Total Laparoscopic Hysterectomy

Cost*: 250,000 THB

This package is valid until June 30, 2022

Total Laparoscopic Hysterectomy and/or Salpingo-oophorectomy

Hysterectomy is a surgical procedure to remove the uterus. In some patients, a hysterectomy includes removal of the ovaries as well, resulting in immediate menopause and removal of female hormones. The doctor may then recommend hormone replacement therapy for improved quality of life.
 

Indications

 

1. Endometriosis

Endometriosis is the painful condition where the tissue normally lining the uterus, called the endometrium, grows outside the uterus, commonly on the ovaries, fallopian tubes, bladder, or intestines. It may also grow on other organs within the abdominal cavity. The abnormal endometrium acts as it would inside the uterus, thickening as you come up to menstruation and then shedding during your period.
 

2. Ovarian cancer

Ovarian cancer normally occurs in older women. Due to its rapid progression and lack of clear symptoms, it is often not detected until it is quite serious. It can often be misdiagnosed and thus often not found in its earliest stages. Treatment for ovarian cancer is the removal of both ovaries and fallopian tubes as well as the uterus. Some patients may require radiation and/or chemotherapy.
 

3. Adenomyosis

Adenomyosis is characterized by a period that lasts for several days and excessive bleeding or severe abdominal or pelvic pain. Some women feel pressure before, during, and after their period. Adenomyosis occurs when the endometrium breaks through the muscle wall of the uterus, enlarging the uterus and causing pain. It is usually found in women over 40 years of age.
 

4. Endometrial hyperplasia

Endometrial hyperplasia refers to abnormal thickening of the lining of the uterus. It is usually found in women whose menstrual cycles are beginning to change, when estrogen is produced for a longer than normal period. While endometrial hyperplasia is classified as an abnormal growth, it is benign, but can sometimes develop into cancer. Some women who have their period for several days and experience heavy bleeding, it may be difficult to diagnose endometrial changes. If the endometrium cannot be removed and hormone therapy does not work, a hysterectomy may be recommended.

 

5. Prolapsed uterus and relate conditions

Prolapsed uterus occurs when the pelvic floor muscles and ligaments that keep the uterus in place stretch and weaken. This may be due to pregnancy or age. A prolapsed uterus may move down from its position in the pelvis into the vagina. Treatment for a prolapsed uterus may be a combination of a hysterectomy and surgery to tighten or strengthen the vaginal wall.

The same can occur to the muscles, ligaments, and tissues within the abdominal cavity that supports the bladder and large intestine. They can lose strength and cause these organs to fall into the vagina. A cystourethrocele is the bulging of the bladder and urethra in the vagina while a rectocele is the prolapse of the rectum forward into the vagina.

These conditions can cause discomfort, a sort of heaviness or “hanging” feeling in the lower abdomen or back pain. If these organs are in the vagina, you or your partner may notice this during sexual intercourse. With a cystourethrocele there is a constant urge to urinate, even if you have just emptied your bladder, and there may be some incontinence. You may experience recurrent urinary tract infections. A rectocele can cause constipation due to impacted stool.

Both cystourethrocele and rectocele can be corrected with surgery to strengthen the walls of the vagina. If surgery is not an option, a pessary can be placed to support these organs, but it can be uncomfortable.

 

Preparing for the Procedure​ :

Once you and your doctor have decided that hysterectomy is the appropriate choice for you, the surgery will be scheduled. Before the day of the surgery, you will receive instructions regarding preparing for surgery as follows :

1. Arrive at the hospital at least four hours before the procedure.
2. Avoid food and water for at least eight hours before the procedure or as recommended by the doctor to prevent aspiration while under general anesthesia. Be sure to get enough sleep the night before the procedure.
3. Do not wear any make-up or paint your nails before coming to the hospital. This allows the medical staff to better assess your circulation visually during and after the surgery.
4. Do not bring any jewelry or valuables to the hospital to prevent any loss. Removable dentures and contact lenses have to be removed before entering the operating room.
5. The doctor will assess your readiness for the surgery by ordering blood tests as well as chest x-ray and electrocardiogram (EKG) before the day of the procedure. If any results are abnormal or if you have existing medical conditions you may be referred to an internal medicine doctor for consultation regarding your readiness for the procedure.
6. The doctor will give you recommendations regarding medication that you are currently taking. Some may need to be stopped for a period before surgery, such as blood-thinning medication, aspirin, and certain supplements that can cause excessive bleeding. The doctor will determine which medication to discontinue and which you can still take up until time of surgery, usually with a small sip of water.
7. Avoid smoking for at least one week before the procedure.
8. A friend or family member must be at the hospital with you while you are in surgery and should stay with you while you are admitted at the hospital.

 

Terms & Conditions

• The eligible patient who can apply this package is patient without underlying disease or its controllable  and  attending physician • considered appropriate to this package.
• The high risk patient who cannot apply this package is the patient who has high risk of Total