Is Open Surgery Essential For Hysterectomy?


Removal of uterus is called hysterectomy and it is necessary in some diseases. The most common causes of hysterectomy are myoma, adenomyoma and cancer.  Hysterectomy is the most common operation in gynecology. Depending on the age of the patient, in patients undergoing hysterectomy, ovaries may also be removed or left. According to our latest knowledge, tubes have effects on the development of ovarian cancer, and tubes should be removed even if the ovaries are left.

The hysterectomy can be done by vaginal or abdominal method. If it is feasible, the vaginal method is the most advantageous for the patient and should be preferred if the patient is eligible. If there is not mild genital loosening, if the uterus is large, if ovaries or tubes are to be taken, if cancer is present, the preferred method should be abdominal hysterectomy. In the past, hysterectomy was performed by open surgery with an incision in the abdomen. Today, in the light of the medical literature, the proposed open surgery is laparoscopy. Open surgery should be abandoned and laparoscopic hysterectomy should be performed.

Advantages of laparoscopy: no incision, lack of blood loss and infection, early discharge from hospital and early work.

Robot-assisted laparoscopy is an option in patients who have difficulty with laparoscopy.

Abdominal hysterectomy should be abandoned due to its disadvantages.