What
Are the Risks Of Having a Hysterectomy?
Before we discuss the risks of a hysterectomy, it's
necessary that we understand what a hysterectomy actually
is. A hysterectomy is the surgical procedure a woman
undergoes for to remove her uterus and/or womb. So what
are the risks behind having this surgical procedure?
When you're contemplating or needing a hysterectomy,
the risks and complications that go along with the surgery
will depend largely on what type of hysterectomy you
undergo. There are three ways a hysterectomy will take
place. Depending on the type of problem that has been
diagnosed, the doctor will advise the patient which
procedure is safest.
So what are the three procedures?
Three Types of Hysterectomy Procedures
Abdominal hysterectomy – Surgeon makes incision
in the stomach area to remove uterus.
Laparoscopic hysterectomy – small multiple incisions
on the stomach where a camera (laparoscope) is placed
into the woman's belly button. Uterus will be ground
up and removed through the small incisions. It can also
be removed in one piece through the woman's vagina.
Vaginal hysterectomy – An incision is made in
the vagina so that the uterus can be removed as a whole
through the vagina.
Five Risks and/or Complications That Come With a Hysterectomy
There are many risks and complications that can arise
from a hysterectomy. It's vitally important that, if
you were to undergo this surgical process, you are educated
on those risks and complications. Here are five commonly
known risks and complications that can occur with a
hysterectomy.
Bleeding – Any surgery you undergo has a risk
of excessive bleeding. A hysterectomy is no exception.
If the bleeding becomes too serious, you may need a
blood transfusion or need a second procedure to stop
the bleeding.
Blood Clots – Most pelvic surgeries have an increased
chance of blood clots that can travel to a woman's lungs
or to her legs. Once the surgery is completed, patients
are often given a minute dose of blood thinner, or else
are given special stockings that will be worn on the
legs so that no blood clots will form. If a woman does
get a blood clot, she'll be given blood thinners for
up to six months after the surgery.
Damage to Other Pelvic Organs - Keep in mind that a
woman's uterus is close to many organs, and it's quite
possible that these organs can become accidentally damaged
while the hysterectomy is taking place. This is especially
true if the surgery is taking place because of fibroids
or adhesions. While damage to other bodily organs is
rare, it's a possibility.
For instance, the urine tubs can be damaged during
the hysterectomy because they lie in close proximity
to the uterus. However, if the damage is caught early,
it can be repaired.
The bladder has a chance of being damaged as well,
but it can be repaired with few additional complications.
A Foley catheter will need to stay in place for about
a week.
A bowel that has been damaged can be repaired, especially
if the damage is caught during the initial surgery.
In rare instances, a temporary colostomy is needed.
Early Menopause – When a woman has a hysterectomy
that leaves her ovaries behind, she'll tend to go into
menopause approximately four years before she initially
would have.
Infection – It's not uncommon for infections
to occur after a hysterectomy. Infections can occur
in the following places:
- Bladder
- Incision
- Inside abdomen
- Vagina
In rare cases, an infection begins to abscess. An abscess
is bacteria and pus that will need to be drained.
Nine Questions That You Should Inquire about the Hysterectomy
Risks and Complications
Before you agree to any surgery, including a hysterectomy,
it's important to learn about the procedure and about
your doctor. Here are nine questions you should ask.
- What are the complications based on the procedure
chosen?
- Which of the three procedures has the least amounts
of complications?
- Which procedure does the doctor recommend?
- How many hysterectomies as the doctor done?
- What percentage of those surgeries has had complications?
- What antibiotics does the doctor recommend and
how?
- Will your ovaries be removed?
- Will there be additional tests before the procedure
to detect possible complications?
- Can you reduce your chances of complications?
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