctor will cut inside the vagina and bring the removed uterus out through the vagina.
Vaginal hysterectomy leaves no scars like laparoscopic and laparotomy. However, it is not possible in all cases. After removal, the uterus is brought out through the vagina.

Vaginal hysterectomy is performed to treat a number of conditions including:
Intra-abdominal bleeding: When the patient has heavy bleeding during menstruation or bleeding for no apparent reason. Bleeding can cause anemia, leading to fatigue. Uterine fibroids: These are round, hard muscular tumors that form in the uterus. This tumor is so large that it puts pressure on internal organs such as the bladder,... This tumor can also cause abnormal bleeding. Genital Prolapse: When the uterus is prolapsed into the vagina. Cancer or disease that can lead to cancer: Cancer can affect the uterus or cervix, the part between the uterus and the vagina. Sometimes your doctor may recommend a hysterectomy or a hysterectomy if there are signs of cervical cancer. Progressive pelvic pain: When a patient experiences constant pain in the lower abdomen, this is known as chronic pelvic pain.

Vaginal hysterectomy is indicated in the following cases:
Wide, soft vagina; Uterine lesions indicating hysterectomy; Genital prolapse; The uterus is not too big; No pelvic adhesions.

The people performing the vaginal hysterectomy are specialists with extensive experience in hysterectomy using the vaginal hysterectomy method.
Before surgery, the patient will be evaluated by the doctor, with a full body and specialist examination to evaluate the associated diseases. Counsel the patient and family about the risks and possible postoperative complications that may occur during and after surgery.
Steps for transvaginal hysterectomy:
Stage 1: Expose the cervix Tense 2: Open the same posterior and probe Tense 3: Open the same anterior, dissection push the bladder upward, then 4. : Ligation and cutting of the ligaments and pedicles of the uterus Stage 5: Ligation and cutting of the uterine pedicle and wide ligament Stage 6: Cut the two appendages Stage 7: Check for bleeding Stage 8: Close the peritoneum and suture and suture the mucosa Vaginal fascia After a vaginal hysterectomy, the patient should be catheterized and monitored for the amount and color of urine within 2-3 days. Clean and disinfect the vulva area daily with betadin. After surgery, the patient should be woken up 8-12 hours early.

In summary, vaginal hysterectomy is one of the surgical treatments of hysterectomy. However, in cases where a hysterectomy is indicated, it is necessary to satisfy the following conditions: the uterus is not too large, the vagina is soft and wide, there is no pelvic adhesions, genital prolapse, ... After surgery, Patients need to be monitored, so when seeing abnormal signs, they should immediately report to medical staff for timely intervention.
In order to help customers detect and treat other gynecological diseases early, Vinmec International Hospital has a basic gynecological examination and screening package, helping customers detect early inflammatory diseases Easy, inexpensive treatment. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion,... Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the private area, abnormal vaginal bleeding.