Hysterectomy, subtotal hysterectomy, how to do it

The uterus is an extremely important organ for women. The fertilized egg needs to go through ten months of pregnancy in the woman's uterus before forming a complete fetus and coming into the world. However, the woman's uterus is also a very fragile organ and is more prone to certain diseases. For example, cervicitis is a very common one. When facing cervicitis, people generally need to choose to undergo subtotal hysterectomy. So what does subtotal hysterectomy mean?

Subtotal hysterectomy can be used to treat uterine fibroids, functional uterine bleeding, adenomyomas, and patients with normal cervical examination who wish to retain the cervix, or patients who need to remove the uterus for various reasons but have difficulty removing the cervix. Hysterectomy can now be performed by open abdomen, vaginal and laparoscopy, the latter two of which are minimally invasive surgeries.

Hysterectomy is a common gynecological surgery, which can be divided into total hysterectomy, partial hysterectomy and extended hysterectomy. A partial hysterectomy removes only the upper part of the uterus, leaving the uterine base and cervix intact. A radical hysterectomy is the removal of the uterus and cervix. An extended hysterectomy removes the uterus, both fallopian tubes and ovaries, and the upper part of the vagina. Hysterectomy can be done through the abdomen (called an abdominal hysterectomy) or through the vagina (called a vaginal hysterectomy).

Due to the structural characteristics of the female reproductive tract, there are a variety of methods available to remove the diseased uterus. The traditional surgical method is to remove the uterus through the abdomen or vagina. Laparoscopic hysterectomy refers to cutting the ligaments, blood vessels, and vaginal walls around the uterus through a laparoscope, removing the uterus from the vagina, and then suturing the vaginal ends again under laparoscopy. There are several different types of laparoscopic hysterectomy besides total hysterectomy, including laparoscopic-assisted vaginal hysterectomy (LAVH), laparoscopic subtotal hysterectomy, and laparoscopic intrafascial hysterectomy. Laparoscopic technology has brought medicine into the era of minimally invasive surgery, which can be summed up in a few words: minimal damage, minimal inflammatory response and optimal wound healing, minimal tissue scarring and optimal therapeutic effect.