BMI Healthcare’s Miss Zoe Woodward discusses Hysterectomy treatment

A hysterectomy is an operation which involves
removal of the womb or the uterus. There are different ways of physically undertaking
a hysterectomy. Traditionally this was through a cut in the
tummy. We can also perform a hysterectomy through
the vagina and that’s called a vaginal hysterectomy, and more recently through the advances of
keyhole surgery. So there are many reasons why somebody may
be considering or have been recommended to have a hysterectomy. If somebody has a cancer of the ovary or uterus
then it may be recommended that they have a hysterectomy as part or all of their treatment. Other fairly common reasons for a hysterectomy
may be large fibroids or problems with pelvic pain
or heavy periods. A hysterectomy is a major operation and there
are both short and long term side effects. So one of the short term side effects can
be a complication such as an infection. That may be an infection in the wound itself
or in the bladder. Another initial side effect or complication
could be a thrombosis and that’s why it’s so important when people do go home that they
stay mobile and do go for gentle walks frequently throughout the day
to reduce this risk. More long term side effects can be hormonal,
especially if the ovaries have been removed at the time of hysterectomy, but it can also
be psychological and emotional and this can be discussed with the
gynaecologist or the GP. Probably the most important determinator
of how long somebody stays is the type of hysterectomy they undergo. So for example a hysterectomy that’s performed
through a cut in the tummy takes longer, generally, to recover from than one that’s performed
through keyhole surgery. A laparoscopic hysterectomy, most women would
be in hospital for up to 24 hours but often during the first couple of weeks of being
back home they may feel extremely tired and I would recommend that they have as much help
as possible with day to day activities. So most people would start to resume physical
activity at around four to six weeks, with the majority of women
being back at the gym, if they’ve previously been gym users,
at six to eight weeks. The earliest somebody would return to work
is generally about four weeks post-procedure but many women would not be ready to go back
to work till at least six weeks.

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