1.What diseases require laparoscopic hysterectomy? Pre-cancerous lesions of the cervix (CIN2 – CIN3), benign diseases of the uterus (fibroids, adenomyoma, adenomyosis, atypical hyperplasia of the endometrium), menopausal ovarian tumor resection with hysterectomy. Dysfunctional uterine bleeding, endometrial polyps, and uterine hypertrophy used to require hysterectomy, but hysteroscopic endometrial resection (TCRE) is now preferred. 2.What is the impact of hysterectomy on a person’s life? There are two main functions of the uterus, one is the cyclical changes under the action of hormones secreted by the ovaries, manifested as monthly bleeding —- menstruation; the second is where the embryo is laid, the fetus grows, the pregnancy is carried to term, and a child is born. Women stop menstruating when the ovarian function declines, and we call this phenomenon menopause. According to statistics, the age of menopause for women in Guangdong is between 48-51 years old, and it is not good to have menopause too late. Many people worry that they will age prematurely after hysterectomy, but this is actually not true. As long as the ovaries are there and continue to secrete hormones, they will not age. Under normal circumstances laparoscopic hysterectomy has minimal effect on ovarian function, only if the blood supply to the ovaries is mistakenly injured by the surgery. Many people with clinical gynecological disorders have a dull face, freckles and panda eyes, but after surgical hysterectomy they look new and red. There are also concerns that the surgery will affect sexual life, but this is also superfluous. Hysterectomy does not cause any shortening of the vagina and the quality of sexual life will not be greatly affected. If the impact is mainly psychological, this will not be detailed. In addition, some women are prone to mycosis vaginalis after hysterectomy. 3. Should the hysterectomy be performed or not? If the uterus is not diseased or has minor problems, try to keep it. No organ in the human body is redundant, but when the uterus has organic lesions affecting life and safety, it should be decisively removed. As the saying goes: to avoid harm, the lesser of two evils is the truth. 4, the way and method of hysterectomy: the traditional way is open total hysterectomy (transverse and longitudinal incision), transvaginal total hysterectomy (most suitable for patients with uterine prolapse), and now the most applied way is laparoscopic total hysterectomy (complete laparoscopic total hysterectomy TLH and laparoscopic-assisted total transvaginal hysterectomy LAVH). It is not possible to force that type of surgery for each specific patient, it depends on the disease and the skill of the surgeon. For example, if a gynecologist specializes in open surgery, it would be very inappropriate for you to ask for a cathodic or lumpectomy to remove the uterus. If you are in a large hospital, try to do lumpectomy instead of open, and choose the negative procedure if it is suitable. A good doctor will inform the patient truthfully and make the best choice. 5, complications of laparoscopic hysterectomy: any surgery has risks, it is as simple as life has risks, as the old saying goes: the sky has unpredictable wind, people have a disaster. The anesthesia and surgical skills of surgery have certain risks, and as long as one is human, one will make mistakes. Surgery is about treating disease with minimal damage, improving the patient’s quality of life and extending life. For gynecological patients, patients with a history of multiple previous laparotomies, pelvic and abdominal tuberculosis, intestinal obstruction, pelvic abscess, stage 4 endometriosis, previous history of thrombosis, certain malignant tumor patients, etc. are high-risk patients and have a high chance of complications. For the average patient (low-risk patients) the chance of complications is less than 1%, while for high-risk patients the chance is much higher. Common complications include postoperative intra-abdominal bleeding, bleeding from vaginal stumps, postoperative infections (abdominal or all over), pulmonary embolism (which can be fatal) from dislodged blood clots and emboli in the lower extremities, fistulas of the bladder and ureter, and intestinal fistulas from intestinal injuries. Please do believe that the doctor has no grudge against you, and no doctor wants his patients to have surgical complications, but it can unfortunately happen anyway. A famous expert in gynecology says: If a doctor has never had a postoperative ureteral or vesicovaginal leak, it means you have done too few surgeries. We eat and drink every day, who has never bitten his lips or choked on a drink? Penalty kicks on the soccer field, Mr. Football can miss a penalty. It is not terrible to have complications, most of them will be fully recovered after treatment. Doctors and patients are comrades on the same front and have to understand each other. If you treat the doctor as the enemy, the problem will be well complicated. 6, laparoscopic hysterectomy after precautions: try to eat fluid, keep the stool smooth to prevent constipation; appropriate walking exercise to avoid climbing and squatting; postoperative weakness to prevent colds; drink more water and tea to prevent urinary tract infection. If there is any abnormal condition, consult the surgeon and seek medical consultation in time. Generally follow up 2 months after surgery to see how the stump heals and whether there are polyps, whether there is vaginitis (hysterectomy is easy to get vaginal mycobacteria), you can perform pelvic ultrasound examination. The hysterectomy is not the end of the story, there are still ovaries and fallopian tubes, so regular checkups and gynecological ultrasound are necessary.