Uterus Removal Surgery in Chennai

Uterus removal surgery, or hysterectomy, is a common procedure in Chennai that involves the removal of the uterus and, in some cases, other parts of the reproductive system. This surgery can be performed for various medical reasons, including fibroids, endometriosis, and cancer. In Chennai, the cost of a hysterectomy can vary widely depending on the hospital, the type of surgery, and the surgical approach used. Costs might range from INR 50,000 to INR 2 lakhs, reflecting differences in surgical techniques from traditional open surgery to minimally invasive procedures. Types of hysterectomy include total, subtotal, and radical, each varying in the extent of organ removal and recovery time.

What is Uterus Removal Surgery?

Uterus removal surgery, officially known as a hysterectomy, is a procedure that involves the removal of a woman's uterus with cervix. In certain cases, it also includes the removal of the cervix, ovaries, and fallopian tubes. This surgery is typically performed by a gynaecologist or a gynaecological surgeon, who specialise in female reproductive health.

The procedure is undertaken to address several serious health issues. It may be recommended for conditions like severe and chronic pelvic pain(endometriosis), cancer(endometrial, cervical or ovarian), failed medical management for heavy menstrual bleeding and large or symptomatic uterine fibroids. 

A hysterectomy can be performed using various techniques, including abdominal hysterectomy, which involves a larger incision in the lower abdomen; vaginal hysterectomy, where the uterus is removed through an incision in the vagina; and laparoscopic or robotically assisted hysterectomy, which are minimally invasive approaches using small incisions and specialised instruments.

The necessity for a hysterectomy usually arises when less invasive treatments have been exhausted without sufficient resolution of symptoms. The benefits of this surgery are substantial; it can dramatically reduce or eliminate symptoms, improve the overall quality of life, and, in the case of cancer, potentially save the patient’s life. For many women, a hysterectomy offers a critical therapeutic option when other treatments fail to provide relief.

Why is Uterus Removal Surgery Done?

This surgery is crucial for treating several serious medical conditions, listed below:

• Uterine Fibroids: These are benign growths causing pain and heavy menstrual bleeding.

• Endometriosis: A condition where uterine lining-like tissue grows outside the uterus, causing severe pain and infertility.

• Uterine Prolapse: The uterus slips into the vaginal canal from its normal position, leading to discomfort and urinary problems.

• Abnormal Bleeding: Persistent heavy menstrual bleeding  not responding to  other treatments like medicine or mirena coil.

• Chronic Pelvic Pain: Persistent pain in the lower abdomen unrelated to other identifiable diseases.

• Cancer or Precancerous Conditions: Addressing potential or existing cervical or endometrial or ovarian cancer.

The uterus removal surgery benefits include a significant improvement in symptoms, prevention of certain cancers, and a lasting resolution to chronic gynaecological issues.

Preparation for Uterus Removal Surgery

Effective preparation is key to ensuring a smooth and safe surgery. This involves understanding what will happen before, during, and after the surgery to better prepare both physically and mentally.

Before the Surgery 

Preparing for a uterus removal procedure involves several key steps to ensure safety and effectiveness:

• Consultations and Tests: You'll undergo a series of tests such as a complete blood count, metabolic panel, and possibly a Pap test or endometrial biopsy to assess your health and rule out any precancerous or cancerous condition of your uterus. These help tailor the surgical approach.

• Dietary Restrictions: The night before the surgery, you will likely need to fast, possibly starting from midnight. You may also be instructed to follow a light diet the day before.

• Pre-Surgical Preparations: It’s recommended to shower using a special antibacterial soap to reduce the risk of infection. Your healthcare provider might also advise you to stop certain medications to prepare for anaesthesia.

During the Surgery 

The surgery itself varies in duration and approach, depending on the uterus removal surgery types and your specific health needs:

• Anaesthesia: General anaesthesia is commonly used, making you unconscious during the procedure.

