Does hysterectomy require surgery?

Whether hysterectomy requires surgery depends on the surgical method, which mainly includes abdominal hysterectomy, laparoscopic hysterectomy, vaginal hysterectomy, etc. Traditional laparotomy surgery requires an incision, while laparoscopic and vaginal surgery are minimally invasive methods that do not require an incision.

Abdominal hysterectomy requires an incision in the lower abdomen and is suitable for cases where the uterus is too large, combined with severe pelvic adhesions or malignant tumors. The surgical field of view is wide and easy to operate, but the trauma is large, the postoperative recovery is slow, and long scars may be left. Laparoscopic hysterectomy is performed through 3-4 small holes in the abdomen. Laparoscopic instruments are used to remove the uterus. It has less bleeding and fast recovery. It is suitable for patients with good uterine mobility and medium size. Vaginal hysterectomy is performed through the natural vaginal canal without abdominal incision, but it requires high technical skills from the surgeon and is suitable for uterine prolapse or small benign lesions.

The choice of surgical method requires comprehensive consideration of factors such as uterine size, nature of the disease, pelvic condition, and the patient's underlying disease. Patients with severe cardiopulmonary disease may be more suitable for minimally invasive surgery, while malignant tumors require laparotomy to ensure the range of resection. Ultrasound, MRI and other examinations need to be completed before surgery to evaluate the uterine morphology, and the doctor will formulate a plan based on individual conditions. After surgery, you should pay attention to keeping the wound clean, avoid lifting heavy objects and strenuous exercise, follow the doctor's advice to use antibiotics to prevent infection, and review the recovery regularly.

After surgery, you can take an appropriate amount of high-quality protein such as fish and soy products to promote tissue repair, and eat more fresh vegetables and fruits to prevent constipation. Maintain a regular schedule, and prohibit bathing and sexual intercourse within 6-8 weeks. If fever, abnormal bleeding, or persistent pain occurs, seek medical attention promptly. Psychologically, you need to correctly understand the necessity of surgery, and if necessary, seek professional psychological counseling to help you adapt to physical changes.