Enlarged uterus due to adenomyosis or polyfibromatous with complaints of pain or abnormal blood loss( generally heavy bleeding) or compression of bladder of bowel. Diagnosis is made clinically and can be confirmed by ultrasound if necessary. We can check hemoglobin for anemia. This is an indication for an hysterectomy.
A hysterectomy is an operation to remove a woman's uterus. In a supracervial or subtotal hysterectomy, a surgeon removes only the upper part of the uterus, keeping the cervix in place. A total hysterectomy removes the whole uterus and cervix. In a radical hysterectomy, a surgeon removes the whole uterus, tissue on the sides of the uterus, the cervix, and the top part of the vagina. Radical hysterectomy is generally only done when cancer is present.
- Uterine fibroids that cause pain, bleeding, or other problems
- Uterine prolapse, which is a sliding of the uterus from its normal position into the vaginal canal
- Cancer of the uterus, cervix, or ovaries
- Abnormal vaginal bleeding
- Chronic pelvic pain
- Adenomyosis, or a thickening of the uterus
An abdominal hysterectomy is an open surgery. This is the most common approach to hysterectomy, accounting for about 65% of all procedures.
To perform an abdominal hysterectomy, a surgeon makes a 5- to 7-inch incision, either up-and-down or side-to-side, across the belly. The surgeon then removes the uterus through this incision.
Following an abdominal hysterectomy, a woman will usually spend 2-3 days in the hospital. There is also, after healing, a visible scar at the location of the incision.
Risks and Complications
Wound infections, blood clots, hemorrhage, and injury to surrounding organs. Fistula formation (an abnormal connection that forms between the vagina and bladder) or intra-abdomen adhesion which induced chronic pain.
The procedure cost is about 120,000-130,000 NTD, prices are subject to change without prior notice, need to pay in accordance with the actual medical expenses.