Uterus surgery

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Hysterectomy (removal of uterus)

Uterus may be removed for different reasons (excessive bleeding, fibroids, cancer, endometriosis, adenomyosis, uterine prolaps). Hysterectomy performs by vaginal, laparoscopic and abdominal route. Some studies showed that removal of fallopian tubes at the time of hysterectomy reduces the risk for ovarian cancer.

Vaginal hysterectomy

Vaginal hysterectomy is surgical procedure to remove the uterus through vagina. The surgery takes about 45 minutes and the patient leaves the hospital usually day after the surgery.

Laparoscopic hysterectomy

Laparoscopic hysterectomy performs through small abdominal incisions by long instruments placed through incisions. Uterus removes through incision in vagina. The surgery takes about 60 minutes and the patient leaves the hospital usually the day after the surgery.

Abdominal or open hysterectomy

Abdominal or open hysterectomy is treatment for large uterus and some cancer diseases. The surgery takes about 45-90 minutes and hospital stay is 2-4 days. Reconvalescence is longer than after vaginal and laparoscopic hysterectomy.

Myomectomy (fibroid removal)

Myomectomy performs for symptomatic myoma (fibroids) in women in reproductive age. The surgery may be performed by laparoscopy, hysteroscopy and through abdominal incision. Hospital stay is some hours after hysteroscopic surgery, one day after laparoscopy and two to four days after abdominal myomectomy.

Polypectomy or polyp removal

Polypectomy or polyp removal se izvode histeroskopskom metodom ako je polip u materičnoj duplji ili jednostavnim ,,presecanjem” polipa adekvatnim hirurškim instrumentom  ako je polip na grliću materice. Najčešće se radi u lokalnoj anesteziji, ali se može raditi i u opštoj anesteziji. Pacijent se otpušta neposredno posle intervencije.

Septum resection

Septum resection se izvodi histeroskopski (kamera i instrumenti se ubace kroz grlić materice) u lokalnoj ili opštoj anesteziji. Pacijentkinja se otpušta neposredno posle intervencije.

Conisation of the cervix

Conisation of the cervix je odstranjivanje dela grlića materice kod ćelijskih promena ili početnog stadijuma karcinoma grlića materice. Izvodi se najčešće u lokalnoj anesteziji instrumentom u obliku omče koji je povezan na određeni izvor energije. Radi se ambulantno. Može se raditi i u opštoj anesteziji u dogovoru sa pacijentkinjom.