Hysterectomy is considered one of the complex operations that women face, as it is resorted to before doctors in critical times when the health condition deteriorates dangerously and uncertainly. Therefore, today we will discuss the details of hysterectomy in a Dalili Medical,,  , in addition to the most important cases that call for this procedure, and the proper health management methods during these periods.

**What is the operation of uterine excision?**

 

Ureterectomy is a surgical procedure that involves the removal of the uterus, and it also includes the removal of the cervix, ovaries, and fallopian tubes. The main function of the uterus is to provide a safe environment for the growth of the fetus during pregnancy. In addition, menstruation occurs when the lining of the uterus is removed during menstruation. Therefore, the pregnant women who have undergone the operation of uterine ablation cannot get pregnant again, even if their menstruation stops.

**What is the duration of the uterus removal procedure?**

The process of hysterectomy usually takes one to three hours. And this duration varies according to the surgical method used, the complexity of the case, the size of the uterus, as well as the experience of the surgeon.

**What happens after the removal of the uterus?**

The organs adjacent to the uterus fill the space left by the uterus after its removal.

**How ​​does the hysterectomy affect the health of women and corpses?**

 

Before performing hysterectomy, the specialist must discuss the possible effects with the patient, including the effects of hysterectomy or ovaries, especially early menopause symptoms such as vaginal dryness and night sweats. Also, menopause affects the ability to conceive

**. Am I going to perform a hysterectomy?**

 

Laparoscopic hysterectomy by a specialist in gynecology and obstetrics, with the help of a medical team including surgeons and nurses, in addition to an anesthesiologist.

**Is it possible to sleep on the stomach after the hysterectomies?**

 

It is not recommended to sleep on the stomach after the operation, as this position puts pressure on the wound and tissue, which may delay the healing process.

**When can you go back to sleep naturally after hysterectomy?**

 

The doctor recommends sleeping on the back or side for a period of weeks after the operation until the healing is complete. After that, you can go back to sleep in the position you prefer, provided your doctor agrees.

Is the operation of hysterectomy painful?

 

Laparoscopic hysterectomy under general anesthesia, which means that the patient does not feel any pain during the operation. However, after the sedation wears off, you may feel a natural pain in the lower abdomen, which can be controlled by taking painkillers.

. How long does it take to heal from a hysterectomy?

 

Validity of the healing and recovery period after laparoscopic hysterectomy in Luxor compared to other hysterectomies. The patient can leave the hospital within one to four days, depending on the health condition. The doctor determines the complete healing and success of the operation after a period ranging from 4 to 6 weeks after the procedure.

. What is the appropriate food after the uterus removal operation?

 

During the recovery period, it is recommended to eat healthy foods rich in fiber such as vegetables and fruits, in addition to cooked fish and chicken. These foods help improve bowel movement and speed up the healing process.

Where does the egg go after hysterectomy?

 

The answer to this question depends on the type of operation. In the case of radical or alcoholic abortion, the ovaries are removed from the uterus, which leads to the woman reaching menopause and stopping the development of the ovaries after the abortion.

What happens after the removal of the uterus?

 

After the hysterectomy, the patient remains under observation in the recovery room, where the doctor prescribes painkillers to help alleviate any discomfort or pain she feels. In the case of abdominal hysterectomy, the patient must stay in the hospital for several days. But if the operation is performed under the microscope or through the vagina, usually these methods are less invasive, which means that there is no need to stay in the hospital overnight.

How long is the recovery period after hysterectomy?

 

The recovery period after hysterectomy is influenced by factors, including the type of operation, the general health of the patient, and any symptoms that appear during or after the operation. Usually, we have a recovery period after hysterectomies through the vagina or al-Monzaar, which requires a hysterectomies through the abdomen. The duration of the initial recovery period is about 4 to 6 weeks, and during this period the patient is advised to avoid strenuous activities or lifting heavy weights. However, it is important to note that full recovery and return to daily activities may take several months.

What happens after the removal of the uterus?

