Hysterectomy for Uterine Fibroid Removal

female-pelvic-organsAbdominal hysterectomy is a surgical procedure that removes a woman's uterus through a surgical incision. By definition, a partial hysterectomy removes just the uterus while a total hysterectomy removes the uterus and the cervix. Sometimes during a hysterectomy surgery, a surgeon can also remove one or both ovaries and fallopian tubes. If an ovary and fallopian tube is removed, the procedure includes the term 'salpingo-oophorectomy'.

The most common reasons to have a hysterectomy is for excessive vaginal bleeding, uterine fibroids (sometimes these two are related), pelvic organ prolapse, cervical abnormalities (dysplasia, or frank cancer), uterine or other pelvic cancers, chronic pelvic pain, as well as other more rare situations. Sometimes a hysterectomy is done at the same time as other surgical procedures such as colon cancer surgery, or ovarian cancer surgery.

types-of-hysterectomy-incisionsThe incision for an abdominal hysterectomy is usually in the lower abdomen. Sometimes the skin incision is in the bikini line, while the muscle is opened from the pubic bone to the belly button. Other times, the incision is made through the skin from the pubic bone to the umbilicus.

A hysterectomy, depending on a surgeons experience and the reason for the hysterectomy, can also be performed through an incision in the vagina (vaginal hysterectomy) or laparoscopically. During these minimally invasive techniques, smaller incisions are required in the abdominal wall. Today, some surgeons can perform a hysterectomy using a surgical robot. These techniques use small, thin instruments passed through very small abdominal incisions. For women with a large uterus, large fibroids, or if other internal organs need to be evaluated, an abdominal hysterectomy may be indicated.

Discussion of Hysterectomy for Uterine Fibroids at WebMD

WebMD discusses uterine fibroids at great length, and leading experts from across the country agree with The Fibroid Treatment Center that hysterectomy for fibroid disease is an out dated solution to a more straight forward problem. Excerpts from WebMD are listed below:

Treatment Options: What You Should Know

In the not-too-distant past, doctors routinely performed a hysterectomy for fibroid tumors. And while newer, less-invasive treatments are available, studies show this dramatic operation is still being performed today -- far more frequently than necessary.

"A panel convened by our own governing body -- the American College of Obstetricians and Gynecologists -- found that 76% of all hysterectomies performed today do not meet the criteria for this surgery. They are being done unnecessarily," says Ernst Bartsich, MD, associate professor of obstetrics and gynecology at the New York Hospital-Cornell Medical Center in New York.

"I believe many women are conceding to a hysterectomy for fibroid tumors because they are led to believe it's the only solution -- and that is wrong," says Bartsich. At The Fibroid Treatment Center, we specialize in being able to discuss ALL options with a woman. For some women, a hysterectomy might be the best option, while most will have fibroid disease amenable to a more minimally invasive alternative.

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