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＜p＞Hysterectomy is the surgery to remove the whole uterus.＜br /＞It may be done through:＜br /＞1. Vaginal hysterectomy＜br /＞A surgical cut in the vagina, and using a laparoscope＜br /＞2. Abdominal hysterectomy＜br /＞A surgical cut in the belly (called open or abdominal)＜br /＞3. Laparoscopic hysterectomy＜br /＞Three to four small surgical cuts in the belly and then using a laparoscope＜br /＞4. Robotic hysterectomy＜br /＞Three to four small surgical cuts in the belly, in order to perform robotic surgery＜br /＞The patient and the doctor will have to select which form of procedure is suitable.＜br /＞The selection will be dependent on the medical history and the reason for the surgery.＜br /＞It may be a choice if the patient does not want children, medicines do not work, or the patient cannot have any other interventions.＜br /＞The main types of hysterectomy are.＜br /＞1. Total hysterectomy＜br /＞During a total hysterectomy, the uterus (womb) and cervix (neck of the womb) is removed.＜br /＞2. Subtotal hysterectomy＜br /＞A subtotal hysterectomy requires excising the main body of the uterus and leaving the cervix behind＜br /＞3. Total hysterectomy with bilateral salpingo-oophorectomy＜br /＞A total hysterectomy with bilateral salpingo-oophorectomy is a hysterectomy requiring removal of:＜br /＞a. The fallopian tubes (salpingectomy)＜br /＞b. The ovaries (oophorectomy)＜br /＞4. Radical hysterectomy＜br /＞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.＜br /＞During the surgery, the body of the uterus and cervix is excised, along with:＜br /＞a. The fallopian tubes＜br /＞b. Part of the vagina＜br /＞c. Ovaries＜br /＞d. Lymph glands＜br /＞e. Fatty tissue＜br /＞The most frequent reasons for having a hysterectomy are:＜br /＞1. Heavy periods ? which can be induced by fibroids＜br /＞2. Pelvic pain ? which may be produced by endometriosis, pelvic inflammatory disease (PID), adenomyosis or fibroids＜br /＞3. Prolapse of the uterus＜br /＞4. Cancer of the uterus, ovaries or cervix＜br /＞5. Heavy menses＜br /＞Preoperative Details＜br /＞1. Stop smoking＜br /＞2. Eat a healthy, balanced diet＜br /＞3. Exercise regularly＜br /＞4. Lose weight＜br /＞The patient may be requested to stop taking aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), and any other drugs similar to these＜br /＞Postoperative Details＜br /＞Following surgery, the patient will be prescribed pain medicines.＜br /＞The patient may also have a tube, termed a catheter, passed into the bladder to pass urine.＜br /＞The patient will be asked to move around as soon as possible following the surgery.＜br /＞The patient may go back to a normal diet as soon as the patient can without inducing nausea and vomiting.＜br /＞The duration that the patient stays in the hospital is dependent on the type of hysterectomy.＜br /＞The patient can probably go home the next day when surgery is done through the vagina using a laparoscope or following robotic surgery.＜br /＞When a larger surgical incision in the abdomen is made, the patient may require staying in the hospital 1 to 2 days.＜br /＞Following a hysterectomy, the patient may have some temporary side effects:＜br /＞1. Bowel and bladder disturbances＜br /＞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.＜br /＞2. Vaginal discharge＜br /＞Following a hysterectomy, the patient will have some vaginal bleeding and discharge.＜/p＞＜p＞Average recovery times are:＜br /＞Abdominal hysterectomy: 4 to 6 weeks＜br /＞Vaginal hysterectomy: 3 to 4 weeks＜br /＞Robot-assisted or total laparoscopic hysterectomy: 2 to 4 weeks＜br /＞A hysterectomy will cause menopause if the patient also have the ovaries removed.＜/p＞＜p＞TABLE OF CONTENT＜br /＞Introduction＜br /＞Chapter 1 Hysterectomy＜br /＞Chapter 2 Causes＜br /＞Chapter 3 Symptoms＜br /＞Chapter 4 Diagnosis＜br /＞Chapter 5 Treatment＜br /＞Chapter 6 Prognosis＜br /＞Chapter 7 Uterine Cancer＜br /＞Chapter 8 Uterine Fibroid＜br /＞Epilogue＜/p＞画面が切り替わりますので、しばらくお待ち下さい。

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