 

After the hysterectomy, the patient remains under observation in the recovery room, where the doctor prescribes painkillers to help relieve any discomfort or pain she feels. In case of abdominal resection, the patient must stay in the hospital for several days. But if the operation is performed under the microscope or through the vagina, usually these methods are less invasive, which means that there is no need to stay in the hospital overnight.

How long is the recovery period after hysterectomy?

 

The recovery period after hysterectomy is influenced by factors, including the type of operation, the general health of the patient, and any symptoms that appear during or after the operation. Usually, we have a recovery period after hysterectomies through the vagina or al-Monzaar, which requires the hysterectomies through the abdomen. The initial recovery period lasts about 4 to 6 weeks, and during this period the patient is advised to avoid strenuous activities or lifting heavy weights. However, it is important to note that full recovery and return to daily activities may take several months.

Is it possible to remove the uterus and leave the ovaries?

 

Yes, it is possible to remove the uterus and leave the ovaries, and this operation is known as removal of the uterus and leave the ovaries or removalHam Al Jazai In this surgery, the uterus is removed, leaving the healthy ovaries inside the body. This operation is suitable for women who suffer from problems related to the uterus such as fibroids or abnormal bleeding, without affecting the ovaries. Leaving the ovaries in this case helps to maintain the production of natural hormones such as estrogen and progesterone, which reduces the risk of health problems such as osteoporosis. or heart diseases that may result from the decrease in hormones after the removal of the ovaries. In addition, removing the uterus and leaving the ovaries allows women to maintain normal hormonal functions until they reach menopause naturally, providing long-term health benefits. Disputes with the specialist doctor to determine if it is suitable for each case.

What is surgical menopause?

 

Surgical menopause occurs when one or both ovaries are removed during the hysterectomy. This procedure can lead to sudden menopause, causing symptoms such as hot flashes, mood swings, vaginal dryness, and osteoporosis. The doctor recommended alternative hormone therapy to alleviate these symptoms.

When should I see the doctor after the hysterectomy?

 

The patient must consult the doctor immediately if any of the following symptoms appear after the hysterectomy:

- Heavy vaginal bleeding.

- Severe pain cannot be alleviated with medication, as it may be a sign of inflammation or other problems.

- High temperature above 38 degrees Celsius, which may indicate the presence of infection.

- Difficulty in breathing or pain in the chest, depending on the height, this indicates the presence of blood clots in the lungs.

- Urinary problems or the frequent need to urinate.

**Reasons for discharge from the vagina after the operation of the uterus removal**

Some women suffer from the discharge of vaginal secretions after the procedure of uterine ablation. These secretions are a natural part of the healing process, as they help the tissues heal and help expel excess fluids to prevent infection. Usually, these secretions last for up to 6 weeks, and they must be free of any foul or strong odor. Variations in vaginal secretions in terms of color and type, and each type carries a certain meaning:

- ** Bani Fateh's or Vardi's bloated secretions**: a common belief in the first days of the recovery period, and refers to the discharge of old tissues resulting from surgery.

- **Bile or green discharge**: usually indicates the existence of an infection, especially if it is thick or accompanied by a foul smell.

- **Mixed secretions in the breath**: this is considered normal after the surgery, but care must be taken. If you notice blood clots or severe bleeding, it is necessary to consult a doctor immediately.

** Causes of abdominal distension after hysterectomy **

Abdominal swelling after hysterectomy can be attributed to the carbon dioxide gas used during surgery, which helps the surgeon to see the female reproductive system clearly. Usually, this gas leads to bloating and pain in the abdomen and shoulder, but these symptoms usually disappear within a few hours.

In addition, general sedation, use of drugs, and lack of movement are considered factors that may contribute to the anxiety of the digestive system after surgery.

**Reasons for uterus removal**

The number of reasons that require the operation of hysterectomy, including:

- **Al-Oram al-Lifiya Uterhemia**: which causes symptoms such as heavy bleeding, and the length of the menstrual period, in addition to pelvic pain and pressure on the bladder or rectum.

**Endometrial migration**: where the tissue of the endometrium grows outside the normal places, which leads to the appearance of symptoms such as pain and infertility.

