Hysterectomy, or removal of the uterus, is a surgical procedure for the control of the symptoms of uterine fibroids. Each year, nearly 60,000 women in France undergo hysterectomy. Depending on the circumstances, it may also include removal of the fallopian tubes, ovaries and cervix.
Following the surgery, the patient has no menstrual cycle and is no longer fertile and able to have children.

This procedure requires general or local anaesthesia and necessitates several days of hospitalization (three to seven days) followed by a long period of convalescence from three to five weeks, especially when the hysterectomy is performed through the abdomen.

Two ways to perform a hysterectomy exist in the presence of uterine fibroids.
The most common method is through the abdomen: the surgery is carried out through an opening in the abdomen between the navel and the pubis.
The second method is a vaginal hysterectomy: this procedure is performed vaginally with fasteners or manual sutures.

Several types of hysterectomy exist, defined according to the extent of the fibroids :

Subtotal hysterectomy : only the body of the uterus is removed.

Total hysterectomy : the body of the uterus and cervix are removed in their entirety.

Hysterectomy with bilateral adnexectomy : removal of the ovaries and fallopian tubes. This procedure is usually performed after menopause or in the case of ovarian disease.

Hysterectomy: in what case ?

Hysterectomy is a surgical procedure recommended by doctors for cases of large fibroids that may interfere with nearby organs or that cause pain and severe symptoms, such as bleeding.

Hysterectomy is indicated when there is no therapeutic alternative.

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