In 2020, my aunt's daughter, Sister Xia, underwent laparoscopic total hysterectomy.
It has been more than two years since Sister Xia’s surgery. She helps her son, my nephew, take care of the baby. If you have any questions, you always like to make a video chat with my mom.
I also see it. Many people are curious about what happens to women who have cut uterus ? Who is suitable for uterine removal? Will there be any sequelae?
Take this opportunity to help everyone solve their problems. Don’t forget to arrange a wave of “ watching ” and “ like ” for Sister Sa!
The reason why Sister Xia removed her uterus was because she was troubled by the long-term problems of menstruation. The menstrual period and dysmenorrhea caused by uterine fibroids.
Every time, Sister Xia’s menstruation lasts for more than ten days, which not only makes her suffer from anemia, but also affects her life.
My sister is a person who can't rest and has a carefree temper. After my brother-in-law died of a heart attack many years ago, she never remarried and worked hard to raise her three children. When my nephew and nieces had already started a family and started a career, my grandson and grandson were also grown up, and finally calmed down and I was willing to plan for myself.
is almost 50 years old. She is facing a uterus that no longer needs childbirth and will only cause trouble. After trying to take medicine and with ring , she finally decided to remove it. The history of
Hysterectomy (surgical uterus removal) can be traced back to the 19th century, and the transvaginal or abdominal incision was first successfully implemented. With the innovation of technology, the first laparoscopic hysterectomy was performed in 1989.
According to national monitoring data in the United States, laparoscopy has become the most commonly used hysterectomy method and has a tendency to shift to outpatient surgery.
laparoscopic surgery can be performed through conventional laparoscopic equipment, or can be completed with the assistance of computers using robotic equipment and equipment . Laparoscopic hysterectomy is divided into several types:
● Laparoscopic total hysterectomy (TLH) – both the uterus and the cervix are removed. The entire operation of TLH (including suture of vaginal vault) was performed laparoscopically. The excised uterine specimens are usually removed through the vaginal forum and can be removed as a whole or pulverized.
● Laparoscopic subtotal (super cervical) Hysterectomy – Laparoscopic subtotal hysterectomy (LSH) removal of the uterus, but retaining the cervix. Uterine specimens are removed through the manipulation hole or incision in the abdomen.
● Laparoscopic assisted vaginal hysterectomy – Laparoscopic assisted vaginal hysterectomy (LAVH) is a total hysterectomy.
Usually, laparoscopic methods are used to perform any required uterine adnexal surgery and control attachment blood supply (ligate the uterine ovarian ligament if the ovaries are preserved, or pelvic funnel ligament blood supply if the ovaries are removed). The remaining procedures are performed through the vagina, including access to the peritoneal cavity and ligation of the uterine blood vessels from below.
What are the common indications for hysterectomy?
Common indications for hysterectomy include: uterine fibroids, adenomyosis, idiopathic abnormal uterine bleeding, endometriosis , uterine prolapse , etc.
At the same time, hysterectomy can also be used for uterine cancer, ovarian cancer, fallopian tube cancer, peritoneal cancer and cervical cancer . For some patients with gynecological cancer, surgical staging and treatment can be performed laparoscopically.
Compared with other hysterectomy surgeries, laparoscopic hysterectomy has no unique indication. Compared with traditional abdominal surgery, laparoscopic hysterectomy is an minimally invasive method , which can reduce the incidence of complications, shorten the hospital stay, and patients can resume normal activities faster.
Although laparoscopy has relatively low complication risk, it still exists.About 4% of laparoscopic hysterectomy may be converted to laparotomy.
Potential complications include: bleeding, urinary tract injury, vaginal fracture cleavage and intestinal injury . Laparoscopic surgery has a higher risk of urinary tract injury and vaginal fracture cleavage than abdominal or vaginal hysterectomy.
For the loss of the uterus, the most concerned person may be: will
have any sequelae?
As an organ for menstruation and childbirth, losing the uterus means that there will be no more menstruation and no longer be able to have childbirth.
As for "women will age quickly after cutting the uterus", it is actually a common misinformation.
