A radical hysterectomy - surgery, during which removes the uterus , ovaries, fallopian tubes, vagina, regional lymph nodes and contiguous adipose tissue. Operation of The is Carried out AT the cancer of the cervix and the uterus, of ovarian cancer, of endometriosis.
A radical hysterectomy may be performed: abdominal - through the anterior abdominal wall, vaginal and laparoscopic access.
Abdominal access (laparotomy) in radical hysterectomy is used by surgeons clinics Israel for large size of the tumor and the transition of the malignant process on the pelvic tissue. The operation is performed under general anesthesia. Duration of surgery - 90-120 minutes. After the surgery, the woman seen inthe clinic Assuta 4-5 days. To prevent recurrence after surgical treatment offers courses of radiotherapy and chemotherapy treatment of uterine cancer.
Israel used minimally invasive surgery using laparoscopic techniques.
Laparoscopic radical hysterectomy may be performed in the following diseases:
- Severe cervical displaziay
- preinvasive cervical cancer
The operation is performed using laparoscopic instruments through the abdominal access. Through small incisions in the abdominal wall into the abdominal cavity entered surgical instruments and a video camera.
It can be used and laparoscopic vaginal radical hysterectomy. The complex organ is removed through the posterior vaginal fornix. The operation is performed under general anesthesia.
The advantages of laparoscopic vaginal access - small trauma and shorter rehabilitation period.
Laparoscopic radical hysterectomy is not carried out in the later stages of cancer, the large size of the uterus and uterine prolapse.
Restoration of the patient after the surgery takes 6-8 weeks. Recommended load limit, nutrition, physiotherapy, sexual abstinence.