As we mentioned in previous articles during the last stage of the menstrual cycle normally a layer of endometriosis lining in the inside of the uterus is expelled, known as menstruation blood but instead some of the endometriosis tissues growing somewhere in the body causing endometriosis. Endometriosis also reacts to hormonal signals of the monthly menstrual cycle by building up tissue, breaking it, and eliminating it through the menstrual period. Sometime, because of the advance state of endometriosis that may danger to the women life, hysterectomy may be the last resource. In this article, we will discuss what is hysterectomy?? I. Definition A hysterectomy is the second most common surgery among women in the United States. For women with endometriosis in the advance state, hysterectomy may be suggested if the endometriosis may post danger to your life. Hysterectomy is an operation of uterus removal. There are three types of surgery approach 1. Abdominal hysterectomy Hysterectomies are done through a cut in the abdomen. 2. Vagina hysterectomy Hysterectomies are done through a cut in vagina. 3. Laparoscopic hysterectomy Laparoscopic is a medical instrument that help the doctor see inside the abdomen during abdomen and vaginal hysterectomy. II. Types of hysterectomy The four types of hysterectomy are all involved in the removing of the uterus. a) Total hysterectomy Total hysterectomy is the operation that removes the uterus along with the cervix. b) Subtotal hysterectomy Subtotal hysterectomy is the operation that removes only the uterus. c) Simple hysterectomy It is the operation that removes the uterus without removing the adjacent tissue or lymph nodes. d) Radical hysterectomy Radical hysterectomy is the most lengthy operation, it not only removes the uterus but also the cervix, the upper part of the vagina, and all supporting tissues. This type of surgery is rarely used in endometrial operation but usually done to treat cervical cancer. III. Risks a) Heavy blood loss during and after surgery b) Bowel and bladder damage caused by medical instrument used to perform the surgery c) Anesthesia risk always exists. d) Incision required further attention.
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