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Pre-surgery Planning For A Hysterectomy

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Vaginal hysterectomy is a course of action in which the uterus is surgically removed from the vagina. The uterus in a female body is located in the pelvis or lower abdomen. Any one or both the fallopian tubes and ovaries may also be removed during this procedure. Bilateral salpingo-oophorectomy or BSO is the extraction of both fallopian tubes and ovaries. The vaginal path of uterus removal can be used if the uterus is not very enlarged, and the motive for this operation must not be related to cancer. The vaginal hysterectomy is a method that involves the usage of robotic surgery or laparoscopy. In this robotic arms and scopic or camera instruments are used to accomplish the surgery. With the support of these modernized techniques, it is easy to obtain better results.

A few researches and studies have shown that vaginal hysterectomy has lesser complications, requires shorter hospital stays, and permits faster recuperation as compared to the standard abdominal hysterectomy. Previously opting for a vaginal hysterectomy, there are two important decisions that must be taken. It is substantial to judge if there is a demand to remove the ovaries, and if estrogen replacement treatment or ERT is required.

A robotic uterus dismissal surgery or vaginal hysterectomy does not comprise the dismissal of ovaries, but the ovaries can removed at the same time. This system is called as oophorectomy. The alternative to eliminate the ovaries depends on a few conditions. Sometimes, it may not be permitted to remove the ovaries because of the scar tissues or particular other factors that better the risks of a removal.

Women, who are still in their premenopausal stage, may wish to keep their ovaries to approve an unremitting, natural source of hormones, like progesterone, estrogen, and testosterone, for their body. The proximity of such these hormones is extremely essential to maintain sexual concern and to obviate the bone density loss and hot flashes. Alternatively, women who have epilepsy and migraines related to their menstrual cycle, or face severe pre-menstrual syndrome may find respite from these when their hormone levels have reduced due to the dismissal of their ovaries. Patients should make efforts to talk over these preferences and risks with their doctor, prior to the surgery.

Women in their postmenopausal stage are commonly advised to obtain their ovaries removed as there is a slim luck of them developing ovarian cancer, later in their life. The benefits of removing the ovaries appear to be more consequential than the demand of continuous hormone production.

Estrogen replacement therapy (ERT) can be recommended in the post surgery interval, for women who have had their ovaries removed. Some women who are still in their pre-menopausal stage may use this treatment, to keep away from chances of night sweats, hot flashes, and bone density loss, if their ovaries are removed. ERT should not be taken without the recommendation of their gynecologist. One must opt for this treatment only when you have fully understood the risks and benefits concerned in this therapy.

The pre-surgery planning of a vaginal hysterectomy also involves specific pre-operative tests. Typical pre-operative tests contain detailed physical examinations, chest x-ray, EKG, and blood testing. These tests also depend upon age and other medical conditions of the patient.
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