- **gynecological cancers**: such as uterine cancer, ovarian cancer, and cervical cancer.

- **Al-Azal al-Ghadi-Urhami**: This is a condition in which the lining of the uterus grows inside the muscular wall of the uterus, which leads to heavy bleeding and a long period of menstruation, in addition to pain and swelling of the uterus.

- **Chronic pelvic pain**: the cause of which is not clearly known, but it requires surgical intervention.

What are the types of hysterectomies?

 

There are several types of hysterectomies, which are as follows:

1. **Complete removal of the uterus**: It includes removal of the entire uterus, including the cervix.

2. **Partial hysterectomy**: It is also known as incomplete hysterectomy, where the upper part of the uterus is removed while keeping the cervix.

3. Radical hysterectomy: This operation is usually performed on women who suffer from some types of female cancer, including the removal of the uterus, cervix, upper part of the vagina, and surrounding tissues, such as lymph nodes.

4. **Bilateral hysterectomy**: This operation includes hysterectomy in addition to fallopian tubes and ovaries.

**partial hysterectomy**
During partial hysterectomies, the doctor removes a part of the uterus while keeping the cervix intact.

**Full Hysterectomy** In the complete hysterectomy, the doctor removes the entire uterus, including the cervix.

**Removal of the uterus, ovaries and fallopian tubes** During the procedure of hysterectomy with removal of one of the ovaries and fallopian tubes, the doctor removes the uterus with one of the ovaries or both.

**Hysterectomy after childbirth** In cases of emergency childbirth, the doctor may have to perform a hysterectomy to save the mother's life. Often, the reason behind the inability to stop bleeding is the presence of infection (blood poisoning) and the ineffectiveness of antibiotics, which calls for removal of the uterus.

What are the possible complications of hysterectomy?

 

Many women wonder how dangerous the operation of hysterectomy is, and the fact is that the percentage of risks associated with this operation is considered low. However, hysterectomy is a major surgical operationRisks. Among the complications that may occur as a result of this operation:

- Selebul.

- Prolapse of the vagina.

- Fistula formation (abnormal connection between vagina and bladder).

- Chronic pain.

- Inflammation of wounds.

- Blood clots.

- Bleeding from the vagina (bleeding that occurs after the operation)

**Advice after the hysterectomies**

The length of the patient's stay in the hospital ranges from one to five days, depending on the type of hysterectomies she underwent. During this period, the patient is advised to walk inside the hospital, as it helps to reduce the risk of blood clots in the legs. When you return home, it is necessary to continue walking, but you must avoid certain activities during the recovery period, such as:

- The practice of intercourse.

- Repelling or withdrawing objects, or bending.

- Removing heavy weights.

Many women wonder about the healing time of the wound of the hysterectomy, and it depends on the technique used in the operation. If the operation was performed through the vagina or laparoscopically, it is possible that the woman will be able to return to most of her daily activities within 4 to 6 weeks. But if the operation is performed through the abdomen, it may take a longer period of recovery, up to 6 to 8 weeks.

**Removal of uterus and conjugal love**

Regarding the effect of hysterectomy on marital life, it is recommended to stop having sexual intercourse for 6 to 8 weeks after the operation. However, after this period, marital life is expected to improve significantly. After hysterectomy, however, if the ovaries are removed during hysterectomy, it can weaken the desire to have intercourse, because the ovaries produce the hormone estrogen, which is the hormone which is considered an inseparable part of sexual desire stimulants.

How to proceed with the removal of the uterus?

 

The technology used to perform hysterectomy varies according to the experience of the surgeon, the reason for the hysterectomy, and the general health of the woman. The presence of a technician for hysterectomy surgery; The first one is the traditional or open surgery, and the other one is the minor surgery.

