Hysterectomy (laparoscopic, transvaginal or open)


Hysterectomy means the surgical removal of the uterus. Please be aware the uterus is only the womb designed by nature to hold the baby until becomes viable. It does not have an endocrine function and undergoing a hysterectomy doesn’t imply menopause even if the menstrual flow ceases. The ovaries hold the hormonal function and unless a patient goes concomitant bilateral oophorectomy (removal of the ovaries), the hormone production continues. Consequently the signs of menopause will instate at the natural age (average 51.4 years old). However the patient will never be able to become pregnant after removal of the uterus.

The reasons for doing a hysterectomy are numerous and you should know there are about 600,000 of those done yearly in United States, making the hysterectomy the second most performed surgical procedure from all the interventions. Regarding the route, in general, it is still most commonly performed by open approach, followed by laparoscopic and transvaginal. To look at the entire process from an educated perspective, the thinking always starts with the main diagnosis, but also keeping in mind associated problems that may require surgical corrections sooner or later. Second other factors must be considered (e.g. childbearing plans) and eventually the most feasible route. For example a patient with symptomatic uterine fibroids may benefit from a myomectomy (tumor removal) but if she also has pelvic support defects and completed childbearing a hysterectomy may be more beneficial on long term. Coming to the route of surgery the choice belongs to the patient but depends on the surgeon’s possibilities. Obviously the laparoscopic approach is preferable since is causing least discomfort but is not necessarily always possible or doesn’t offer the best long-term benefits. So every single decision must always focus on the best final outcome and a thorough judgment must be made.

Our provider has achieved one of the highest rates in the nation of minimally invasive hysterectomies (laparoscopic mainly and transvaginal secondly) – above 95%. Whether as single procedure or associated with ovarian removal, pelvic reconstruction or anti urinary incontinence procedure, we strive to offer you the least painful way for cure and to see you back on your feet the same day. If you live in the Newport Beach / Orange County area and are considering or in need of a hysterectomy, schedule a consultation with Dr. Marinescu to learn more about your treatment options.

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