This is an automatically translated article.
The article is expertly consulted by Master, Doctor Le Nhat Nguyen - Obstetrician-Gynecology Specialist - Vinmec Danang International General Hospital.Total hysterectomy is a major surgery, it will greatly affect a woman's endocrine. Therefore, before deciding to have a complete hysterectomy, the doctor will consider and prioritize the benefits in which cases should completely remove the uterus.
1. Total hysterectomy
A hysterectomy is a surgery to remove the uterus. It may also involve removal of the cervix, ovaries, fallopian tubes, and other surrounding structures.Usually hysterectomy is performed by a gynecologist, hysterectomy can be complete removal (removal of the uterus and cervix) or partial removal of the uterus (removal of the uterus). while keeping the cervix intact). This is the most commonly performed gynecological surgical procedure.
A complete hysterectomy makes it impossible for the patient to have children (as does the removal of the ovaries and fallopian tubes) and carries risks of surgery and long-term effects. So hysterectomy is usually only recommended when other treatment options have not worked or have failed. Studies suggest that in some cases there are alternatives to reduce the frequency of hysterectomy for nonmalignant indications.
Surgery to remove the ovaries, also known as oophorectomy, is often done along with a hysterectomy to reduce the risk of ovarian cancer. However, recent studies have shown that prophylactic oophorectomy without urgent medical indications significantly reduces a woman's survival rate and has serious side effects. other This effect is not limited to premenopausal women, and even women who have entered menopause have been shown to experience a decline in survival following oophorectomy.
A hysterectomy is a major surgical procedure with risks and benefits that greatly affect a woman's hormonal balance and overall health for the rest of a woman's life. . Therefore, total hysterectomy is often recommended as a last resort to correct some possible uterine or reproductive system conditions.
Phẫu thuật cắt bỏ tử cung hoàn toàn
2. Indications and contraindications
2.1 Indications Uterine Fibroids Endometrial hyperplasia with no results Endometrial treatment has no results Menorrhagia and unsuccessful internal treatment Cervical lesions include: CIN II, CIN III, CIS Endometrial cancer Early stage After abortion with indication for hysterectomy 2.2 Contraindications Patients with contraindications to laparoscopic surgery Endometrial cancer, cervical cancer, ovarian cancer in late stage Removal A complete uterus would make it impossible for the patient to bear children and risk surgery and long-term effects. Therefore, total hysterectomy is indicated in cases where other treatment options are ineffective or have failed.At Vinmec Danang International General Hospital, complete hysterectomy has been performed with a success rate of over 99%. Performed by Dr. Huynh Cong Tan and Doctor Le Nhat Nguyen, along with modern equipment, full HD gynecological endoscopy system and tumor grinder (removing tumors through laparoscopic surgery, no need to make an incision along with the bag). take u ).
Doctor Le Nhat Nguyen has more than 20 years of experience in the field of Obstetrics and Gynecology. Formerly a doctor of obstetrics and gynecology at Gia Dinh People's Hospital in Ho Chi Minh City. BS has high expertise and strength in the diagnosis and treatment of Obstetrics and Gynecology diseases. Currently a Doctor of Obstetrics and Gynecology - Vinmec International Hospital Da Nang.
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