**Abdominal resection of the uterus**

This is the most common technique for hysterectomy, in which the uterus is removed through the abdomen through an open surgery. In order to perform open surgery, the surgeon makes an incision between 5-7 inches long, either vertically or horizontally, and then removes the uterus during this incision. And women ask about the hysterectomy for a short time, and the answer is that the hysterectomy with this technique takes 1-3 hours. Usually, the patient stays in the hospital for 2 to 3 days after the hysterectomy with open surgery. As for the shape of the abdomen, it appears with a clear scar at the time of the wound of the hysterectomy after healing.

**Removal of the uterus through the vagina**

There are several minimally invasive ways to perform hysterectomies, including vaginal hysterectomies. It includes the steps of removing the uterus through the vagina, standing up, making an incision in the vagina and removing the uterus during this incision, and then the incision is closed without leaving any obvious scar.

** Laparoscopic hysterectomy **

The length of the uterus removal process can be seen in the following ways and includes:

** Laparoscopic Hysterectomy **

This surgery is performed using a laparoscope, which is a tube equipped with a lighted camera. Surgical instruments can be inserted through small incisions in the abdomen or only through a single incision. The surgeon performs a hysterectomies under the microscope, showing the operation on the video screen.

**Uterine resection operation under vaginal view**
This process is completed using surgical tools and a scope, where the surgeon removes the uterus through the incision in the vagina.

**Robotic hysterectomy**

Similar to this method of laparoscopic hysterectomy, but the surgeon uses an advanced robotic system for external surgical instruments. This technology allows the surgeon to perform hysterectomy through a 3D screen.

**Long-term complications of hysterectomy**

Hysterectomy can lead to many side effects and complications in the near term, such as bleeding, vaginal secretions, and constipation. In addition, the appearance of other complications in the long term, among the most prominent ones:

. ** Vaginal prolapse** Although most women do not suffer from organ prolapse after uterine excision, this condition is a symptom of possible complications.

In some cases, the extent of prolapse in the pelvic organs, including the vagina, where the vagina is not connected to the uterus and cervix after the termination, which leads to the flexion of the vagina. In the most severe cases, the height of the upper part of the vagina protrudes visibly outside the body through the opening of the vagina.

Symptoms that indicate prolapse in the vagina include the following:

- Feeling of pressure in the genital area.

- Sensation of vaginal fullness.

- Problems in Tabriz.

- Difficulty emptying the bladder.

- Feeling pain during intercourse.

In simple cases of vaginal prolapse, the appropriate treatment may be to do exercises to strengthen the pelvic floor muscles, such as Kegel exercises. But in advanced cases, it may require surgical interventions such as strengthening the vaginal wall.

**. Menopause** When the operation of removing the uterus and ovaries is performed, the patient may experience menopause immediately, and this interruption may last for many years. Also, the symptoms of menopause may be more severe compared to normal menopause. These symptoms include:

- Hot flashes.

- Decreased sexual desire.

- Mood swings.

- Vaginal dryness.

- Pain during sex.

The causes of these symptoms are usually due to changes in estrogen hormone levels, so hormone therapy may be the most appropriate treatment option.

In other cases, complete removal of the uterus without removal of the ovaries, and in this case, heightMenopause does not happen immediately, but it is expected to happen sooner than usual, i.e. after about a year to two years after the procedure.

**. Increased risk of heart disease ** Women who undergo hysterectomy face an increased risk of heart disease, even if the ovaries are not removed.

Also, younger women, those who do not exceed 35 years of age and those who undergo hysterectomy, are more susceptible to heart diseases, such as:

- Congestive heart failure.

- Other heart diseases.

The patient can undergo hysterectomy before the age of 35 years, but the risk of heart disease increases with age. Therefore, doctors are advised to review alternative treatment options such as hormone therapy before deciding to perform hysterectomy.

**. Increased risk of mental illness** Some mental disorders may be one of the possible long-term complications of hysterectomy, where the patient loses the ability to conceive and give birth, which may lead to an increased risk of depression, anxiety and other mental illnesses over time.

**. Other complications** The hysterectomy may lead to an increase in the possibility of some diseases in the long run, including these diseases:

- High blood pressure.

- Lipid disorders.

