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Hysterectomy: Vaginal Hysterectomy
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Hysterectomy is the surgical removal of the uterus. This is one of the most commonly performed gynecologic surgeries in the United States. Approximately 700,000 women undergo the procedure each year. The reasons for hysterectomy vary from endometriosis and fibroid to cancer. In this country, the majority of hysterectomies are still done through a large abdominal incision or abdominal hysterectomy. Another method of performing a hysterectomy is through the vagina or vaginal hysterectomy.
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Vaginal Hysterectomy is surgery to remove a woman's uterus. The ovaries and fallopian tubes may ... be removed at the same time. Each year more than 600,000 women in the United States will have a hysterectomy. It is the second most common surgical procedure performed in the United States. More than three-fourths of all women who have a hysterectomy are between the ages of 20 and 49.
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INTRODUCTION — Hysterectomy (surgical removal of the uterus) may be performed via an abdominal, vaginal, or laparoscopically-assisted vaginal approach. Once the decision has been made to proceed with hysterectomy, the physician must decide upon the route, which depends upon clinical circumstances and the surgeon's technical expertise. (See "Overview of hysterectomy").
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Hysterectomy is usually performed for problems with the uterus itself or problems with the entire female reproductive complex. Some of the conditions treated by hysterectomy include uterine fibroids (myomas), endometriosis (overgrowth of the uterine lining), adenomyosis (a more severe form of endometriosis, where the uterine lining has grown into and sometimes through the uterine wall), several forms of vaginal prolapse, heavy or abnormal menstrual bleeding, and at least three forms of cancer (uterine, advanced cervical, ovarian). Hysterectomy is ... a surgical last resort in uncontrollable postpartum obstetrical haemorrhage.[5]
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Hysterectomy is a major operation, requiring hospitalization. The surgery involves removing the entire uterus either vaginally or laproscopically through an incision in the abdomen. Recovery can take up to 6 weeks or longer. Normal activity is generally resumed in 4-8 weeks and sexual activity is generally resumed in 6-8 weeks.
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Hysterectomy is a necessary and life-saving surgery to remove cancers of the cervix and uterine lining (endometrium) and to eliminate excessive vaginal bleeding. Its use in the treatment of less serious problems, such as fibroid tumors, is controversial. As a result of this controversy, as well as the development of alternative treatments for reproductive problems, the number of hysterectomies performed in the United States has gradually fallen in recent years.
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Vaginal Hysterectomy