Hysterectomy Scars: What to Expect
What are Hysterectomy Scars?
The term “hysterical” comes from the Greek word hystera which means womb. The uterus is where a baby develops inside of it. When a woman gets pregnant, her body produces hormones called human chorionic gonadotropin (hCG) and follicle stimulating hormone (FSH). These hormones cause the lining of the uterus to grow. If these hormones aren’t released properly, then the lining will stop growing and become misshapen. If this happens, there won’t be enough room for a baby to develop inside of it. This condition is known as anovulation or lack of ovulation.
If your period stops coming when you want it to come, then you may have anovulatory bleeding. If you don’t get your periods at all, then you may have polycystic ovarian syndrome (PCOS), which causes irregular menstrual cycles. PCOS can cause other problems such as acne, excess hair growth on the face and body, weight gain and insulin resistance.
Some women with PCOS experience heavy periods during their menopause. Heavy periods are caused by high levels of estrogen. When a woman goes through menopause, her periods will become lighter and shorter.
What are the Incision Types?
Surgeons have to cut the abdomen open to perform a hysterectomy. A long, vertical cut called a paramedian endometriosis or subtotal abdominal hysterectomy (SAH) is made through the belly button. The surgeon reaches the uterus by making smaller cuts in the lower abdomen. The surgeon then removes the uterus, the fallopian tubes, and ovaries by cutting them vertically. If there is any endometriosis on the ovaries or pelvic walls, the surgeon will remove it at this time.
A transverse supravaginal hysterectomy (TVH) incision is made through the vaginal wall just behind the cervix. A myomectomy can be done at the same time to remove any fibroids.
A supracervical hysterectomy (SH) incision is made just in front of the cervix. This type of hysterectomy preserves the cervix. In most cases where the cervix is removed, it’s done at the time of a cesarean section.
A total abdominal hysterectomy (TAH) removes the uterus through an incision that is made vertically just below the belly button. It may also involve the removal of one or both ovaries. Endometriosis or uterine fibroids might require a TAH.
The uterus is the part of the female reproductive system where a baby grows before being born. If a woman has her uterus removed, then she will be unable to have any more children. The ovaries are two organs that hang down in the pelvic region on either side of the uterus.
They produce hormones and release an egg once a month.
In rare cases, a woman may have her ovaries removed (oophorectomy) if they are damaged by cancer or if she has a genetic disorder. Whether or not she has her ovaries removed, a woman will go through menopause and will be unable to have any more children.
The fallopian tubes are narrow tubes that connect the uterus to the ovaries. They act as pathways for the egg to travel from the ovary to the uterus. After a woman has her uterus and ovaries removed, her eggs will no longer have anywhere to go and will be reabsorbed into her body.
Although the removal of the uterus and ovaries can be done separately (known as a hysterectomy and oophorectomy), it is often done together in an operation called a hysterectomy.
The term endometriosis describes cells that are similar to the ones that line the uterus (known as endometrial cells) that have migrated to other places in the body. We still don’t understand what causes endometriosis, but we know that these cells react to their new environment in the same way that uterine cells do. They build up and bleed each month just as the uterine lining does.
Sources & references used in this article:
Catastrophic consequences of a caesarean scar pregnancy missed on ultrasound by K Collins, A Kothari – Australasian Journal of Ultrasound in …, 2015 – Wiley Online Library
Ectopic pregnancy in previous Caesarean section scar by SC Hong, MSK Lau, PKL Yam – Singapore medical journal, 2011 – apamedcentral.org
Anesthetic Management for Obstetric HysterectomyA Multi-institutional Study by DH Chestnut, DM Dewan… – … : The Journal of …, 1989 – anesthesiology.pubs.asahq.org