Hysterectomy in Navi Mumbai

Hysterectomy in Navi Mumbai

Laparoscopic Hysterectomy in Navi Mumbai

A hysterectomy is the surgical removal of the uterus. It is a definitive treatment once performed, periods stop and pregnancy is no longer possible so it is generally considered only after other appropriate treatments have been tried or are not suitable, and once a woman has completed or does not desire future childbearing. Dr. Prashant Bhamare, Director & HOD - Obstetrics & Gynaecology at Fortis Hiranandani Hospital, Vashi, performs hysterectomy through a laparoscopic approach in the majority of cases where it is clinically appropriate.

When Hysterectomy Is Considered?

Hysterectomy is one option among several for each of the following conditions, not the automatic next step. It becomes appropriate when symptoms are significant, other treatments have been tried and have not worked or are unsuitable, and for most of these conditions when future pregnancy is not desired:

• Fibroids (leiomyoma) causing heavy bleeding or pressure symptoms that have not responded to medication or fertility-preserving surgery (myomectomy).
• Adenomyosis is a condition where the tissue that normally lines the uterus grows into the uterine muscle wall, causing heavy, painful periods. It frequently coexists with endometriosis, and laparoscopic assessment allows both to be identified and addressed together.
• Abnormal uterine bleeding that continues despite medical treatment and where investigation has excluded other treatable causes.
• Endometriosis with severe symptoms, in selected cases where other surgical and medical options have not given adequate relief.
• Uterine prolapse, where the uterus has descended from its normal position, causing discomfort or pressure symptoms.

A hysterectomy is not the first step for any of these conditions. It is considered once the underlying cause is confirmed and more conservative options have genuinely been exhausted or are not appropriate for the individual case.

Why Laparoscopic Hysterectomy?

A laparoscopic hysterectomy is performed through several small incisions in the abdomen, typically a 1 cm supra-umbilical incision for the camera port and 5 mm incisions for the ancillary instrument ports using a camera and fine instruments, rather than a single large abdominal incision. 

Professional guidelines from bodies including the American College of Obstetricians and Gynecologists recognize the laparoscopic approach as generally preferred over open abdominal surgery where it is technically feasible, on the basis of improved outcomes typically less blood loss, a shorter hospital stay, and a faster return to normal activity. 

Not every case is suitable for a laparoscopic approach: a very large uterus, extensive adhesions from previous surgery, or suspected malignancy may mean open surgery is safer, and this is assessed individually. 

The magnified laparoscopy view also provides a more precise assessment of disease extent and surgical margins than is achievable with the naked eye, an advantage that matters particularly in cases involving suspected malignancy, coexisting endometriosis, or anatomically difficult pelvic findings.

What a Hysterectomy Does and Does Not Remove?

A hysterectomy always removes the uterus. Whether the cervix, fallopian tubes and ovaries are also removed depends on the underlying condition, the patient's age, and personal preference and is discussed in detail before surgery:

• Total hysterectomy removes the uterus and cervix together.
• Subtotal (or partial) hysterectomy removes the uterus but leaves the cervix in place an option in selected cases.
• The ovaries are usually preserved unless there is a specific reason to remove them (such as ovarian disease or, in some cases, family history), since removing the ovaries before natural menopause brings on menopause immediately and has its own long-term health implications that are discussed beforehand.

How the Decision Is Made?

Dr. Bhamare's assessment considers the underlying diagnosis, symptom severity, response to treatments already tried, the size and mobility of the uterus, previous abdominal or pelvic surgery, and the patient's own preferences regarding the cervix and ovaries. The choice to proceed with hysterectomy and whether it can be done laparoscopically is made jointly with the patient, not presented as the only option.

Hysterectomy Care at Fortis Hiranandani Hospital, Vashi

Fortis Hiranandani Hospital, Vashi provides evaluation for women being considered for hysterectomy, including a review of prior treatments tried, pre-operative assessment, and laparoscopic surgery where clinically appropriate, for patients from Vashi, Navi Mumbai, Panvel, Ulwe, Uran, Raigad and nearby areas.

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Fortis Hiranandani Hospital Vashi, Navi Mumbai

Address: Mini Sea Shore Road, Sector 10, Vashi, Navi Mumbai, Maharashtra - 400703

Ph. 02268846142