How much does hysterectomy cost

The uterus is a very important organ of women. It not only plays the role of creating new life, but also makes women healthier and more beautiful. However, sometimes the uterus will have problems of one kind or another, such as uterine fibroids, and the uterus will have to be removed. Many people ask how much does a hysterectomy cost? This article will introduce the cost of hysterectomy surgery, as well as the entire process of hysterectomy surgery and the problems that may arise if you regret the removal.

1. Hysterectomy surgery fee

How much does hysterectomy surgery cost approximately? It consists of the entire surgical process, and the cost includes: one is routine physical examination, and the other is postoperative pharmacology and medical care. Generally speaking, surgical treatment for a patient costs about 10,000 to 30,000 yuan, but this is just a standard value.

There are many factors that affect the cost of surgery. Different causes of the disease require different treatment methods and costs. It is also related to region, hospital, medical equipment, etc. It is recommended that patients consult a local reliable specialist clinic and undergo tests to determine the cause of the disease and prescribe medication for treatment.

In addition, it is important to understand that hysterectomy is a common gynecological surgical treatment. The surgery can be divided into total hysterectomy, partial hysterectomy and dilatation hysterectomy. Different surgeries will of course have different costs. Among them, hysterectomy is mostly used to remove uterine tumors and some abnormal uterine bleeding and adnexal diseases.

2. The whole process of hysterectomy

1. Wound: Make a wound in the middle of the lower abdomen, from below the navel to the upper edge of the ischial tuberosity.

2. After suturing the cruciate ligament and round ligament of the pelvic floor, explore the abdomen first to understand the extent of the disease.

Use a toothed hemostatic forceps to clamp the two corners of the uterus as a traction band and block the ascending blood of the uterine artery. Use No. 7 silk to suture the round ligament 2 to 3 cm away from the uterine angle, and suture the cruciate ligament of the pelvic canal in both directions slightly away from the pelvic wall (to bypass the urethral tube). The pelvic cruciate ligament contains the uterine and ovarian arteries and venous plexus, which can be seen clearly under translucency and must be sutured tightly.

3. Disconnect the cruciate ligament and cut the uterus and bladder to reverse the peritoneum

When the uterus is opened and the suture band is applied, the cruciate ligament and round ligament of the pelvic canal are severed. The blood at the uterine level has been blocked at the uterine angle, so only a small amount of blood is added when the cruciate ligament is disconnected, and clamping to activate blood circulation is generally not required. Cut the anterior leaf of the broad cruciate ligament between the pelvic canal cruciate ligament and the round ligament, move forward, cut the uterine bladder peritoneum and fold it to the same side.

4. Mineral acid body

Use your fingers to gently pull the bladder slightly downward along the loose connective tissue plane between the uterus and bladder to reveal part of the cervix, and then slightly separate the tissue on both sides to reveal the uterine artery and vein. The urethra tube is located just below the blood vessels and about 2 cm from the cervix. Then cut the posterior leaf tissue of the broad cruciate ligament on both sides of the uterine body to the top of the uterine artery. There is usually no bleeding during the cutting, but the cutting should be slightly away from the uterine body to avoid damaging the ascending branches of the uterine arteries close to both sides of the uterine body. At this point, the uterus is completely demineralized, with only a small amount of tissue on both sides connected to the inner vault of the vagina.

5. Wandering cervix

Use moderate force to pull the uterus toward the head, use your thumb to push the bladder further to below the level of the external cervical opening, and at the same time slowly open the urethra to both sides. If you carefully feel to both sides, you can feel a cord-like substance dragging from under your fingertips about 2 cm away from the cervix, which is the urethra tube. As long as the plane is correct, pushing down the bladder is mostly painless and there is little bleeding. If there are difficulties, it is mostly related to the plane entered too deep, or it may be caused by inflammation and adhesion, which should be checked before separation. Sharp detachment can be performed if necessary. It is of great significance to clear the position of the urethra tube and then deal with the tissues on both sides of the cervix to prevent damage to the urethra tube.

6. Hysterectomy

Place a gauze pad in the uterine duodenal pouch to help absorb secretions that may come out of the vagina. The uterus is lifted, the anterior fornix of the vagina is cut, the anterior vaginal wall is clamped and lifted, and a small piece of gauze is inserted through the wound to prevent the female vaginal fluid from being discharged and polluting the pelvis (Figure 261). Then clamp the anterior lip of the cervix and lift it upwards, cut it open along the vaginal vault, and remove the uterus. When circumcising the vaginal vault, always be sure to lift the cervix to facilitate cutting without touching the surrounding area to avoid contamination (Figure 263). After each incision, pinch the end of the vagina to reduce bleeding, and use it as a traction belt to facilitate suture after hysterectomy. Any equipment that has come into contact with the vagina should be placed in a clean basin immediately after use.