Closed Hysterectomy

What is Closed Hysterectomy?

Laparoscopy; These are surgical procedures performed only through a few small incisions made in the abdominal area, without making deep incisions. One of the areas where laparoscopy is most frequently used is gynecology and obstetrics. It is the most preferred surgery method, especially to remove myomas, cysts and remove the uterus.

How is Closed Hysterectomy Performed?

Closed hysterectomy; It is performed under general anesthesia. Therefore, no pain or suffering is felt during the surgery. During the procedure, micro cameras with a light source at the end, called "laparoscopes", are used. Since these cameras clearly show the inside of the abdominal area, there is no need to make large incisions and completely open the uterus. To send the laparoscope to the abdominal area, a thin incision is made in the abdominal area. In order to continue the surgical procedure during imaging, several thinner holes are made next to this incision. Surgical intervention is performed in this area using appropriate techniques.
Nowadays, almost all hysterectomy surgeries are performed with this method. The uterus is safely removed through the incisions made and the procedure is completed.

How Long Does Closed Hysterectomy Take?

Surgery times are almost the same for open and closed methods. Hysterectomy is completed in approximately 1 – 1.5 hours. However, this period may be extended or shortened depending on the characteristics of the uterus and the patient. Factors affecting this period include:

• Uterine size,
• The type of pathology in the uterus,
• There are adhesions in the abdomen
• These are the factors that affect the duration of closed hysterectomy.

What should be taken into consideration after closed hysterectomy?

Things to consider after closed hysterectomy can be listed as follows:
After the Closed Uterus Operation Total Laparoscopic Hysterectomy Surgery, your doctor will tell you what we should do or what we should not do.
Bathing is allowed 2 days after the operation; However, it should be done as a standing shower. Do not enter the bathtub for 40 days.
You should not swim in the sea or have sexual intercourse for 40 days.
There is no need to go for stitches again after being discharged because the stitches will fall off on their own within 10 days.
There may be spotting for 1-2 weeks after the surgery.
Do not skip the medications prescribed by your doctor, such as antibiotics, painkillers and iron preparations.
Come for a check-up after 1 week and 40 days.
These are the things to consider after closed hysterectomy.

Is Hysterectomy Surgery Risky?

The risk is much lower in uterine surgeries performed with the closed method. Because in uterine surgeries performed by open surgery method, there is a risk of intrauterine adhesion formation. Although this risk is quite low in surgeries performed with the closed method, the experience of the doctor is very important. If it is performed carefully by a specialist physician, the risk of closed hysterectomy is quite low.