What is really more closely related to women's endocrine is the female ovaries. Hysterectomy does not necessarily remove the ovaries at the same time. For women who retain the ovaries and have normal functions, uterus resection will not lead to rapid aging.
There may be some anastomosis discomfort in women after the operation, and some women may feel pain in their lives, but for most women, since they choose hysterectomy, menstrual and fertility factors are often no longer necessary.
In another case, losing the uterus means psychological troubles.
In long-term consciousness and cognition, "uterus" is often given the meaning of female gender. Some people may even say, how can women without uterus be called women?
However, this awareness is originally wrong.
Because we are women, the body has evolved into the uterus. Whether it is a female or not, is the determined by our chromosomes, and it is not determined by whether there is a uterus.
Uterine, it is a unique organ for women. It can bring menstruation and also serve as a tool for pregnancy and childbirth. It is the key to human reproduction and reproduction.
However, even if the uterus is lost, women are still female , and their identities should not be different or negative.
I have encountered an example of how I can't pass the stance in my heart. I have clearly discovered the problem, but I have been hesitating and not choosing to cure it, which eventually leads to the spread of cancer. What is sad is that this so-called persistence and stubbornness of the so-called "female integrity" comes at the most precious life.
The uterus is an important organ of our body. No one will abandon it without need. However, if it becomes a lesion, or even a time bomb in life, or even a base for cancer cells, the so-called "women without uterus are incomplete" can be said to be simply nonsense.
The skin does not exist, where will the hair be attached?
Without health and life, how can we talk about completeness?
It seems that people always say that a life without marriage is incomplete, and a life without childbirth is incomplete. These so-called meanings are just the narrow cognition of some people.
Life is incomplete and cannot be determined by whether the body and organs are missing.
Whether a person lives a wonderful life, whether he is an excellent woman, has no necessary relationship with whether she has a uterus.
is like my sister, she is ordinary and great.
Although she is not well-educated and has no proud achievements, she is just an ordinary rural woman, but she relies on her own hands and never gives up despite her hard work for a long decade.
She has worked as a nurse, a small business, opened a copy type shop, set up a stall to sell New Year's paintings, and she insisted on it no matter how hard or tired she was, and educated her three children in their hard work and excellent manner.
The uterus is removed so that she will no longer have to suffer from menstrual periods and dysmenorrhea. She can enjoy her life freely and go wherever she wants, take her grandson to climb mountains, and take her granddaughter to the sea:
Even if she has no uterus, isn’t she a woman who lives well and has a complete life?
The uterus that once owned, when it has completed its main mission and transformed into the root cause of pain and torture, abandoning it can bring longer life, better quality of life, less pain and bleeding. Isn’t this another kind of completeness?
References:
[1]Langenbeck CJM. Geschichte einer von mir glucklich verichteten extirpation der ganger gebarmutter. Biblioth Chir Ophth Hanover 1817; 1:557.
[2]Burnham W. Extirpation of the uterus and ovaries for sarcomatous disease. Nelson's Am Lancet 1854; 8:147.
[3]Reich H, DeCaprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg 1989; 5:213.
Morgan DM, Kamdar NS, Swenson CW, et al. Nationwide trends in the utilization of and payments for hysterectomy in the United States among commercially insure women. Am J Obstet Gynecol 2018; 218:425.e1.
[4]Merrill RM. Hysterectomy survey in the United States, 1997 through 2005. Med Sci Monit 2008; 14:CR24.
[5]Walker JL, Piedmonte MR, Spirtos NM, et al. Laparoscopy compared with laparotomy for comprehensive scientific staging of uterine cancer: Gynecology Oncology Group Study LAP2. J Clin Oncol 2009; 27:5331.
[6]Walker JL, Piedmonte MR, Spirtos NM, et al. Recurrence and survival after random assignment to laparoscopy versus laparoscopy versus laparotomy for comprehensive scientific staging of uterine cancer: Gynecologic Oncology Group LAP2 Study. J Clin Oncol 2012; 30:695.
[7]Weber S, McCann CK, Boruta DM, et al. Laparoscopic explosive staging of early ovarian cancer. Rev Obstet Gynecol 2011; 4:117.
