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 DEFINITION
The hysterectomy is the eradication of the tero, or counterfoil. (Of the Greek "hystera" = tero and "ektone" = incision).
INDICATIONS
They must do a hysterectomy to him if it has developed a tero cancer, if it has an intense endometritis, fibroides cysts or pelvic adherences that compress the tero against the nearby organs. It can be indicated also if it has severe and uncontrollable hemorrhages or if the tero has become detached and goes out for the vagina (prolapse). Also there can be other reasons to realize a hysterectomy.
PROCEDURE
Not all the hysterectomies are equal. A partial hysterectomy leaves the neck and the base of the intact tero. In an entire hysterectomy the entire tero including the neck is extirpated.
In an entire hysterectomy with a bilateral salpingo-ooforectomia there are extracted the tero, the horns of falopio (salpingo) and two ovaries (ooforo). A radical hysterectomy goes further away and also it includes the extraction of the top part of the vagina and algn lymphatic nodule. The extension of the problem that provokes a hysterectomy determines all that is necessary to extirpate.
During the hysterectomy the surgeon does an incision in the low part of the abdomen, horizontal, just good on the hair pbico, or vertically from the bellybutton up to the line of the hair.
Anyway, sometimes a vaginal hysterectomy is indicated. This one is carried out across an incision done in the top part of the vagina. These operations are realized under general anesthesia and last between one and two hours. If it has a tumor or a big uterine or ovarian cancer the surgeon must realize an incision or bigger abdominal opening this way to be able to see the organs of the pelvis. The hysterectomy by vaginal route normally is used in the correction of uterine prolapses.
Some surgeons extirpate the ovaries as routine in women older than 40 years to prepare the cancer. Nevertheless, this is a controversial practice since the ovary cancer is slightly frequent and only 10 is mortal in ó 20 % of the cases.
EXPECTATIONS AND RECOVERY
If they do a hysterectomy to him, it will be in the hospital between 5 and 7 days.
The possible complications are:
pelvic infections. infections of kidney or bladder. hemorrhages. Back to house he will have to forget temporarily baths and vaginal showers, of driving and of raising heavy objects. Also during a period understood between 6 and 8 weeks he will be able to practise neither the sex nor sports activities.
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DEFINITION 
