The hysterectomy (removal of the uterus) is a procedure which can be quite traumatic for a woman. For this reason, this type of surgery must be performed in a hospital which offers the best health care and most up-to-date methods and technologies. It is also important that the hospital offers the best psychological care.
There can also be positive effects of having a hysterectomy as the procedure can alleviate and prevent painful symptoms.
Vithas Xanit International Hospital offers a psychology department that works closely with the rest of the medical team to help women through this process.
The procedures involved in carrying out a hysterectomy have evolved over time and today are performed using minimally invasive techniques. A woman can undergo a total hysterectomy, a subtotal hysterectomy, a radical hysterectomy, or a hysterectomy with adnexectomy. Depending on the individual case, we offer advanced laparoscopic surgery as the preferred option.
LIGATURE OF THE FALLOPIAN TUBES
The ligature of the fallopian tubes, also known as tubal ligation, is a surgical procedure used to close the fallopian tubes. These tubes connect the ovaries to the uterus. A woman who has undergone this procedure is unable to become pregnant naturally.
Reasons for undergoing a tubal ligation
- In cases where adult women do not wish to have future pregnancies
- In order to reduce the risk of going on to develop ovarian cancer
The tubal ligation procedure
The surgeon makes small incisions in the abdomen through which a probe is introduced with a camera as well as the instruments required to carry out the internal surgery.
The stomach is inflated with gas, in order that the surgeon can clearly see the uterus and the fallopian tubes.
The tubes are then blocked using various techniques: cortarisation or by sealing them with a small clip or band.
Type of surgery and anesthesia
This is a minimally invasive surgery (laparoscopic). It lasts approx 30 minutes.
The procedure is carried out using general anesthesia.
The patient normally remains in hospital for 24 hours.
The recuperation is fast, but it is recommended that the patient does not lift heavy objects for 3 weeks.
After one month an ultrasound examination is carried out in order to verify that the tubes are blocked. During this period it is advisable to use some form of contraception.
The ligature of the fallopian tubes is not a reversible procedure.
In some specific cases a major surgery, called recanalisation, can restore the capacity to become pregnant.
However an hysteroscopic tubal occlusion is very difficult to reverse.
Therefore it is posible to freeze the ovum prior to sterilisation as a method of preserving fertility.
IVF is an alternative to recanalisation.
HYSTERECTOMY: REMOVAL OF THE UTERUS (PARTIAL HYSTERECTOMY – TOTAL HYSTERECTOMY)
Reasons for undergoing an hysterectomy:
- Cancer of the uterus, cervix cancer of the uterus, cancer of the ovaries
- Uterine fibroids: fibroids
- Uterine prolapse
Depending on the individual case, a hysterectomy may include the removal of various organs of reproductive organs:
- The total hysterectomy – removal of the uterus and the cervix
- The subtotal hysterectomy – uterus removal
- The radical hysterectomy – removal of the uterus and the lymphatic ganglions
- The hysterectomy with adnexectomy : removal of the uterus, the ovaries and fallopian tubes
There are various techniques for removing the uterus:
- Abdominal incision:
An incision in the abdominal wall is performed either horizontally or vertically (depending on the case), to remove the uterus.
- Vaginal surgery:
The uterus is removed through the vagina. This technique can be performed by laparoscopy, and just with small abdominal incisions.
Type of surgery and anesthesia:
Depending on the type of surgery, the characteristics of the pathology, and the individual, this intervention can be performed with general or locoregional anesthesia
- In the case of the of abdominal hysterectomy, surgery usually lasts for approx. 1 hour and the patient remains in hospital for 4 to 7 days
- In the event of vaginal or laparoscopic hysterectomy, the patient remains in hospital for 2 to 4 days.
Post-operative care after a hysterectomy:
Visit to the doctor is recommended 1 month after the surgery.
HYMENOPLASTY – RECONSTRUCTION OF THE HYMEN
Procedures for a hymenoplasty
There exist various techniques for reconstructing the hymen:
- A technique which joins the remainder of the hymen to the vagina:(#0190A.1)
This is the easiest technique, but does not result in the most secure reconstruction.
Ideally it is recommended that this is carried out between 3 days -1 week prior to the wedding.
- The Alloplant technique:
Alloplant is a biological material. This membrane is implanted at the entrance to the vagina, as if it were the hymen.
As with the stitching of the hymen, this can be carried out shortly before the wedding night.
- A more complicated technique is vaginal plastic surgery.
This consists of taking a small portion of the vaginal mucosal tissue and stiching it. The surgeon makes an incision in both sides of the vaginal tissue and joins it together.
In this case it is recommended that the surgery is carried out a month prior to the wedding night. This will allow sufficient time for the wounds to heal.
A full study of the patient will indicate which method is best suited to their requirements.
Type of surgery and anesthesia
These are generally short, straight forward surgeries which can be carried out under local anesthesia.
Patients do not require hospitalisation following these procedures.
The stitches are dissolvable.
It is recommended that patients have a check-up 15 days after the procedure.
1- Information and reasons for your gynecological surgery
Within 24 hours of receiving your request for information, we will contact you by e-mail or phone to assess your needs, identify your reasons for surgery and answer your questions directly.
2- Diagnosis and selection of procedure
To begin with we recommend that you visit our Obstetrics and Gynecology Unit In order that the specialist can discuss your case, and decide which kind of hysterectomy surgery best suits your particular requirements.
- Medical records:
We will send you a list of examination and medical tests results that we will need to see during your first visit to Vithas Xanit International Hospital. In the event that our doctors deem necessary an additional screening test, this could be carried out during the same visit (except in the case of tests which require anesthesia in which case they will need to be pre-booked). You may send a copy of your medical information before planning you first visit.
The professionals involved in the diagnosis and treatment of gynecological conditions will study your medical records, the medical records, the results of tests and examinations, and will establish a precise and reliable diagnosis. We will assist you in choosing with you the type of hysterectomy surgery which is best suited for your particular case.
We will provide you with complete information: treatment process, programming and a detailed quote.
3- Hysterectomy process
- Hysterectomy protocol
The process and the scheduling of your hysterectomy will depend on your particular case.
- An assigned medical team
Throughout the treatment process, you will always treat by the same team of doctors.
4- Your travel arrangement and your gynecological treatment
Once your hysterectomy surgery has been confirmed and accepted, our International Services Team at Vithas Xanit International Hospital will be at your disposal to assist you with the organising of your trip to Malaga and will remain in contact with you.
5- Your arrival
Upon your arrival in Malaga, a representative of Vithas Xanit International Hospital will be waiting to greet you. We will help you to organise your transfers and accompany you to our hospital.
6- Follow-up after your hysterectomy
- Maintaining contact with you.
Once you have been discharged our International Services Team will be at your disposal should you require any further medical assistance, and shall assist you with any administrative requirements that you may have.
- Informing your referring doctor.
We shall provide you with a full medical report which you can give to your own doctor back home.