How a total hysterectomy is performed

Total hysterectomy, or total hysterectomy, is one of the routine procedures performed in gynecology. A total hysterectomy is the removal of not only the body part of the uterus but also the cervical part, either through laparoscopic surgery, open surgery or transvaginal removal. Although the routes are different, the steps of removal are roughly the same. The practice of total hysterectomy is as follows: after confirming the state of anesthesia the operation begins, the medical staff has to open the anterior and posterior peritoneum to explore the uterine mobility, the presence of adhesions and light lesions on both sides of the adnexa, if there are no problems, the doctor continues the operation, pushing away the bladder in front and the rectum in the back to avoid side injuries. Generally, the round ligaments on both sides should be cut first, followed by cutting the fallopian tubes at the horn of the uterus as well as the ligaments inherent to the ovaries, after which the vessels supplying the uterus should be cut, then the peri-uterine ligaments such as the posterior sacral ligaments and the main ligaments on both sides should be cut, then the vagina should be cut along the vaginal vault, then the uterus should be removed completely, then the vaginal stump should be sutured, the bleeding should be checked, then the abdominal cavity should be cleaned, the gauze and instruments should be counted, and finally the peritoneum should be closed completely. After surgery, patients should perform appropriate exercises according to their physical condition to prevent intestinal adhesions. Also follow the doctor’s instructions for regular ultrasound examinations to understand the recovery of the body. In addition, patients can eat more high-protein foods, such as egg custard, to promote body recovery under the guidance of professional doctors.