Closed Uterus Removal Surgery

Closed uterus removal surgery is a medical procedure in which the uterus is completely removed from the body. This surgery is performed to treat various health problems and is generally considered a last resort. The operation can be carried out using laparoscopic or open surgical methods. The laparoscopic method is preferred because it is less invasive and involves making small incisions in the abdominal area. Open surgery, on the other hand, requires a larger incision and therefore a longer recovery period.

Uterus removal surgery is considered the final and permanent solution within the female reproductive system. For this reason, the decision to perform this surgery must be made very carefully. After the surgery, a woman can no longer become pregnant and the menstrual cycle ends. This situation can be psychologically challenging for some women.

Before the surgery, your doctor will explain all the risks and expected outcomes to you in detail. It is important to evaluate whether the surgery is suitable for you and to consider other treatment options. Your general health status, age, and other medical factors will also be taken into account.

Why Is Closed Uterus Removal Surgery Performed?

Closed uterus removal surgery is performed to treat various health conditions. Some common reasons include:

Uterine Cancer:
Uterine cancer is one of the most common reasons for uterus removal surgery. If cancer is detected at an early stage, removing the uterus completely can prevent the spread of the disease.

Uterine Fibroids (Myomas):
Fibroids are benign tumors that grow in the uterine wall and can cause severe bleeding, pain, and other discomforts. In some cases, complete removal of the uterus may be necessary.

Endometriosis:
This condition is characterized by the growth of uterine lining tissue (endometrium) outside the uterus and can cause severe pain and bleeding. In severe cases, uterus removal surgery may be required.

Severe Vaginal Bleeding:
Excessive and uncontrollable vaginal bleeding may be another reason for uterus removal surgery. This condition may result from fibroids, endometriosis, or other gynecological problems.

Prolapse (Organ Descent):
When organs such as the uterus, vagina, or bladder descend downward, uterus removal surgery may be necessary.

Chronic Pelvic Pain:
Chronic pelvic pain originating from the uterus that does not respond to other treatment methods may make uterus removal surgery an option.

Your doctor will decide whether uterus removal surgery is appropriate for you by considering your medical history, symptoms, and other factors.

Closed Uterus Removal Surgery Process

Closed uterus removal surgery is performed under general anesthesia. The procedure consists of the following steps:

Preparation:
Before the surgery, you will be given certain instructions. For example, you may need to fast for a specific period, stop taking certain medications, or make special preparations.

Anesthesia:
You will be under general anesthesia, so you will not feel anything during the surgery.

Laparoscopic Approach:
Your doctor will make small incisions in your abdominal area and insert laparoscopic instruments through these incisions. Using a camera and surgical tools, the uterus will be removed.

Removal of the Uterus:
Your doctor will carefully remove the uterus and the associated tissues. During this process, blood vessels and nerves are preserved.

Closure:
After the surgery is completed, the incisions are sutured or closed.

The duration of the surgery usually ranges between 1 and 3 hours, and the hospital stay may vary from a few days to up to a week. This depends on the complexity of the surgery and your recovery process.

Postoperative Care After Closed Uterus Removal Surgery

After the surgery, the recovery process is very important. You must follow your doctor’s instructions and attend regular follow-up visits. The following care steps are recommended:

Rest:
Make sure to get plenty of rest during the first few days. Your body needs sufficient rest to heal.

Pain Control:
Your doctor will prescribe pain relief medications. Use these medications according to the instructions given.

Hygiene:
It is important to keep the surgical area clean and dry. Clean the area and change dressings as recommended by your doctor.

Exercise:
According to your doctor’s advice, you may perform light exercises to improve blood circulation. However, heavy exercises should be avoided.

Sexual Intercourse:
Based on your doctor’s recommendation, you should generally avoid sexual intercourse for 6–8 weeks.

Follow-Up Appointments:
Regular follow-up visits with your doctor are important. Your doctor will monitor your recovery process and provide necessary recommendations.

If you experience abnormal bleeding, fever, severe pain, or any other concerning symptoms during the postoperative period, you should contact your doctor immediately.