Vaginal hysterectomy, with total or partial vaginectomy
CPT4 code
Name of the Procedure:
Vaginal Hysterectomy with Total or Partial Vaginectomy
Summary
Vaginal hysterectomy with total or partial vaginectomy is a surgical procedure that involves removing the uterus and either part or all of the vaginal canal through the vaginal opening.
Purpose
This procedure is used to treat certain medical conditions such as cancer, severe endometriosis, or chronic pelvic pain where conservative treatments have failed. The goal is to alleviate symptoms, remove diseased tissues, or prevent the spread of disease.
Indications
- Uterine or vaginal cancer
- Severe endometriosis
- Chronic pelvic pain not responsive to other treatments
- Benign tumors or fibroids causing significant symptoms
Preparation
- Patients may be instructed to fast for 8 hours prior to surgery.
- Discontinue specific medications as advised by the healthcare provider.
- Undergo preoperative testing like blood tests, imaging studies, and possibly a pelvic exam.
Procedure Description
- Anesthesia: The patient is given general anesthesia.
- Incision: A speculum is inserted into the vagina to keep it open.
- Dissection: The surgeon detaches the uterus and part or all of the vaginal canal using specialized surgical tools.
- Removal: The uterus (and part or all of the vagina, if necessary) is removed through the vaginal opening.
Closure: The remaining tissues are stitched, ensuring no significant blood loss or damage.
Duration
The procedure typically lasts about 2 to 3 hours.
Setting
The procedure is performed in a hospital operating room.
Personnel
- Surgeon
- Anesthesiologist
- Surgical nurses
- Operating room technicians
Risks and Complications
- Infection
- Excessive bleeding
- Injury to surrounding organs (e.g., bladder, intestines)
- Blood clots
- Anesthesia-related complications
Benefits
- Relief from pain and other symptoms related to the underlying condition
- Elimination of diseased or cancerous tissues
- Improved quality of life post-recovery
Recovery
- Hospital stay of 1 to 2 days, depending on recovery progress.
- Full recovery typically takes 6 to 8 weeks.
- Postoperative care includes pain management, avoiding heavy lifting, and follow-up appointments.
Alternatives
- Abdominal hysterectomy
- Laparoscopic hysterectomy
- Non-surgical treatments (e.g., medication, physical therapy)
- Each alternative has its risks and benefits to be discussed with a healthcare provider.
Patient Experience
- Patients may experience pain and discomfort post-surgery, managed with prescribed medications.
- Initial rest and limited physical activity are crucial.
- Activities can gradually resume, with full return to normal life in a couple of months.
- Emotional support and counseling might be beneficial for coping with changes post-surgery.