Hysterectomy, (Removal of Uterus) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
5/5
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About this ebook
Hysterectomy is the surgery to remove the whole uterus.
It may be done through:
1. Vaginal hysterectomy
A surgical cut in the vagina, and using a laparoscope
2. Abdominal hysterectomy
A surgical cut in the belly (called open or abdominal)
3. Laparoscopic hysterectomy
Three to four small surgical cuts in the belly and then using a laparoscope
4. Robotic hysterectomy
Three to four small surgical cuts in the belly, in order to perform robotic surgery
The patient and the doctor will have to select which form of procedure is suitable.
The selection will be dependent on the medical history and the reason for the surgery.
It may be a choice if the patient does not want children, medicines do not work, or the patient cannot have any other interventions.
The main types of hysterectomy are.
1. Total hysterectomy
During a total hysterectomy, the uterus (womb) and cervix (neck of the womb) is removed.
2. Subtotal hysterectomy
A subtotal hysterectomy requires excising the main body of the uterus and leaving the cervix behind
3. Total hysterectomy with bilateral salpingo-oophorectomy
A total hysterectomy with bilateral salpingo-oophorectomy is a hysterectomy requiring removal of:
a. The fallopian tubes (salpingectomy)
b. The ovaries (oophorectomy)
4. Radical hysterectomy
A radical hysterectomy is normally carried out to eliminate and treat cancer when other treatments such as chemotherapy and radiotherapy are not effective or have not succeeded.
During the surgery, the body of the uterus and cervix is excised, along with:
a. The fallopian tubes
b. Part of the vagina
c. Ovaries
d. Lymph glands
e. Fatty tissue
The most frequent reasons for having a hysterectomy are:
1. Heavy periods – which can be induced by fibroids
2. Pelvic pain – which may be produced by endometriosis, pelvic inflammatory disease (PID), adenomyosis or fibroids
3. Prolapse of the uterus
4. Cancer of the uterus, ovaries or cervix
5. Heavy menses
Preoperative Details
1. Stop smoking
2. Eat a healthy, balanced diet
3. Exercise regularly
4. Lose weight
The patient may be requested to stop taking aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), and any other drugs similar to these
Postoperative Details
Following surgery, the patient will be prescribed pain medicines.
The patient may also have a tube, termed a catheter, passed into the bladder to pass urine.
The patient will be asked to move around as soon as possible following the surgery.
The patient may go back to a normal diet as soon as the patient can without inducing nausea and vomiting.
The duration that the patient stays in the hospital is dependent on the type of hysterectomy.
The patient can probably go home the next day when surgery is done through the vagina using a laparoscope or following robotic surgery.
When a larger surgical incision in the abdomen is made, the patient may require staying in the hospital 1 to 2 days.
Following a hysterectomy, the patient may have some temporary side effects:
1. Bowel and bladder disturbances
It is advised that the patient drinks plenty of fluids and increases the fruit and fiber in the diet to help with the bowel and bladder movements.
2. Vaginal discharge
Following a hysterectomy, the patient will have some vaginal bleeding and discharge.
Average recovery times are:
Abdominal hysterectomy: 4 to 6 weeks
Vaginal hysterectomy: 3 to 4 weeks
Robot-assisted or total laparoscopic hysterectomy: 2 to 4 weeks
A hysterectomy will cause menopause if the patient also have the ovaries removed.
TABLE OF CONTENT
Introduction
Chapter 1 Hysterectomy
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Uterine Cancer
Chapter 8 Uterine F
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Hysterectomy, (Removal of Uterus) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Hysterectomy,
(Removal of Uterus)
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2017 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Hysterectomy, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to know about Hysterectomy)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Conditions
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical conditions.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Hysterectomy
Hysterectomy is the surgery to remove the whole uterus or womb.
The uterus in a woman is a hollow muscular organ that provides nourishment for the developing baby during pregnancy.
Hysterectomy Procedure
The patient may have all or part of the uterus excised during a hysterectomy.
The fallopian tubes and ovaries may also be excised.
There are many different methods to do a hysterectomy.
It may be done through:
1. Vaginal hysterectomy
A surgical cut in the vagina, and using a laparoscope
2. Abdominal hysterectomy
A surgical cut in the abdomen (called open or abdominal)
3. Laparoscopic hysterectomy
Three to four small surgical cuts in the abdomen and then using a laparoscope
4. Robotic hysterectomy
Three to four small surgical cuts in the abdomen, in order to perform robotic surgery
The patient and the doctor will have to select which form of procedure is suitable.
The selection will be dependent on the medical history and the reason for the surgery.
It may be a choice if the patient does not want children, medicines do not work, or the patient cannot have any other interventions.
Hysterectomy is the term used for the surgery to remove the uterus.
The fallopian tubes and ovaries may also be surgically excised.
The surgery the patient has will be dependent on the reason for surgery and the quantity of the uterus (womb) and reproductive system that can safely be left behind.
The main types of hysterectomy are.
1. Total hysterectomy
During a total hysterectomy, the uterus (womb) and cervix (neck of the womb) is removed.
A total hysterectomy is normally the favored surgery over a subtotal hysterectomy, because removing the cervix means there is no danger of the patient forming cervical cancer at a later date.
2. Subtotal hysterectomy
A subtotal hysterectomy requires