• Procedure Duration: A hysterectomy can last between one to three hours. Techniques may vary from abdominal cuts to minimally invasive like vaginal, laparoscopic or robotic methods, which involve smaller incisions and potentially shorter recovery times.

After the Surgery 

Post-surgery recovery is crucial for a successful outcome:

• Hospital Stay: Depending on the surgery type, you might return home the same day or stay in the hospital for one to three days.

• Pain Management: Pain is managed through prescribed medications. It’s important to follow your doctor's instructions on medication use to manage discomfort effectively.

• Recovery and Discharge Instructions: You'll receive guidelines on how to care for the surgical site, signs of complications to watch for, and limitations on activities like lifting heavy objects or driving. Normally, sexual activity and tampon use should be avoided for about six weeks to allow proper healing.

This step-by-step approach ensures you are well-prepared before, during, and after the uterus removal surgery, aiding in a smoother recovery and reducing the risk of complications.

Medical Test & Check-Ups Before Uterus Removal Surgery

Prior to a uterus removal surgery, several important tests and check-ups are carried out to ensure patient safety and the success of the procedure. These typically include:

• Blood Tests: Complete blood count, and possibly blood grouping & typing.

• Imaging: Ultrasound or other imaging techniques to examine the uterus and surrounding tissues.

• Cardiac Tests: Electrocardiogram (EKG) to assess heart health.

• Cancer Screening: Pap test and endometrial biopsy to detect any signs of cancer.

These preoperative evaluations help determine the best surgical approach and anticipate any complications that might arise during the surgery.

Recovery & Care After Uterus Removal Surgery

Recovery after a uterus removal surgery involves several steps to manage pain and ensure a smooth healing process. Understanding the uterus removal surgery cost can also help in planning postoperative care more effectively. Read on to learn more below.

• Hospital Stay: Recovery typically starts in the hospital for uterus removal surgery where patients may stay for a few days, depending on the type of surgery.

• Pain Management: Pain is usually managed through prescribed medications and instructions on how to take them safely.

• Activity: Gradual return to normal activities is advised, including light walking to prevent blood clots.

• Wound Care: Careful monitoring and maintenance of the surgical site to prevent infection.

• Follow-up Visits: Regular check-ups to monitor healing and manage any post-surgery symptoms.

These recovery steps are crucial for effective healing and to minimise complications from the treatment for uterus removal surgery.

Types of Medication Post Uterus Removal Surgery

After uterus removal surgery, patients are commonly prescribed several categories of medication to manage pain and prevent complications:

• Pain Relievers: Non-steroidal anti-inflammatory drugs (NSAIDs) and other over-the-counter pain management options to alleviate discomfort.

• Antibiotics: To prevent infection at the surgery site.

• Stool Softeners: To ease bowel movements post-surgery and prevent straining, which can be harmful to the surgical site.

• Hormone Replacement Therapy (HRT): May be recommended if the ovaries are removed to manage symptoms of sudden menopause.

These medications are crucial for a smooth recovery and minimising post-surgical risks.

Diet & Lifestyle Changes Post Uterus Removal Surgery

Adopting appropriate diet and lifestyle changes after uterus removal surgery can significantly aid the recovery process. Some recommended changes include:

• Balanced Diet: Incorporating a diet rich in fruits, vegetables, and fibres to help with digestion and overall health.

• Hydration: Ensuring adequate fluid intake to prevent dehydration and support overall bodily functions.

• Gradual Physical Activity: Initially, light walking is advised to improve circulation and prevent blood clots. Gradually increase activity as tolerated.

• Avoid Heavy Lifting: For at least six weeks post-surgery to allow the surgical site to heal properly.

• Rest: Adequate sleep and rest are essential for healing and recovery.

Following these guidelines helps manage post-surgical symptoms and promotes a quicker return to normal activities, under the guidance of uterus removal surgery doctors. 

Implementing an appropriate uterus removal surgery diet and following recommendations for physical activity are part of effective uterus removal surgery prevention of complications and aid in a smoother recovery​.