The top gynecologists in India use different approached to perform a hysterectomy. However, their choice of procedure depends on several factors. Their experience, the reason for performing the surgery, and the patient’s overall health are some of the leading reasons that dictate the choice of surgery.
The following are some of the approached used to perform hysterectomy:
Abdominal hysterectomy: This is the most common approach used to perform a hysterectomy and it accounts for almost 60 percent of all hysterectomy procedures. The surgeon makes a transverse incision of around 5 to 7 inches across the belly in up-and-down or side-to-side fashion. This technique allows the surgeon to achieve the greatest access to the reproductive organs. Abdominal hysterectomy lasts for about one to three hours, depending upon the complexity of the surgery.
Vaginal Hysterectomy: The surgeon makes an incision slightly above the vagina. The surgeon approaches the ligaments, the Fallopian tubes, and blood vessels to cut them off and tie their ends to set the uterus free. The uterus is then removed through the vagina. This surgery is usually completed in one to two hours.
Laparoscopy-assisted vaginal hysterectomy: This technique uses a laparoscope to carry out vaginal hysterectomy. The laparoscope allows the surgeon to inspect the inner organs carefully. The laparoscope and other surgical tools are inserted inside the belly through several small incisions to access the organs for performing the surgery. The surgeon performs hysterectomy by viewing the reproductive structures on a video screen.
Robot-assisted laparoscopic hysterectomy: This technique is quite similar to the laparoscopic method. The surgeon carries out the surgical procedure from outside the body with the help of a sophisticated robotic system of surgical tools. This advanced robotic system enhances the dexterity by mimicking the natural wrist movements with greater precision.
Supracervical hysterectomy: This surgical procedure is used to remove the uterus without affecting the cervix. A morcellator is used to cut the uterus into small pieces that can be removed from the abdominal cavity with the help of laparoscopic ports. It is a simple technique used to remove the uterus and requires less time to perform.