The different surgical approaches for a hysterectomy include the traditional abdominal hysterectomy as well as minimally invasive procedures such as:
An abdominal hysterectomy requires Dr. Alshalabi to make a 5-7 inch incision in the abdomen, through which he removes the uterus.
Depending on the issue being treated, he may do a complete hysterectomy that includes removal of the entire cervix or a partial hysterectomy that leaves the cervix in place. A radical hysterectomy, often done due to cancer, requires removal of the uterus, cervix, and top portion of the vagina.
Called an oophorectomy, surgical removal of your ovaries may be performed at the same time as a hysterectomy, if necessary. It’s sometimes recommended they remain in place to delay menopause, when possible. Once the ovaries are removed, you undergo what’s known as surgical menopause.
Laparoscopic procedures are minimally invasive surgical methods requiring only two or three small incisions in the abdomen. Dr. Alshalabi inserts a special instrument, called a laparoscope, through one of the incisions. The scope is essentially a tube with a very small camera attached.
This device transmits images to a high definition monitor in the operating room that allows Dr. Alshalabi to see the operative site without the need for a large incision. Specially designed surgical instruments are then inserted through the other small abdominal incisions and used to perform the hysterectomy. A vaginal hysterectomy requires just a small incision in the vagina through which Dr. Alshalabi can remove the uterus.
A laparoscopic hysterectomy typically means shorter hospital stays and faster recovery time. There’s less pain and scarring associated with small abdominal incisions, and the risk of infection is lower to an abdominal hysterectomy. Unfortunately, not everyone is a good candidate for a laparoscopic hysterectomy.
Dr. Alshalabi specializes in the following gynecological surgeries:
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