Morelia, Michoacán.-According to the head of the gynecology service of the Regional General Hospital No. 1 of the IMSS Charo, Jocelyn Ruíz Guzmán, the hysterectomy, which is the surgical intervention for removal of the uterus or womb, is a procedure that is only done in the IMSS to safeguard the health of the patient, in the case of HGR 1, are performed from 8 to 10 per week, ie an average of 480 hysterectomies per year.
Associated with this procedure, said the gynecologist Ruíz Guzmán, the miomatosis is the main cause of hysterectomy and is located within the 10 main reasons for consultation in the specialty of gynecology, since one of four women has myomas. The myomas, he explained, are benign tumors that occur in the uterus, and their manifestation or alarm data are presented in the form of more abundant bleeding during menstruation, pain and even discomfort when urinating, when the dimensions of the myomas reach Press the bladder. Without clutch, he clarified, not in all cases of miomatosis is indicated hysterectomy.
From the specialist, other reasons that lead to hysterectomy are cancer in the womb, cases of severe endometriosis, patients with persistent bleeding without known cause and cannot be controlled with medication; Or, in complications during childbirth or caesarean section, in this case, emphasized, all procedures are performed to normalize the function of the uterus, but having no response, to preserve the life of the patient is made the decision to practice hysterectomy, Prior consent.
He added that the hysterectomy can be performed in three forms: abdominal route, making an incision in the lower abdomen, vaginal or laparoscopic route, depending on each case.
Usually older women, she said, are candidates for vaginal hysterectomy, this is because the size of the uterus is lower because by not fulfilling the function of pregnancy it is atrophied, or by uterine prolapse, that is, when the uterus or womb descends by Have had several birth pregnancies.
Laparoscopic surgery, abounded, which does not involve opening the abdominal wall, is carried out only in a few patients, in which the uterus is very limited and that does not present infection or suspected cancer.
Of the three modalities, the abdominal hysterectomy is the most complex, because it is a major surgery, and because of this, it involves a whole previous process of laboratory studies, culture, family history, to consider.
He concluded by asserting that hysterectomy, when necessary, and once the womb has already fulfilled the function of pregnancy, usually produces well-being in patients as they cease to present pain, hemorrhages and, above all, experience sexual freedom.