- Al-Samna

**physical effects**
The physical effects of hysterectomy include the following:

**Pain** It is normal for a woman to feel pain after a hysterectomy, and she needs to stay in the hospital for a day or two. During this period, painkillers are given, which are usually given intravenously. Usually, the pain caused by hysterectomy lasts for several days, and it is necessary to consult a doctor if you feel severe pain in the area of ​​the operation.

**Blood vaginal discharge** including the side effects of hysterectomy, discharge of bloody vaginal discharge during the days or weeks after the operation, which is completely normal. Usually, the amount of these secretions is moderate and less than that which occurs during menstruation. Vaginal bleeding can last up to 6 weeks, and during this period, women may need to use sanitary napkins. However, some women report severe vaginal bleeding. After hysterectomy, blood clots, or strong-smelling secretions, which may indicate complications. Therefore, the woman must inform the doctor immediately if these symptoms appear after the operation.

**Digestive disorders** Digestive disorders are common side effects after hysterectomy, where some women suffer from temporary constipation. Below are some useful options for relieving constipation after removal of the uterus.

**Increased intake of fiber and fruits in the diet** Eating laxatives after the operation may help to avoid stress during defecation, which may contribute to speeding up the healing process. Also, light pressure on the abdominal area may facilitate emptying of the intestines in some cases. Among other digestive disorders that may occur after the hysterectomy, symptoms such as nausea and vomiting may appear.

**Discomfort in the area of ​​the operation** The woman suffers from the following symptoms during the operation of the uterus removal during the weeks following the operation:

- Pain

- swelling

- Red

- First aid

- Al-Harqan or Al-Hikah near me al-Jarh

- Al-Khadran Kabar Man Al-Jarh or Ashal Al-Saq

**Complications of hysterectomy in the near term**

After reviewing the long-term complications of hysterectomy, let's not mention some physical and psychological complications that may appear on the patient immediately after the procedure, including:

- Pain, swelling and redness in the affected area

- Khadr near me Makan al-Shaq

- The appearance of menopause symptoms in the case of ovarian ablation as well

- Bloody vaginal secretions during the days after the operation

**Instructions after the hysterectomies**
Here are the most important instructions and tips that citizens must follow to ensure the speed of wound healing and full recovery after hysterectomy, which is a major surgery that requires care and attention:

1. **Rest**: It is recommended to take complete rest and avoid any physical exertion or lifting heavy objects, especially during the first week after the operation.

2. **Walking**: It is preferable to take a light walk to stimulate blood circulation and help the body to recover energy, which helps to speed up the wound healing process.

3. **Wound Care**: It is necessary to keep the wound clean and dry to avoid any infection. A woman can shower the day after the operation with the necessity of covering the wound well, and she can shower freely after 4 weeks to ensure the wound heals well.

4. **Avoid rushing to return to work**: You must not rush to return to work, and give the body enough time to recover, which usually takes 4 to 8 weeks.

5. Monitoring symptoms: You must pay attention to any abnormal changes or symptoms in your physical condition, such as feeling severe pain in the abdomen or lower back, which does not improve with painkillers, high temperature, or severe and continuous vaginal bleeding, or Abnormal secretions or tail man al-jarh. These symptoms may indicate the presence of an infection or a problem that calls for immediate contact with the attending physician.

**Tips for sleep and recovery after hysterectomy**

To ensure a comfortable sleep and smooth recovery period after hysterectomy, it is recommended to follow your doctor's instructions, which may include the following:

- Make sure to get enough rest and sleep whenever possible, as this is considered an essential part of the recovery process.

- Using durable and high-quality medical pillows.

- Get up slowly and in a comfortable way when you wake up from sleep, and avoid rushing to avoid feeling pain.

- Try to walk daily as much as you can, gradually increasing the distance.

- Avoid lifting weights.

- Hafizi on the cleanliness of Al-Jarh area, Wastakhd A pillow to relieve pain when coughing or laughing.

- It is necessary to take the prescribed medicines.

- Consult your doctor about your daily routine, driving, bathing, intimate love, wound care, and any other questions you may have.

- Drink enough water to help prevent constipation.