Open Uterine Surgery
For this reason, open hysterectomy may become mandatory, for example, in the case of a giant pelvic mass, ovarian cyst, fibroids and especially if there is a risk of cancer. Similarly, some patients with urinary incontinence and prolapse may also require open hysterectomy.
Hysterectomy is also known as hysterectomy. The operation can be completed in about half an hour to 1 hour by an experienced gynecologist. Open hysterectomy is only an operation to remove the uterus, other procedures can be performed through the same incision.
How is Open Uterus Surgery Performed?
The method of hysterectomy, i.e. removal of the uterus, is determined by the doctor. If the doctor deems it appropriate, the operation is performed laparoscopically, vaginally, i.e. vaginal hysterectomy, or open or closed.
The method of surgery may vary depending on the patient's health status and the size of the uterus. Closed, i.e. laparoscopic, hysterectomy is a more painful and lengthy procedure. Compared to closed surgery, recovery, discharge and return to daily life may take a little longer.
Which technique is preferred is decided according to the general health condition of the patient, the nature of the disease and the experience of the physician who will perform the surgery. For example; it is possible to prefer the closed method in consultation with your doctor due to aesthetics, desire to return to daily life quickly, busy work life.
What Should the Patient Pay Attention to After Open Uterus Surgery?
First of all, the patient should undergo a complete and detailed gynecological examination. In addition, the general health condition of the patient should also be evaluated by a specialist anesthesiologist in the preoperative period. After the operation, the patient is usually mobilized in 4-6 hours, that is, she can get up and walk. Similarly, if no intestinal problems are expected, the patient can eat and drink 4-6 hours after open hysterectomy. In some cases, feeding can be postponed until after gas release. The urinary catheter inserted during open hysterectomy is usually withdrawn the day after the open hysterectomy, after the patient develops urinary sensation. After the open hysterectomy, the patient is given enough painkillers and anti-nausea medications. After open uterine surgery, the patient can be sent home the next day. In addition, postoperative controls are absolutely mandatory and the patient should be checked every week or every ten days.
Why Open Uterus Surgery is Preferred
Closed, open and vaginal methods are frequently preferred for hysterectomies. The reasons why open hysterectomy is generally preferred are the relationship between treatment and disease and the experience of the physician. Open hysterectomy is generally preferred because it is an easier method to remove the uterus. However, it should be borne in mind that the healing process and complaints such as pain take longer. Whether open, closed or vaginal hysterectomy is preferred, it would be the right approach to properly evaluate the pros and cons of all of them before surgery and to decide on a patient-by-patient basis.