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The removal of the uterus through abdominal hysterectomy is performed to treat a number of medical conditions involving the uterus, although other reproductive organs such as the cervix, fallopian tubes, and ovaries may also be removed if the doctor sees fit.

Hysterectomy renders the woman barren, as the woman goes into menopause and stops menstruating. On the positive side, she can still enjoy sexual activities without the worry of unwanted pregnancies. In addition, she is sure to keep her youthful looks and an abdomen that doesn\’t look empty, as the space vacated by the removed organs are occupied by the bowels.

Although hysterectomy is capable of treating a lot of conditions, there are some conditions that may be completely treated only by incorporating other forms of treatment.

Classifications of Abdominal Hysterectomy

An abdominal hysterectomy may be performed through any of the following methods: total, total with bilateral salpingo-oophorectomy, and subtotal.

When only the uterus needs to be removed and the cervix can be kept, a subtotal abdominal hysterectomy is performed. This procedure can be performed more quickly than a total hysterectomy and also involves less risks of damaging other organs. In addition, the procedure poses less chance for vaginal prolapse, fever, and blood loss. With the patient recovering faster, prolonged hospital stays are not necessary. Spotting, however, can occur due to the endometrial tissue that remained in the endometrial canal. Since the cervix is not removed, the woman also remains exposed to the risk of cancer.

The removal of the ovaries and the fallopian tubes along with the uterus and the cervix is known as a total hysterectomy with bilateral salpingo-oophorectomy. A total abdominal hysterectomy is when only the uterus and cervix are removed.

Reasons for Undergoing Abdominal Hysterectomy

Abdominal hysterectomy may be required for the treatment of the following conditions:

* Cancer of the uterus or the cervix

* Fibroids

* Heavy bleeding

Measures to Take Before an Abdominal Hysterectomy

Make the following preparations to ensure that you\’re in the best condition for a hysterectomy:

* Make the necessary provisions in your home and work for the time you\’ll be undergoing and recuperating from the surgery.

* Do not take blood thinners at least five days before the surgery.

* Minimize the risk of blood clots after surgery by not using contraceptives at least a month prior. Your doctor should also inform you of other medications that you should put on hold.

Post Surgery Precautions

Keep the following in mind after your hysterectomy:

* Do not use tampons when dealing with any vaginal bleeding that occurs after surgery. Better use sanitary napkins.

* You should no longer be bleeding after you get back home. If you still are and if the secretions give off a foul smell then it would be best to seek your doctor\’s advice.

* You won\’t get addicted to pain killers as long as you follow your doctor\’s prescription. Take them to deal with the pain caused by the surgery.

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What are uterine fibroids?

Uterine fibroids (also referred to as myoma, leiomyoma, leiomyomata, and fibromyoma) are benign (non-cancerous) tumors that grow within the muscle tissue of the uterus. Between 20-50% of women of childbearing age have uterine fibroids. While many women do not experience any problems, symptoms can be severe enough to require treatment.

Fibroids range in size from very small (coin sized) to larger than a melon. A very large uterine fibroid can cause the uterus to expand to the size of a six or seven-month pregnancy. There can either be one dominant fibroid or a cluster of many small fibroids.

What are common symptoms of uterine fibroids?

• Very heavy and prolonged menstrual periods
• Pain in the back of the legs
• Pelvic pain or pressure
• Pain during sexual intercourse
• Pressure on the bladder which leads to a constant need to urinate, incontinence, or the inability to empty the bladder
• Pressure on the bowel which can lead to constipation and/or bloating
• An enlarged abdomen which may be mistaken for weight gain or pregnancy

How do I know if I have uterine fibroids?

During a visit to investigate these symptoms, your doctor will check the size of your uterus. If it feels enlarged, your doctor may order an ultrasound or a magnetic resonance imaging (MRI) session, which can confirm the presence, location and size of fibroids. After identifying the size and location of your fibroid(s), and possibly after other diagnostic tests, your doctor may be able to rule out other potentially more serious conditions, and advise you of your options and a recommended course of treatment for the fibroids. If you do not notice any symptoms caused by fibroids there is no need to treat them. Your doctor may want to watch them and check for any growth.

