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Obstetrics

Open Surgeries

Gynaecological surgeries are operations performed on the female reproductive system to correct various abnormalities. Open surgery is a conventional method of surgery that involves making a large incision on the skin to access the internal organs and perform the surgery.

The most commonly performed gynaecological open surgeries are:

Myomectomy:

Myomectomy involves the surgical removal of uterine fibroids (benign tumours originating in smooth muscle layer of the uterus). This procedure does not involve the removal of your uterus. It is a widely accepted procedure in women who wish to maintain fertility.

Abdominal myomectomy is an open surgery, where your doctor may make a horizontal or vertical incision in your abdominal wall. The surgery is performed under general anaesthesia. Abdominal myomectomy allows your surgeon to view and access the uterus directly and remove the uterine fibroids. You may have to stay in hospital for two nights, and it may take 4-6 weeks for your complete recovery.

Hysterectomy:

Hysterectomy is the surgical removal of your uterus. It is indicated for uterine fibroids that cause bleeding and severe pressure symptoms. It is also done to prevent pregnancy from occurring.

Abdominal hysterectomy is performed under general anaesthesia. Your surgeon makes a horizontal or vertical incision in your abdominal wall. You may have to stay in hospital for 1-2 nights. It might take 4-6 weeks for you to recover completely. You are advised not to lift heavy weights or drive for at least 1-2 weeks, and have sexual intercourse for 6 weeks until your full recovery.

Oophorectomy:

Oophorectomy is the surgical removal of the ovaries by making an incision in your abdomen. It is indicated for ovarian cancer. You may be able to resume your normal activities in 6 weeks after the surgery.

Vulvectomy:

Vulvectomy is indicated for vulval cancer. Depending on the extent to which the cancer has spread, only the skin, only the cancer, a part of the vulva (external genitalia), the whole vulva or the vulva along with the lymph nodes may be removed. The removal may involve a single incision or three incisions as in the case of the removal of the vulva and lymph nodes.

Radical trachelectomy:

Radical trachelectomy is an open surgical procedure that is performed to remove the cervix (neck of the womb) and pelvic lymph nodes. The operation is indicated for cervical cancer. A horizontal incision is made across your abdomen, just above the pelvic region, to access the cervix.

You will be discharged from the hospital after about 3-5 days, and will be able to resume normal activities at week six.

Risks and Complications

Like all surgeries open gynaecologic surgeries may be associated with the following complications:

  • Haemorrhage (bleeding)
  • Infection
  • Thromboembolism (blood clot)
  • Visceral damage (pain in internal soft tissue organs)

Please contact Dr. Nazek Al Salman at 050-573-6619 for more information on gynaecological open surgery.

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