Hysterectomy

Now a day, hysterectomy is a common affair for the women above 40 years old.

According to centre for disease control and prevention of USA, About 6 lakh women were doing hysterectomy during 2006-2010 and about 20 million women need to do hysterectomy.

Hysterectomy is an operation to remove the uterus (womb) and often the cervix (neck of the womb)

Types of Hysterectomy:

Total abdominal hysterectomy: removal of the uterus and the cervix through the abdomen (stomach).

Subtotal hysterectomy: only the uterus is removed.

Vaginal hysterectomy: the uterus and cervix are removed through the vagina.

Laparoscopic hysterectomy: small incisions (cuts) are made in your abdomen where the surgeon will insert a tiny camera too see the area before the uterus is removed.

Radical or Wertheims hysterectomy: the uterus, cervix, fallopian tubes and part of the vagina are removed usually due to cancer

Indication of Hysterectomy:

1. Fibroids
2. Endometriosis
3. Adenomyosis
4. Heavy period
5. Uterine prolapse
6. Pelvic inflammatory disease
7. Gynecological malignancy (usually ovarian, uterine or cervical)

Procedure of Hysterectomy:

1. Abdominal Hysterectomy
2. Vaginal Hysterectomy
3. Laparoscopic Hysterectomy

Complication due to Hysterectomy:

1. Scar
2. pain generally LBP
3. core muscle weakness
4. urinary incontinence
5. post-menopausal syndrome

Treatment after Hysterectomy:

1. Medicine-Pain killer, Laxatives ,Antibiotics
2. Physiotherapy

Recovery from a hysterectomy is often quite long and physiotherapy is a very effective way to help you gradually return to your full fitness as soon as possible.

Physiotherapy treatment includes-

Therapeutic Exercise

1. Scar tissue mobilisation
2. Core muscle exercise
3. Kegel exercise
4. Upper and Lower limb strengthening exercise
5. Breathing exercise
6. Cardio exercise

Electrotherapy:

1. UST
2. TENS or 4 pole IFT

After hysterectomy there are a lot of physiological and hormonal changes of woman. So, they face lot of complication but proper treatment can reduce the complication and go back to active life as soon as possible.