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India finds the infrastructure and technology at par with that in USA, UK and Europe. Uterus fibroid surgery is one the common treatments for patients coming to India. The good facilities provided in India are certainly beneficial but also the skyrocketing medical costs and long waiting lists to get treated by the specialists in the western countries are helping Indian medical tourism industry. India is all set to capitalize on the opportunity through low costs and highly trained doctors to appeal to the medical tourists. India has a large pool of professionally qualified doctors, nurses and paramedics. The world-class facilities and infrastructure is further supported by low cost airfare and other facilities related to their stay in India. The hospitals of uterus fibroid surgery in India at Delhi, Chennai, Mumbai and Hyderabad are providing low cost treatment for uterus fibroid without compromising with the health of the international patients. The cost of surgery less when it is compared with the other western countries, It is relatively cheap because that is the way the international economy runs. For more details on uterus fibroid surgery in India please visit http://www.forerunnershealthcare.com and enquiry@forerunnershealthcare.com

Prior to a decade ago, it was rare for medical personnel to perform abortions on patients 6 weeks or less. Reasons for this are the increased chance of retained (left behind) tissue because the pregnancy sac was so small it was easier to miss. This can lead to uterine infection, and heavy vaginal bleeding. There are times when the entire pregnancy is missed when there is the attempt to perform surgical procedures on patients that are less than 6 weeks from their last period. Other complications that occur are a higher risk for cervical (lower womb) tears, difficult dilation (opening) of the cervix, and uterine perforation (a hole or tear) which can lead to infection, bleeding, hysterectomy (surgical removal of the uterus, or even death of the patient.

There has been a great demand from women to have their abortion procedures carried out earlier for several reasons. Some of them are: 1) reduction in pregnancy symptoms which include nausea, vomiting, breast tenderness, swelling, weight gain or loss, dizziness, headaches and fatigue. These symptoms can lead to a significant loss of school, work, and other activities that a women are required to do on a daily basis. 2) moral and ethical reasons where the less developed the pregnancy, the less guilt there is regarding the abortion procedure and 3) there is a faster recovery time and one can generally resume their normal activities the same day and may engage in sexual intercourse 24 hours after the procedure is performed if less than 6 weeks pregnant. 4) bleeding only lasts for 2 to 3 days. 5) one may take a bath after 24 hours instead of waiting for at least 2 weeks when over 6 weeks pregnant.

With the advancement of medical equipment, medications, instruments and training, performing early surgical abortions are performed throughout the U.S. and the world by specially trained Physicians in this area. Performing sonograms (ultrasound) and visualizing the small gestational sac (pregnancy) inside the uterus is crucial. A pregnancy cannot be seen until 3 to 4 weeks within the uterus. One then needs to determine whether the cervix needs to be primed (soft and easy to dilate) by either giving medication that causes contractions of the uterus, or by inserting a piece of sterile seaweed inside the cervix that causes it to dilate. This helps reduce the chance of cervical tears, uterine rupture, or retained pregnancy tissue while performing the procedure. Performing an ultrasound while simultaneously carrying out the termination procedure can help reduce the chance of retained tissue or uterine rupture.

The surgical procedure at less than 6 weeks consists of placing a speculum (used for Pap Smear) inside the vagina and then numbing the cervix using lidocaine followed by dilating (opening) the cervix and placing a small sterile catheter (smaller than a straw) inside the uterus and removing the pregnancy. There is cramping involved that lasts from 10 to 15 minutes. Bleeding usually lasts from 3 to 4 days. For most patients, IV sedation is not required but it is available if the patient requests.

In conclusion; with medical advances, early surgical abortion procedures are in high demand, and can now be carried out around the time of the patient